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. 2021 Dec 1;66(3):455–465. doi: 10.1111/1754-9485.13359
Study quality indicators NCCN guidelines AHNS quality indicators Scottish Task Force v1 – quality indicators
Diagnosis and staging indicators
Pathological diagnosis (biopsy) + + +
Staging documentation + + +
MDT + + +
Appropriate imaging + + +
Smoking cessation support/counselling + + +
Dental assessment + +
Nutritional assessment + +
Speech pathology assessment + +
Treatment indicators +
Appropriate RT§ +
Appropriate IMRT +
Appropriate surgery§ +
Appropriate chemotherapy§ +
Surgical margins +
Time to PORT < 6 weeks + +
Appropriate CRT + + +
30‐day mortality +
Post‐treatment indicators +
Follow up – 1st year + +†† +
Follow up – 2nd year + +†† +
Follow up – years 3 – 5 + +†† +
Imaging +‡‡ +
Annual TSH + +§§ +
Dental assessment§, ‡‡ +

NCCN (National Cancer Centre Network) Guidelines 10 – Provides guidelines for management of head and neck cancer.

AHNS (American Head and Neck Society) quality indicators 13 – First introduction to quality measures in head and neck cancers (oral cavity) in 2009.

Scottish Task Force v1 – First set of quality performance indicators developed and evaluated in 2016 in Scotland.

Nationally benchmarked.

Imaging of primary, neck and chest.

§

Evaluated against guidelines.

Referral only.

††

Frequency not stated, regular follow up.

‡‡

Surveillance for lung metastasis not assessed.

§§

Required only at/before 12 months.