Consensus Quality Measures and Dose Constraints for Rectal Cancer From the Veterans Affairs Radiation Oncology Quality Surveillance Program and American Society for Radiation Oncology (ASTRO) Expert Panel

John Park, Bhanu Prasad Venkatesulu, Ksenija Kujundzic, Evangelia Katsoulakis, Abhishek A. Solanki, Lindsay L. Puckett, Rishabh Kapoor, Christina H. Chapman, Michael Hagan, Maria D. Kelly, Jatinder Palta, Jonathan B. Ashman, Dustin Jacqmin, Lisa A. Kachnic, Bruce D. Minsky, Jeffrey Olsen, Ann C. Raldow, Jennifer Y. Wo, Samantha Dawes, Emily WilsonRandi Kudner, Prajnan Das

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

Purpose: Ensuring high quality, evidence-based radiation therapy for patients with cancer is of the upmost importance. To address this need, the Veterans Affairs (VA) Radiation Oncology Program partnered with the American Society for Radiation Oncology and established the VA Radiation Oncology Quality Surveillance program. As part of this ongoing effort to provide the highest quality of care for patients with rectal cancer, a blue-ribbon panel comprised of rectal cancer experts was formed to develop clinical quality measures. Methods and Materials: The Rectal Cancer Blue Ribbon panel developed quality, surveillance, and aspirational measures for (a) initial consultation and workup, (b) simulation, treatment planning, and treatment, and (c) follow-up. Twenty-two rectal cancer specific measures were developed (19 quality, 1 aspirational, and 2 surveillance). In addition, dose-volume histogram constraints for conventional and hypofractionated radiation therapy were created. Conclusions: The quality measures and dose-volume histogram for rectal cancer serves as a guideline to assess the quality of care for patients with rectal cancer receiving radiation therapy. These quality measures will be used for quality surveillance for veterans receiving care both inside and outside the VA system to improve the quality of care for these patients.

Original languageEnglish (US)
Pages (from-to)424-436
Number of pages13
JournalPractical radiation oncology
Volume12
Issue number5
DOIs
StatePublished - Sep 1 2022

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging

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