Table 1. Appropriateness indicators of lung cancer management by HIRA of Korea.
Category | Area | Evaluation index |
---|---|---|
Structure (1) | Treatment ability | 1. Organization of lung cancer specialists |
Process (19) | Diagnostic assessment and completeness of medical records (5) | 2. Records of smoking history |
3. Records of performance status | ||
4. Detailed examination before treatment | ||
5. Records of cancer stage by clinicians | ||
6. Pathologic confirmation before treatment | ||
Surgery (2) | 7. Completeness of pathology report | |
8. Dissection or sampling of lymph nodes | ||
Systemic treatment (8) | 9. Consent before chemotherapy | |
10. Use of flow sheet | ||
11. No chemotherapy in stage IA NSCLC patients | ||
12. Adjuvant chemotherapy within 8 weeks after surgery | ||
13. Use of antiemetics | ||
14. CCRT in LD-SCLC | ||
15. Assessment of AEs | ||
16. Periodic tumor response evaluation during chemotherapy in patients with stage IIIB/IV NSCLC | ||
Radiotherapy (4) | 17. Records for radiation therapeutic parameters | |
18. Recordings of AEs during definitive radiotherapy and electrical portal imaging | ||
19. Tumor response and evaluation of the AEs within 2 months after definitive radiotherapy | ||
20. The rate of CCRT in unresectable stage III NSCLC patients | ||
Results (2) | 21. Mean hospital days | |
22. Mean cost during hospitalization days |
HIRA: Health Insurance Review and Assessment Service; NSCLC: non-small cell lung cancer; CCRT: chemotherapy combined with chemotherapy; LD: limited disease; SCLC: small cell lung cancer; AE: adverse events.