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1、StandardsofServiceProvisionforMelanomaPatientsinNewZealand–ProvisionalNationalMelanomaTumourStandardsWorkingGroup2013Citation:NationalMelanomaTumourStandardsWorkingGroup.2013.StandardsofServiceProvisionforMelanomaPatientsinNewZealand-Provisional.Wellington:MinistryofHealth.PublishedinDecember20

2、13bytheMinistryofHealthPOBox5013,Wellington6145,NewZealandISBN978-0-478-41540-7(online)HP5743ThisdocumentisavailablethroughtheMinistryofHealthwebsite:www.health.govt.nzorfromtheregionalcancernetworkwebsites:www.northerncancernetwork.org.nzwww.midlandcancernetwork.org.nzwww.centralcancernetwork.

3、org.nzwww.southerncancernetwork.org.nzContentsIntroduction1Background1Objective2Howthemelanomaservicestandardsweredeveloped2EquityandWhānauOra3Summaryoftheclinicalstandardsforthemanagementofmelanomaservices4Standardsofserviceprovisionpathway4Summaryofstandards51PreventionandEarlyIdentification9

4、Rationale9-12Goodpracticepoints9-122TimelyAccesstoServices13Rationale13Goodpracticepoints143ReferralandCommunication15Rationale154Investigation,DiagnosisandStaging17Rationale17-25Goodpracticepoints17-255MultidisciplinaryCare27Rationale27Goodpracticepoints276SupportiveCare29Rationale29Goodpracti

5、cepoints297CareCoordination31Rationale31Goodpracticepoints318Treatment33Rationale33-45Goodpracticepoints33-4580StandardsofServiceProvisionforMelanomaPatientsinNewZealand-Provisional9Follow-upandSurveillance47Rationale47Goodpracticepoints4710ClinicalPerformanceMonitoringandResearch49Rationale49-

6、51Goodpracticepoints50-51Appendix1:NationalMelanomaTumourStandardsWorkingGroupMembership52Appendix2:Glossary54Appendix3:TheMelanomaPatientPathway60Appendix4:ProposedReportingProformaforPrimaryCutaneousMalignantMelanoma60Appendix5:ProposedReportingProformaforSentinelNodeBiopsy63Appendix6:Propose

7、dReportingProformaforCompletionLymphadenectomy64Appendix7:Cancer-relatedDistressSelf-assessmentTool65Appendix8:References6680StandardsofServiceProvisionforMelanomaPatientsinNewZealand-ProvisionalIntroductionBackgroundMelanomaisama