NoT ReStInG SurGEONs – Brief Parametric Standard for Oncosurgery

Summary

Standardization of therapeutic schedules becomes now more requested not only in oncology and oncosurgery. In fact, simple parametrisation and regular evaluation of oncological algorithms is more needed than files of instructions on diagnosis and therapy, which should be already contained in medical education. An original simple system of basic parameters is presented under acronyme NoT ReStInG SurGEONs,which includes five indicators of quality of diagnosis and three characteristics documenting quality of care and experience of therapeutic teams. Key indicators for parametrisation in solid tumors are: nodal status (No), T category and typing (T), resection margins (Re),postoperative clinical stage (St), investigation on grade and biological features (InG), survival rate achieved in hospital or team (Sur), guaranty of team decision and multidisciplinary expert opinion (GEO) and numbers of treated cases reflecting experience of hospital or team with particular oncological diagnoses (Ns). Considered and discussed are also some problems with interpretation and implementation of this parametric approach.

Key words:
standardisation – parametric evaluation – surgical oncology