A comparative analysis: international variation in PET-CT service provision in oncology—an International Cancer Benchmarking Partnership study
| Autor: | Canice Mcgivern, Christopher Marshall, Mona-Eliszabeth Revheim, Anne Hazlett, Fergus Mckiddie, Lorraine Shack, Cindy Chew, Andrew Ross, Samantha Harrison, Bolette Danckert, Thida Win, Sabina Dizdarevic, C. Louzado, Prithwish De, Wai-Lup Wong, Martin O'Connell, Deanna L. Langer, Damon Lane, Irene Reguilon, Charlotte Lynch, John Butler |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Canada
Best practice Service provision Acknowledgement Automatic identification and data capture 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Neoplasms Positron Emission Tomography Computed Tomography cancers diagnostics Humans AcademicSubjects/MED00860 Original Research Article appropriate healthcare Marketing Norway Health Policy Public Health Environmental and Occupational Health Australia General Medicine Benchmarking healthcare system 030220 oncology & carcinogenesis General partnership Business Lung cancer staging Ireland Coding (social sciences) New Zealand |
| Zdroj: | International Journal for Quality in Health Care |
| ISSN: | 1464-3677 1353-4505 |
| Popis: | Objective To explore differences in position emission tomography-computed tomography (PET-CT) service provision internationally to further understand the impact variation may have upon cancer services. To identify areas of further exploration for researchers and policymakers to optimize PET-CT services and improve the quality of cancer services. Design Comparative analysis using data based on pre-defined PET-CT service metrics from PET-CT stakeholders across seven countries. This was further informed via document analysis of clinical indication guidance and expert consensus through round-table discussions of relevant PET-CT stakeholders. Descriptive comparative analyses were produced on use, capacity and indication guidance for PET-CT services between jurisdictions. Setting PET-CT services across 21 jurisdictions in seven countries (Australia, Denmark, Canada, Ireland, New Zealand, Norway and the UK). Participants None. Intervention(s) None. Main Outcome Measure(s) None. Results PET-CT service provision has grown over the period 2006–2017, but scale of increase in capacity and demand is variable. Clinical indication guidance varied across countries, particularly for small-cell lung cancer staging and the specific acknowledgement of gastric cancer within oesophagogastric cancers. There is limited and inconsistent data capture, coding, accessibility and availability of PET-CT activity across countries studied. Conclusions Variation in PET-CT scanner quantity, acquisition over time and guidance upon use exists internationally. There is a lack of routinely captured and accessible PET-CT data across the International Cancer Benchmarking Partnership countries due to inconsistent data definitions, data linkage issues, uncertain coverage of data and lack of specific coding. This is a barrier in improving the quality of PET-CT services globally. There needs to be greater, richer data capture of diagnostic and staging tools to facilitate learning of best practice and optimize cancer services. |
| Databáze: | OpenAIRE |
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