儿童肿瘤学小组的支持护理临床实践指南认可计划的影响：一项机构调查
Impact of the Children's Oncology Group's supportive care clinical practice guideline endorsement program: An institutional survey
影响因子:2.30000
分区:医学3区 / 血液学3区 儿科3区 肿瘤学4区
发表日期:2024 Oct
作者:
Jordan Gilleland Marchak, Melissa P Beauchemin, Larisa Broglie, Katherine Patterson Kelly, Jennifer Seelisch, L Lee Dupuis,
摘要
支持护理临床实践指南（CPGS）有助于将最佳证据纳入小儿癌症护理中。我们旨在评估儿童肿瘤学组（COG）支持护理指南对机构支持护理实践的影响。在线调查分发给了209个COG站点的代表，以评估COG备受支持的支持性护理CPG的意识，使用和帮助。还评估了有关当前COG认可的CPG涉及的13个主题的机构政策的可用性。受访者描述了他们制定支持护理政策的机构过程。来自92个齿轮站点的代表性对调查做出了回应，而78％（72/92）对COG认可的支持性护理CPG“非常了解”。平均而言，网站的政策涉及七个COG认可的支持护理CPG主题（中位数= 7，范围：0-12）。只有45％（41/92）的站点报告有制定支持护理政策的机构过程。其中，大多数（76％，31/41）报告说，COG认可的CPG对政策制定有中等或大影响。 Compared with sites without processes for supportive care policy development, sites with established processes had policies on a greater number of topics aligned with current COG-endorsed CPG topics (mean = 6.6, range: 0-12 vs mean = 7.9, range: 2-12; p = 0.027).Most site respondents were aware of the COG-endorsed supportive care CPGs.调查中代表的COG站点中只有一半有实施支持性护理政策的流程。需要改进本地实施，以确保COG站点的患者获得基于证据的支持护理。
Abstract
Supportive care clinical practice guidelines (CPGs) facilitate the incorporation of the best available evidence into pediatric cancer care. We aimed to assess the impact of the work of the Children's Oncology Group (COG) Supportive Care Guideline Task Force on institutional supportive care practices.An online survey was distributed to representatives at 209 COG sites to assess the awareness, use, and helpfulness of COG-endorsed supportive care CPGs. Availability of institutional policies regarding 13 topics addressed by current COG-endorsed CPGs was also assessed. Respondents described their institutional processes for developing supportive care policies.Representatives from 92 COG sites responded to the survey, and 78% (72/92) were "very aware" of the COG-endorsed supportive care CPGs. On average, sites had policies that addressed seven COG-endorsed supportive care CPG topics (median = 7, range: 0-12). Only 45% (41/92) of sites reported having institutional processes for developing supportive care policies. Of these, most (76%, 31/41) reported that the COG-endorsed CPGs have a medium or large impact on policy development. Compared with sites without processes for supportive care policy development, sites with established processes had policies on a greater number of topics aligned with current COG-endorsed CPG topics (mean = 6.6, range: 0-12 vs mean = 7.9, range: 2-12; p = 0.027).Most site respondents were aware of the COG-endorsed supportive care CPGs. Less than half of the COG sites represented in the survey have processes in place to implement supportive care policies. Improvement in local implementation is required to ensure that patients at COG sites receive evidence-based supportive care.