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Our experience highlights several pertinent issues for prospective audit and feedback ASPs.
Many areas of good practice have been identified, but the lack of tumour staging or performance status data, the low proportion receiving chemotherapy or definitive surgery and the poor outcome after radical radiotherapy indicate the need for prospective audit and feedback of results.
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In summary, for effective implementation of ASPs, education intervention is required to be combined with active strategies, such as prospective audit and feedback.
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