Evidence-Based and Clinical Outcome Scores to Facilitate Audit and Feedback for Colorectal Cancer Care

2009 ◽  
Vol 52 (4) ◽  
pp. 616-622 ◽  
Author(s):  
Miriam R. Habib ◽  
Michael J. Solomon ◽  
Jane M. Young ◽  
Bruce K. Armstrong ◽  
Dianne O'Connell ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Clinical Outcome ◽  
Cancer Care ◽  
Audit And Feedback ◽  
Evidence Based ◽  
Outcome Scores

Sex, income and age-related differences in colorectal cancer care: results from the Project for an Ontario Women's Health Evidence-based Report Card (POWER) study

2008 ◽  
Vol 26 (15_suppl) ◽  
pp. 6509-6509
Author(s):  
M. K. Krzyzanowska ◽  
L. Barbera ◽  
L. Elit ◽  
D. Hodgson ◽  
A. Razzaq ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Women’S Health ◽  
Women's Health ◽  
Cancer Care ◽  
Report Card ◽  
Evidence Based ◽  
Power Study ◽  
Age Related

Development of an evidence-based, patient-centered breast cancer chemotherapy and survivorship quality measures (QM) by the Oncology Nursing Society (ONS).

2012 ◽  
Vol 30 (34_suppl) ◽  
pp. 273-273
Author(s):  
Kristen Fessele ◽  
Susan Yendro ◽  
Gail Mallory ◽  
Keyword(s):  
Breast Cancer ◽  
Cancer Care ◽  
Clinical Care ◽  
Symptom Assessment ◽  
Post Treatment ◽  
Audit And Feedback ◽  
Evidence Based ◽  
Quality Cancer Care ◽  
Symptom Intensity ◽  
Ambulatory Oncology

273 Background: QM focused on areas illustrating high-quality cancer care valued by nurses and patients are needed to complement existing measures in the ambulatory oncology setting. ONS has utilized a reproducible process for pilot testing two sets of evidence-based QM for validity and reliability in the breast cancer population, drawing on evidence from ONS Putting Evidence into Practice (PEP), Institute of Medicine (IOM) recommendations and other resources. Methods: The ONS Foundation supported teams of expert nurses to review evidence, draft and prioritize topic areas for potential QM. Final QM were selected after soliciting national public comment from stakeholders, and were judged on importance to clinical care, prevalence and potential for impact, scientific basis and link between process and outcome. The Joint Commission (TJC) was contracted to conduct testing, and diverse pilot sites were recruited to perform retrospective data abstraction on patient charts. The Breast Cancer Care (BCC) QM set focused on symptom management for patients receiving chemotherapy, and the Breast Cancer Survivorship (BCS) set explores needs in the first year post-treatment. TJC and ONS staff co-managed development of QM specifications, abstractor training, clinical and technical support of pilot sites, and re-abstracted 15% of 2,835 submitted cases for reliability testing. Results: QM scores were examined for gaps in care; there are clear opportunities to improve the consistency of symptom assessment and management. Symptom intensity, trajectory over time, success/failure of interventions are frequently undocumented, impacting coordination of care. Post-treatment/transition to survivorship education and resource provision as recommended by the IOM are lacking. Conclusions: Audit and feedback to practices using valid and reliable QM provide a strategy to link high-level evidence-based interventions and practice changes to improve quality cancer care. National testing across diverse practice sites illustrates a strong need to improve the consistency of symptom assessment/management and post-treatment survivorship interventions.

Barriers to Evidence-Based Colorectal Cancer Care in Ukraine

2019 ◽  
Vol 229 (4) ◽  
pp. S125-S126
Author(s):  
Pamela Lu ◽  
Galyna Shabat ◽  
Volodymyr I. Pylypchuk ◽  
Volodymyr Galyuk ◽  
Solomiia Semeniv ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Care ◽  
Evidence Based

scholarly journals Computed Tomography Colonography as a Sensible Option for Colorectal Cancer Screening: Evidence Based on Metanalysis

2021 ◽  
Vol 41 (01) ◽  
pp. 087-095
Author(s):  
Ingrid Chaves de Souza Borges ◽  
Natália Costa Resende Cunha ◽  
Amanda Marsiaj Rassi ◽  
Marcela Garcia de Oliveira ◽  
Jacqueline Andréia Bernardes Leão-Cordeiro ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Computed Tomography ◽  
Cancer Screening ◽  
Literature Search ◽  
Web Of Science ◽  
Screening Method ◽  
Colorectal Polyp ◽  
Evidence Based ◽  
Polyp Detection ◽  
Computed Tomography Colonography

Abstract Objective This metanalysis aimed to evaluate the sensitivity and specificity of computed tomography colonography in colorectal polyp detection. Methods A literature search was performed in the PubMed and Web of Science databases. Results A total of 1,872 patients (males 57.2%, females 42.8%) aged 49 to 82 years old (mean age 59.7 ± 5.3 years) were included in this metanalysis. The estimated sensitivity of computed tomography colonography was 88.4% (46.3–95.7%, coefficient of variation [CV] = 28.5%) and the estimated specificity was 73.6% (47.4–100.0%, CV = 37.5%). For lesions up to 9 mm, the sensitivity was 82.5% (62.0–99.9%, CV = 25.1%) and the specificity was 79.2% (32.0–98.0%, CV = 22.9%). For lesions > 9 mm, the sensitivity was 90.2% (64.0–100.0%, CV = 7.4%) and the specificity was 94.7% (80.0–100.0%, CV = 6.2%). No statistically significant differences in sensitivity according to the size of the lesion were found (p = 0.0958); however, the specificity was higher for lesions > 9 mm (p < 0.0001). Conclusions Most of the studies analyzed in the present work were conducted before 2010, which is about a decade after computed tomography colonography started being indicated as a screening method by European and American guidelines. Therefore, more studies aimed at analyzing the technique after further technological advancements are necessary, which could lead to the development of more modern devices.

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