Evaluating the scientific basis of quality indicators in colorectal cancer care: A systematic review
| Autor: | Miriam Koopman, Lotte Keikes, Martijn G.H. van Oijen, Pieter J. Tanis, Cornelis J. A. Punt, Valery E.P.P. Lemmens |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Cancer Research
medicine.medical_specialty Evidence-based medicine Colorectal cancer media_common.quotation_subject Quality indicator Alternative medicine Review Medical Oncology Outcome measures Colorectal neoplasms Scientific evidence 03 medical and health sciences 0302 clinical medicine Process measures Multidisciplinary approach Health care Journal Article Humans Medicine Quality (business) Quality Indicators Health Care Process Measures media_common Patient Care Team Delivery of Health Care Integrated business.industry Process Assessment Health Care Reproducibility of Results medicine.disease Treatment Outcome Oncology 030220 oncology & carcinogenesis Family medicine Systematic review Quality of health care 030211 gastroenterology & hepatology business Cohort study |
| Zdroj: | European Journal of Cancer, 86, 166. Elsevier Limited |
| ISSN: | 0959-8049 |
| Popis: | Aim In colorectal cancer care, many indicators for assessment and improvement of quality of care are being used. These quality indicators serve as national and international benchmarks to compare health care on hospital and patient level. However, the scientific basis of these indicators is often unclear. Therefore, the aim of this systematic review is to examine reported quality indicators used in multidisciplinary colorectal cancer care and categorise these indicators based on scientific evidence. Methods We searched PubMed from 2005 to 2015 for original articles reporting on development, evaluation or validation of quality indicators in colorectal cancer care. Included articles were categorised in consensus-based, evidence-based and validation cohort studies. Extracted quality indicators were divided into structure, process and outcome indicators and grouped per discipline(s) involved. Results From 1163 studies, 41 articles were included: 12 (29%) consensus-based, 7 (17%) evidence-based and 22 (54%) validation cohort studies. In total, we identified 389 reported quality indicators: consensus-based (n = 349), evidence-based (n = 7) and validation (n = 33), respectively. Of all reported indicators, 45% (n = 186) concerned surgical items. The vast majority were process indicators (n = 315; 81%) and the remaining outcome (n = 57; 15%) or structure measurements (n = 17; 4%). Only 5 indicators were reported in the majority (≥7/12 articles) of consensus-based papers and 7 indicators were successfully validated. Conclusions There is an abundance of reported colorectal cancer quality indicators, of which the majority are surgical, consensus-based process measures, which have not been validated in cohort studies. There is a need for international consensus on a limited evidence-based data set of validated quality indicators, with a focus on outcome indicators. |
| Databáze: | OpenAIRE |
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