UNASSIGNED: 193 Background: Adherence to clinical guidelines, such as those developed by the National @entity5 Network (NCCN), can serve as a quality measure for delivered care. We aimed to assess multidisciplinary conference (MC) treatment recommendations' adherence to NCCN @entity135 guidelines, while identifying potential areas for quality improvement. METHODS: @entity1 presented with previously un-treated @entity135 are being prospectively accrued as they are presented at weekly MC. The charts of @entity1 presented between 10/20/2011 and 6/31/2012 were retrospectively reviewed for clinical data leading up to MC to allow us to assess whether, based on the available information, the recommendations of conference are compliant with NCCN treatment guidelines. RESULTS: We identified 231 eligible @entity1 . TNM staging was documented in 90.9% of MC notes and treatment recommendations were documented for 93.5% of @entity1 ; the remainder of presented @entity1 required further evaluation before a treatment plan could be determined. Of 196 enrolled @entity1 , 53% had @entity5 , 25% had oral cavity @entity5 , 18.4% had @entity5 , and 3.6% had @entity5 . For the entire cohort, the mean age at presentation was 59.5 years. One hundred fifty nine @entity1 (81.1%) were @entity1 . The recommendations of conference were compliant with NCCN treatment guidelines for 92.3% @entity1 . The main reasons for non-compliance in 15 @entity1 were treatment of T1/2N2 @entity5 with @entity1161 (6 @entity1 ), incomplete documentation (4 @entity1 ), and recommended over-use of adjuvant therapy (3 @entity1 ) and induction chemotherapy (2 @entity1 ). CONCLUSIONS: NCCN guideline compliance can be used to evaluate the quality of @entity135 care. Although most cases involving deviation resulted from incomplete MC documentation, areas for improvement were identified. Further study is needed to evaluate how care that deviates from NCCN guidelines affects @entity1 outcomes.

Adherence to XXXX guidelines: Setting the stage for continual quality improvement.

@entity5 :: ('MESH:D009369', 'Disease') :: ['laryngeal cancer', 'cancer', 'oropharyngeal cancer', 'nasopharyngeal cancer', 'Comprehensive Cancer'] @entity135 :: ('MESH:D006258', 'Disease') :: ['head and neck cancer', 'head and neck cancers'] @entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient', 'men'] @entity1161 :: ('MESH:D011832', 'Disease') :: ['definitive radiation alone']
@entity135 :: (MESH:D006258,Disease) :: ['head and neck cancer']
