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April 1989

Surgical Quality Control in Head and Neck Cancer: Study 73-03 of the Radiation Therapy Oncology Group

Author Affiliations

From the Department of Otolaryngology, Wayne State University, Harper-Grace Hospitals, Detroit (Dr Jacobs); and the Statistical Unit, Radiation Therapy Oncology Group, American College of Radiology (Dr Pajak), the Department of Otorhinolaryngology and Human Communication, University of Pennsylvania (Dr Snow), the Department of Otolaryngology, Thomas Jefferson Medical College (Dr Lowry), and the Department of Radiation Therapy and Nuclear Medicine, Thomas Jefferson University Hospital (Dr Kramer), Philadelphia.

Arch Otolaryngol Head Neck Surg. 1989;115(4):489-493. doi:10.1001/archotol.1989.01860280087022

• The measurement of quality of medical care has always been a topic of concern to physicians and other health care professionals. During an age of increasing competitiveness in the health care environment, the ability to assess accurately the quality of the care delivered has become increasingly important. The head and neck surgeons within the Radiation Therapy Oncology Group have examined this problem and have developed an evaluation tool that was then applied retrospectively in an attempt to evaluate the quality of surgery performed in a randomized study. The analysis of the results suggested that the retrospective approach to surgical quality control is fraught with hazards and is unlikely to fulfill the goals set for it.

(Arch Otolaryngol Head Neck Surg 1989;115:489-493)

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