Consensus Quality Measures and Dose Constraints for Head and Neck Cancer with an emphasis on Oropharyngeal and Laryngeal Cancer from the Veterans Affairs Radiation Oncology Quality Surveillance Program and American Society for Radiation Oncology Expert Panel

Evangelia Katsoulakis, Randi Kudner, Christina Chapman, John Park, Lindsay Puckett, Abhi Solanki, Rishabh Kapoor, Michael Hagan, Maria Kelly, Jatinder Palta, Roy Tishler, Ying Hitchcock, Bhisham Chera, Vladimir Feygelman, Gary Walker, David Sher, Ksenija Kujundzic, Emily Wilson, Samantha Dawes, Sue S. YomLouis Harrison

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Safeguarding high-quality care using evidence-based radiation therapy for patients with head and neck cancer is crucial to improving oncologic outcomes, including survival and quality of life. Methods and Materials: The Veterans Administration (VA) National Radiation Oncology Program established the VA Radiation Oncology Quality Surveillance Program (VAROQS) to develop clinical quality measures (QM) in head and neck cancer. As part of the development of QM, the VA commissioned, along with the American Society for Radiation Oncology, a blue-ribbon panel comprising experts in head and neck cancer, to develop QM. Results: We describe the methods used to develop QM and the final consensus QM, as well as aspirational and surveillance QM, which capture all aspects of the continuum of patient care from initial patient work-up, radiation treatment planning and delivery, and follow-up care, as well as dose volume constraints. Conclusion: These QM are intended for use as part of ongoing quality surveillance for veterans receiving radiation therapy throughout the VA as well as outside the VA. They may also be used by the non-VA community as a basic measure of quality care for head and neck cancer patients receiving radiation.

Original languageEnglish (US)
Pages (from-to)409-423
Number of pages15
JournalPractical Radiation Oncology
Volume12
Issue number5
DOIs
StatePublished - Sep 1 2022

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging

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