Patterns and quality of care for head and neck cancer in Belgium: A population-based study.

Autor:	Verleye L; Belgian Health Care Knowledge Centre (KCE), Brussels, Belgium., De Gendt C; Belgian Cancer Registry, Brussels, Belgium., Leroy R; Belgian Health Care Knowledge Centre (KCE), Brussels, Belgium., Stordeur S; Belgian Health Care Knowledge Centre (KCE), Brussels, Belgium., Schillemans V; Belgian Cancer Registry, Brussels, Belgium., Savoye I; Belgian Health Care Knowledge Centre (KCE), Brussels, Belgium., Silversmit G; Belgian Cancer Registry, Brussels, Belgium., Van Eycken L; Belgian Cancer Registry, Brussels, Belgium., Daisne JF; CHU-UCL-Namur, Department of radiation oncology, Université Catholique de Louvain, Namur, Belgium.; Department of Radiotherapy-Oncology, KU Leuven, University Hospitals Leuven, University of Leuven, Leuven, Belgium., Nuyts S; Department of Radiotherapy-Oncology, KU Leuven, University Hospitals Leuven, University of Leuven, Leuven, Belgium., Vermorken J; Department of Medical Oncology, Antwerp University Hospital, Edegem, Belgium.; Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium., Grégoire V; Department of Radiation Oncology, Centre Léon Bérard, Lyon, France.
Jazyk:	angličtina
Zdroj:	European journal of cancer care [Eur J Cancer Care (Engl)] 2021 Sep; Vol. 30 (5), pp. e13454. Date of Electronic Publication: 2021 Apr 22.
DOI:	10.1111/ecc.13454
Abstrakt:	Objectives: We evaluated the quality of care for patients with squamous cell carcinoma (SCC) of the oral cavity, oropharynx, hypopharynx or larynx in Belgium. Methods: Data of the Belgian Cancer Registry were coupled with health insurance data and hospital discharge data. Quality of care and the association with hospital volume were evaluated based on six quality indicators. Results: Half of the patients were treated with primary radiotherapy, with or without systemic therapy (49.7%) and 38.1% with surgery, with or without (neo)adjuvant therapy. Single-modality treatment was provided to 78.1% of early-disease patients. Of the patients with cN0 disease, 56.4% underwent neck dissection. Postoperative radiotherapy was completed timely in 48.5% of patients. Concomitant chemotherapy was administered to 58.2% of patients <70 years with locally advanced disease. Imaging of the neck after radiotherapy was performed appropriately in 32.7% of patients. Variability between centres was considerable. No clear relationship between hospital volume and results of the individual QIs was observed. Conclusions: Results show that for the measured QIs, targets are not met and variability between centres is considerable. Through individual feedback, centres are motivated to improve the quality of care for head and neck cancer patients in Belgium. (© 2021 John Wiley & Sons Ltd.)
Databáze:	MEDLINE
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