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Quality indicators in the management of bladder cancer: A modified Delphi study.

Quality indicators in the management of bladder cancer: A modified Delphi study.

Authors :
Khare SR
Aprikian A
Black P
Blais N
Booth C
Brimo F
Chin J
Chung P
Drachenberg D
Eapen L
Fairey A
Fleshner N
Fradet Y
Gotto G
Izawa J
Jewett M
Kulkarni G
Lacombe L
Moore R
Morash C
North S
Rendon R
Saad F
Shayegan B
Siemens R
So A
Sridhar SS
Traboulsi SL
Kassouf W
Source :
Urologic oncology [Urol Oncol] 2017 Jun; Vol. 35 (6), pp. 328-334. Date of Electronic Publication: 2017 Jan 03.
Publication Year :
2017

Abstract

Background: Survival in patients with bladder cancer has only moderately improved over the past 2 decades. A potential reason for this is nonadherence to clinical guidelines and best practice, leading to wide variations in care. Common quality indicators (QIs) are needed to quantify adherence to best practice and provide data for benchmarking and quality improvement.<br />Objective: To produce an evidence- and consensus-based list of QIs for the management of bladder cancer.<br />Methods: A modified Delphi method was used to develop the indicator list. Candidate indicators were extracted from the literature and rated by a 27-member Canadian expert panel in several rounds until consensus was reached on the final list of indicators. In rounds with numeric ratings, a frequency analysis was performed.<br />Results: A total of 86 indicators were rated, 52 extracted from the literature and 34 suggested by the panel. After iterative rounds of ratings and discussion, a final list of 60 QIs spanning several disciplines and phases of the cancer care continuum was developed.<br />Conclusions: This is the first study to comprehensively produce common QIs representing structure, process, and outcome measures in bladder cancer management. Though developed in Canada, these indicators can be used in other countries with slight modifications to track performance and improve care.<br /> (Copyright © 2017 Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
1873-2496
Volume :
35
Issue :
6
Database :
MEDLINE
Journal :
Urologic oncology
Publication Type :
Academic Journal
Accession number :
28065393
Full Text :
https://doi.org/10.1016/j.urolonc.2016.12.003