scholarly journals Effect of Case-Mix and Random Variation on Breast Cancer Care Quality Indicators and Their Rankability

2020 ◽  
Vol 23 (9) ◽  
pp. 1191-1199 ◽  
Author(s):  
Elvira L. Vos ◽  
Hester F. Lingsma ◽  
Agnes Jager ◽  
Kay Schreuder ◽  
Pauline Spronk ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Indicators ◽  
Cancer Care ◽  
Care Quality ◽  
Case Mix ◽  
Breast Cancer Care ◽  
Random Variation

Evaluation of quality measures for breast cancer care in a community setting

2007 ◽  
Vol 25 (18_suppl) ◽  
pp. 6545-6545
Author(s):  
L. L. Dietrich ◽  
R. Ballandby ◽  
J. Lee ◽  
D. Sullivan ◽  
M. A. Mathiason ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Indicators ◽  
Cancer Care ◽  
Quality Measures ◽  
Care Quality ◽  
Adherence Rate ◽  
Breast Cancer Care ◽  
Recommended Care ◽  
Nccn Guidelines ◽  
Guideline Compliance

6545 Background: Compliance with National Initiative for Cancer Care Quality (NICCQ) quality indicators and National Comprehensive Cancer Network (NCCN) guidelines for breast cancer care are proposed measures of quality breast cancer care. Previously, we had determined NCCN guideline compliance rates for breast cancer care by physician review of electronic medical record (EMR). In the present study, we sought to compare NCCN guideline compliance and NICCQ adherence at our institution in regard to percent compliance, time taken to complete review, and comparison of physician reviewer (PR) versus non-physician reviewer (NPR). Methods: Review of the EMR was conducted for all 200 female patients who were newly diagnosed with breast cancer and treated at our multi-specialty institution in 2004. A PR and a NPR reviewed compliance with NICCQ quality indicators and NCCN guidelines for breast cancer care and time spent reviewing charts was recorded. Results: Adherence rate was less than 85% in only 7 of 36 NICCQ breast cancer quality measures for PR and only 6 of 36 for NPR. Patients overall received 91.5 % of NICCQ recommended care according to PR and 89.8% according to NPR. NICCQ measures were divided into categories to correspond with NCCN guideline categories and results are compared and summarized in the table below. Differences in observed compliance rates between PR and NPR were not significant for NCCN (except in pre-op workup where NPR was more accurate) or overall NICCQ audit, however differences were seen in individual NICCQ items with small numbers of patients. Average time for review of charts for NCCN guideline compliance vs. NICCQ adherence was not significantly different (6.8 vs. 6.3 minutes for PR and 8.3 vs. 8.9 minutes for the NPR). Conclusions: Our adherence rates for NICCQ and NCCN measures compare favorably with published values. Despite both being proposed quality measures, comparison of adherence rates for the two systems varied. PR is slightly faster than NPR but offset by PR's time value. A NPR performs as well, if not better, than a PR. No significant financial relationships to disclose. [Table: see text]

Patient Navigation and the Quality of Breast Cancer Care: An Analysis of the Breast Cancer Care Quality Indicators

2012 ◽  
Vol 19 (10) ◽  
pp. 3251-3256 ◽  
Author(s):  
Joseph J. Weber ◽  
Debra C. Mascarenhas ◽  
Lisa S. Bellin ◽  
Rachel E. Raab ◽  
Jan H. Wong
Keyword(s):  
Breast Cancer ◽  
Quality Indicators ◽  
Cancer Care ◽  
Patient Navigation ◽  
Care Quality ◽  
Breast Cancer Care

scholarly journals Breast Cancer Care Quality Indicators in Spain: A Systematic Review

2021 ◽  
Vol 18 (12) ◽  
pp. 6411
Author(s):  
Marta Maes-Carballo ◽  
Yolanda Gómez-Fandiño ◽  
Carlos Roberto Estrada-López ◽  
Ayla Reinoso-Hermida ◽  
Khalid Saeed Khan ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Indicators ◽  
Cancer Care ◽  
Clinical Pathways ◽  
Primary Care Patient ◽  
Data Extraction ◽  
Quality Care ◽  
Care Patient ◽  
Care Quality ◽  
Breast Cancer Care

Breast cancer (BC) management care requires an increment in quality. An initiative to improve the BC quality care is registered, and quality indicators (QIs) are studied. We appraised the appearance of QIs and their standards systematically in Spain. A prospective systematic search (Prospero no: CRD42021228867) for clinical pathways and integrated breast cancer care processes was conducted through databases and the World Wide Web in February 2021. Duplicate data extraction was performed with 98% reviewer agreement. Seventy-four QIs (QI per document mean: 11; standard deviation: 10.59) were found in 15 documents. The Catalonian document had the highest number of QIs (n = 30). No QI appeared in all the documents. There were 9/74 QIs covering structure (12.16%), 53/74 covering process (71.62%), and 12/74 covering outcome (16.22%). A total of 22/66 (33.33%) process and outcome QIs did not set a minimum standard of care. QIs related to primary care, patient satisfaction, and shared decision making were deficient. Most of the documents established a BC QI standard for compliance, but the high variability hinders the comparison of outcomes. Establishing a consensus-based set of QIs needs urgent attention.

Multidisciplinary team meeting and EUSOMA quality indicators in breast cancer care: A French regional multicenter study

The Breast ◽  
2019 ◽  
Vol 46 ◽  
pp. 170-177 ◽  
Author(s):  
E. Pons-Tostivint ◽  
L. Daubisse-Marliac ◽  
P. Grosclaude ◽  
E. Oum sack ◽  
J. Goddard ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Indicators ◽  
Multicenter Study ◽  
Multidisciplinary Team ◽  
Cancer Care ◽  
Breast Cancer Care ◽  
Multidisciplinary Team Meeting ◽  
Team Meeting

scholarly journals Identifying Breast Cancer Care Quality Measures for a Cancer Facility in Rural Sub-Saharan Africa: Results of a Systematic Literature Review and Modified Delphi Process

2020 ◽  
pp. 1446-1454
Author(s):  
Lydia E. Pace ◽  
Lauren E. Schleimer ◽  
Cyprien Shyirambere ◽  
André Ilbawi ◽  
Jean Marie Vianney Dusengimana ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Care ◽  
Quality Measurement ◽  
Quality Measures ◽  
Care Quality ◽  
Delphi Process ◽  
Sub Saharan Africa ◽  
Breast Cancer Care ◽  
Modified Delphi ◽  
Sub Saharan

PURPOSE The burden of cancer is growing in low- and middle-income countries (LMICs), including sub-Saharan Africa. Ensuring the delivery of high-quality cancer care in such regions is a pressing concern. There is a need for strategies to identify meaningful and relevant quality measures that are applicable to and usable for quality measurement and improvement in resource-constrained settings. METHODS To identify quality measures for breast cancer care at Butaro Cancer Center of Excellence (BCCOE) in Rwanda, we used a modified Delphi process engaging two panels of experts, one with expertise in breast cancer evidence and measures used in high-income countries and one with expertise in cancer care delivery in Rwanda. RESULTS Our systematic review of the literature yielded no publications describing breast cancer quality measures developed in a low-income country, but it did provide 40 quality measures, which we adapted for relevance to our setting. After two surveys, one conference call, and one in-person meeting, 17 measures were identified as relevant to pathology, staging and treatment planning, surgery, chemotherapy, endocrine therapy, palliative care, and retention in care. Successes of the process included participation by a diverse set of global experts and engagement of the BCCOE community in quality measurement and improvement. Anticipated challenges include the need to continually refine these measures as resources, protocols, and measurement capacity rapidly evolve in Rwanda. CONCLUSION A modified Delphi process engaging both global and local expertise was a promising strategy to identify quality measures for breast cancer in Rwanda. The process and resulting measures may also be relevant for other LMIC cancer facilities. Next steps include validation of these measures in a retrospective cohort of patients with breast cancer.

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