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Table 1 Criteria and (real) examples of the ranking of implementation of the recommendations on a scale from 0-4

From: Regional variation in breast cancer treatment in the Netherlands and the role of external peer review: a cohort study comprising 63,516 women

Implementation score

Criteria

Recommendation

Follow up report

0

Not implemented at all

  

1

Hospital only started working on implementing

The oncology committee should make oncological policy plans

An oncological policy plan is in preparation

2

A recommendation consists of two parts and one is implemented

An oncology committee needs to be formed consisting of physicians and a nursing staff representative

There is an oncology committee consisting of physicians but no nursing staff representative

3

Recommendation is implemented but not yet in the entire organisation

There should be oncological specialisation, especially amongst the surgeons, urologists and gynacologists

Oncological specialisation was realised in surgery, gynaecology, internal and pulmonary medicine but not in urology.

4

Complete implementation

The hospital should have a fulltime pulmonary physician if lung surgery is performed for an optimal pre-, peri- and post-operative care

The hospital appointed a full-time pulmonary physician