Variation in integrated head and neck cancer care:Impact of patient and hospital characteristics
| Autor: | Robert J. Baatenburg de Jong, John J.A. Brouns, Robert P. Takes, Rolf J. Bun, Barry Kolenaar, Lydia F.J. van Overveld, Ton P.M. Langeveld, Eric A. Dik, Matthias A.W. Merkx, Robert J.J. van Es, Ludi E. Smeele, Jozé Braspenning, Max J. H. Witjes, Rosella P.M.G. Hermens, Hendrik P. Verschuur, Jan de Boer, Frank J. P. Hoebers, Arvid Kropveld, Stijn van Weert, Jan G.A.M. de Visscher, Boukje A. C. van Dijk |
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| Přispěvatelé: | Guided Treatment in Optimal Selected Cancer Patients (GUTS), Basic and Translational Research and Imaging Methodology Development in Groningen (BRIDGE), Maxillofacial Surgery (AMC), Otorhinolaryngology and Head and Neck Surgery, MKA AMC (OII, ACTA), Oral and Maxillofacial Surgery / Oral Pathology, CCA - Cancer Treatment and quality of life, Otolaryngology / Head & Neck Surgery, MUMC+: MA Mondzorg Kaak Aangezicht Chirurgie (9), RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Radiotherapie |
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
INDICATORS medicine.medical_specialty Quality management NETHERLANDS MEDLINE NEEDS Patient Care Planning Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) All institutes and research themes of the Radboud University Medical Center SDG 3 - Good Health and Well-being QUALITY-OF-LIFE Humans Medicine Aged Neoplasm Staging Quality Indicators Health Care Patient Care Team Performance status Delivery of Health Care Integrated business.industry Head and neck cancer Multilevel model medicine.disease Hospitals Integrated care Women's cancers Radboud Institute for Health Sciences [Radboudumc 17] Oncology Head and Neck Neoplasms Sample size determination 030220 oncology & carcinogenesis Emergency medicine VOLUME Female Patient Participation business 030217 neurology & neurosurgery Rare cancers Radboud Institute for Health Sciences [Radboudumc 9] RADIOTHERAPY |
| Zdroj: | van Overveld, L F J, Takes, R P, Braspenning, J C C, Baatenburg de Jong, R J, de Boer, J P, Brouns, J J A, Bun, R J, Dik, E A, van Dijk, B A C, van Es, R J J, Hoebers, F J P, Kolenaar, B, Kropveld, A, Langeveld, T P M, Verschuur, H P, de Visscher, J G A M, van Weert, S, Witjes, M J H, Smeele, L E, Merkx, M A W & Hermens, R P M G 2018, ' Variation in integrated head and neck cancer care : Impact of patient and hospital characteristics ', Journal of the national comprehensive cancer network, vol. 16, no. 12, pp. 1491-1498 . https://doi.org/10.6004/jnccn.2018.7061 Journal of the national comprehensive cancer network, 16(12), 1491-1498. HARBORSIDE PRESS Journal of the national comprehensive cancer network, 16(12), 1491-1498. Cold Spring Publishing LLC Journal of the National Comprehensive Cancer Network, 16(12), 1491-1498. Cold Spring Publishing LLC Journal of the National Comprehensive Cancer Network, 16, 12, pp. 1491-1498 Journal of the National Comprehensive Cancer Network, 16, 1491-1498 van Overveld, L F J, Takes, R P, Braspenning, J C C, Baatenburg de Jong, R J, de Boer, J P, Brouns, J J A, Bun, R J, Dik, E A, van Dijk, B A C, van Es, R J J, Hoebers, F J P, Kolenaar, B, Kropveld, A, Langeveld, T P M, Verschuur, H P, de Visscher, J G A M, van Weert, S, Witjes, M J H, Smeele, L E, Merkx, M A W & Hermens, R P M G 2018, ' Variation in integrated head and neck cancer care: Impact of patient and hospital characteristics ', Journal of the national comprehensive cancer network, vol. 16, no. 12, pp. 1491-1498 . https://doi.org/10.6004/jnccn.2018.7061 Journal of the National Comprehensive Cancer Network, 16(12), 1491-1498. Harborside Press |
| ISSN: | 1540-1405 |
| DOI: | 10.6004/jnccn.2018.7061 |
| Popis: | Background: Monitoring and effectively improving oncologic integrated care requires dashboard information based on quality registrations. The dashboard includes evidence-based quality indicators (QIs) that measure quality of care. This study aimed to assess the quality of current integrated head and neck cancer care with QIs, the variation between Dutch hospitals, and the influence of patient and hospital characteristics. Methods: Previously, 39 QIs were developed with input from medical specialists, allied health professionals, and patients' perspectives. QI scores were calculated with data from 1,667 curatively treated patients in 8 hospitals. QIs with a sample size of >400 patients were included to calculate reliable QI scores. We used multilevel analysis to explain the variation. Results: Current care varied from 29% for the QI about a case manager being present to discuss the treatment plan to 100% for the QI about the availability of a treatment plan. Variation between hospitals was small for the QI about patients discussed in multidisciplinary team meetings (adherence: 95%, range 88%-98%), but large for the QI about malnutrition screening (adherence: 50%, range 2%-100%). Higher QI scores were associated with lower performance status, advanced tumor stage, and tumor in the oral cavity or oropharynx at the patient level, and with more curatively treated patients (volume) at hospital level. Conclusions: Although the quality registration was only recently launched, it already visualizes hospital variation in current care. Four determinants were found to be influential: tumor stage, performance status, tumor site, and volume. More data are needed to assure stable results for use in quality improvement. |
| Databáze: | OpenAIRE |
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