J R Harris1, H Lau2, B V Surgeoner3, N Chua4, W Dobrovolsky5, J C Dort6, E Kalaydjian7, M Nesbitt1, R A Scrimger8, H Seikaly1, D Skarsgard2, M A Webster9. 1. Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Alberta, Edmonton, AB. 2. Department of Oncology, Division of Radiation Oncology, University of Calgary, Calgary, AB. 3. Guideline Utilization Resource Unit, CancerControl Alberta, Alberta Health Services, Calgary, AB. 4. Department of Oncology, University of Alberta, Edmonton, AB. 5. Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB. 6. Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, University of Calgary, Calgary, AB. 7. Department of Surgery, Section of Dentistry and Oral Health, Alberta Health Services, Calgary, AB. 8. Department of Oncology, Division of Radiation Oncology, University of Alberta, Edmonton, AB. 9. Department of Oncology, University of Calgary, Calgary, AB.
Abstract
BACKGROUND: The treatment of head-and-neck cancer is complex and requires the involvement of various health care professionals with a wide range of expertise. We describe the process of developing a practice guideline with recommendations about the organization and delivery of health care services for head-and-neck cancer patients in Alberta. METHODS: Outcomes of interest included composition of the health care team, qualification requirements for team members, cancer centre and team member volumes, infrastructure needs, and wait times. A search for existing practice guidelines and a systematic review of the literature addressing the organization and delivery of health care services for head-and-neck cancer patients were conducted. The search included the Standards and Guidelines Evidence (sage) directory of cancer guidelines and PubMed. RESULTS: One practice guideline was identified for adaptation. Three additional practice guidelines provided supplementary evidence to inform guideline recommendations. Members of the Alberta Provincial Head and Neck Tumour Team (consisting of various health professionals from across the province) provided expert feedback on the adapted recommendations through an online and in-person review process. Selected experts in head-and-neck cancer from outside the province participated in an external online review. SUMMARY: The recommendations outlined in this practice guideline are based on existing guidelines that have been modified to fit the Alberta context. Although specific to Alberta, the recommendations lend credence to similar published guidelines and could be considered for use by groups lacking the resources of appointed guideline panels. The recommendations are meant to be a guide rather than a fixed protocol. The implementation of this practice guideline will depend on many factors, including but not limited to availability of trained personnel, adequate funding of infrastructure, and collaboration with other associations of health care professionals in the province.
BACKGROUND: The treatment of head-and-neck cancer is complex and requires the involvement of various health care professionals with a wide range of expertise. We describe the process of developing a practice guideline with recommendations about the organization and delivery of health care services for head-and-neck cancerpatients in Alberta. METHODS: Outcomes of interest included composition of the health care team, qualification requirements for team members, cancer centre and team member volumes, infrastructure needs, and wait times. A search for existing practice guidelines and a systematic review of the literature addressing the organization and delivery of health care services for head-and-neck cancerpatients were conducted. The search included the Standards and Guidelines Evidence (sage) directory of cancer guidelines and PubMed. RESULTS: One practice guideline was identified for adaptation. Three additional practice guidelines provided supplementary evidence to inform guideline recommendations. Members of the Alberta Provincial Head and Neck Tumour Team (consisting of various health professionals from across the province) provided expert feedback on the adapted recommendations through an online and in-person review process. Selected experts in head-and-neck cancer from outside the province participated in an external online review. SUMMARY: The recommendations outlined in this practice guideline are based on existing guidelines that have been modified to fit the Alberta context. Although specific to Alberta, the recommendations lend credence to similar published guidelines and could be considered for use by groups lacking the resources of appointed guideline panels. The recommendations are meant to be a guide rather than a fixed protocol. The implementation of this practice guideline will depend on many factors, including but not limited to availability of trained personnel, adequate funding of infrastructure, and collaboration with other associations of health care professionals in the province.
Entities:
Keywords:
Head-and-neck cancer; health care delivery; practice guideline
Authors: John D Birkmeyer; Andrea E Siewers; Emily V A Finlayson; Therese A Stukel; F Lee Lucas; Ida Batista; H Gilbert Welch; David E Wennberg Journal: N Engl J Med Date: 2002-04-11 Impact factor: 91.245
Authors: Nancy J O Birkmeyer; Philip P Goodney; Therese A Stukel; Bruce E Hillner; John D Birkmeyer Journal: Cancer Date: 2005-02-01 Impact factor: 6.860
Authors: Michael C Cheung; Leonidas G Koniaris; Eduardo A Perez; Manuel A Molina; W Jarred Goodwin; Rabih M Salloum Journal: Ann Surg Oncol Date: 2008-11-04 Impact factor: 5.344
Authors: Michael C Cheung; Kara Hamilton; Recinda Sherman; Margaret M Byrne; Dao M Nguyen; Dido Franceschi; Leonidas G Koniaris Journal: Ann Surg Oncol Date: 2008-07-04 Impact factor: 5.344
Authors: John D Birkmeyer; Therese A Stukel; Andrea E Siewers; Philip P Goodney; David E Wennberg; F Lee Lucas Journal: N Engl J Med Date: 2003-11-27 Impact factor: 91.245
Authors: F De Felice; V Tombolini; M de Vincentiis; G Magliulo; A Greco; V Valentini; A Polimeni Journal: Med Oncol Date: 2018-11-13 Impact factor: 3.064
Authors: Laura W J Baijens; Margaret Walshe; Leena-Maija Aaltonen; Christoph Arens; Reinie Cordier; Patrick Cras; Lise Crevier-Buchman; Chris Curtis; Wojciech Golusinski; Roganie Govender; Jesper Grau Eriksen; Kevin Hansen; Kate Heathcote; Markus M Hess; Sefik Hosal; Jens Peter Klussmann; C René Leemans; Denise MacCarthy; Beatrice Manduchi; Jean-Paul Marie; Reza Nouraei; Claire Parkes; Christina Pflug; Walmari Pilz; Julie Regan; Nathalie Rommel; Antonio Schindler; Annemie M W J Schols; Renee Speyer; Giovanni Succo; Irene Wessel; Anna C H Willemsen; Taner Yilmaz; Pere Clavé Journal: Eur Arch Otorhinolaryngol Date: 2020-12-19 Impact factor: 2.503
Authors: Kristen McCarter; Amanda L Baker; Ben Britton; Sean A Halpin; Alison Beck; Gregory Carter; Chris Wratten; Judith Bauer; Luke Wolfenden; Katrina Burchell; Erin Forbes Journal: Support Care Cancer Date: 2018-01-27 Impact factor: 3.603