儿童肿瘤组支持性护理临床实践指南认证项目的影响：一项机构调查

Impact of the Children's Oncology Group's supportive care clinical practice guideline endorsement program: An institutional survey

PEDIATRIC BLOOD & CANCER

影响因子:2.3

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,

DOI: 10.1002/pbc.31178

摘要

支持性护理临床实践指南（CPGs）有助于将最佳证据融入儿科癌症护理中。我们旨在评估儿童肿瘤组（COG）支持性护理指南工作组对机构支持性护理实践的影响。一份在线调查被分发给209个COG站点的代表，以评估对COG认可的支持性护理CPGs的认知度、使用情况和有用性。同时也评估了当前机构关于13个指南覆盖主题的政策可用性，调查对象描述其制定支持性护理政策的流程。共有92个COG站点的代表回复了调查，78%（72/92）“非常了解”COG认可的支持性护理CPGs。平均而言，站点有7个支持性护理CPG主题的政策（中位数=7，范围：0-12）。仅45%（41/92）站点表示拥有制定支持性护理政策的机构流程。在这些站点中，大多数（76%，31/41）认为COG认可的CPGs对政策制定具有中等或较大影响。与没有支持性护理政策制定流程的站点相比，具有流程的站点在与当前COG支持性护理CPG主题一致的政策主题数量上更高（平均=6.6，范围：0-12 vs. 平均=7.9，范围：2-12；p=0.027）。大多数受访者对COG认可的支持性护理CPGs表示知晓，但只有不到一半的站点建立了实施支持性护理政策的流程。为了确保COG站点的患者获得循证支持性护理，需加强本地的政策落实。

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.