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Quality indicators for cervical cancer care in Japan
- Source :
- Journal of Gynecologic Oncology
- Publication Year :
- 2018
- Publisher :
- Asian Society of Gynecologic Oncology; Korean Society of Gynecologic Oncology and Colposcopy, 2018.
-
Abstract
- Objective We aimed to propose a set of quality indicators (QIs) based on the clinical guidelines for cervical cancer treatment published by The Japan Society of Gynecologic Oncology, and to assess adherence to standard-of-care as an index of the quality of care for cervical cancer in Japan. Methods A panel of clinical experts devised the QIs using a modified Delphi method. Adherence to each QI was evaluated using data from a hospital-based cancer registry of patients diagnosed in 2013, and linked with insurance claims data, between October 1, 2012, and December 31, 2014. All patients who received first-line treatment at the participating facility were included. The QI scores were communicated to participating hospitals, and additional data about the reasons for non-adherence were collected. Results In total, 297 hospitals participated, and the care provided to 15,163 cervical cancer patients was examined using 10 measurable QIs. The adherence rate ranged from 50.0% for 'cystoscope or proctoscope for stage IVA' to 98.8% for 'chemotherapy using platinum for stage IVB'. Despite the variation in care, hospitals reported clinically valid reasons for more than half of the non-adherent cases. Clinically valid reasons accounted for 75%, 90.9%, 73.4%, 44.5%, and 88.1% of presented non-adherent cases respectively. Conclusion Our study revealed variations in pattern of care as well as an adherence to standards-of-care across Japan. Further assessment of the causes of variation and non-adherence can help identify areas where improvements are needed in patient care.
- Subjects :
- Adult
0301 basic medicine
medicine.medical_specialty
media_common.quotation_subject
Modified delphi
Uterine Cervical Neoplasms
Gynecologic oncology
Adenocarcinoma
Cervix
03 medical and health sciences
0302 clinical medicine
Japan
medicine
Humans
In patient
Quality (business)
Registries
Stage (cooking)
Aged
Quality of Health Care
media_common
Cervical cancer
Patterns of care
business.industry
Obstetrics and Gynecology
Standard of Care
General Medicine
Middle Aged
medicine.disease
Hospitals
Cancer registry
030104 developmental biology
Practice Guideline
Oncology
030220 oncology & carcinogenesis
Family medicine
Practice Guidelines as Topic
Carcinoma, Squamous Cell
Quality Indicators
Female
Original Article
Guideline Adherence
business
Subjects
Details
- ISSN :
- 20050399 and 20050380
- Volume :
- 29
- Database :
- OpenAIRE
- Journal :
- Journal of Gynecologic Oncology
- Accession number :
- edsair.doi.dedup.....10caa714b047efef0faf76bf6924f63d