BACKGROUND: Little performance measurement has been undertaken in the area of oncology, particularly for surgery, which is a pivotal event in the continuum of cancer care. This work was conducted to develop indicators of quality for colorectal cancer surgery, using a 3-step modified Delphi approach. METHODS: A multidisciplinary panel, comprising surgical and methodological co-chairs, 9 surgeons, a medical oncologist, a radiation oncologist, a nurse and a pathologist, reviewed potential indicators extracted from the medical literature through 2 consecutive rounds of rating followed by consensus discussion. The panel then prioritized the indicators selected in the previous 2 rounds. RESULTS: Of 45 possible indicators that emerged from 30 selected articles, 15 were prioritized by the panel as benchmarks for assessing the quality of surgical care. The 15 indicators represent 3 levels of measurement (provincial/regional, hospital, individual provider) across several phases of care (diagnosis, surgery, adjuvant therapy, pathology and follow-up), as well as broad measures of access and outcome. The indicators selected by the panel were more often supported by evidence than those that were discarded. CONCLUSIONS: This project represents a unique initiative, and the results may be applicable to colorectal cancer surgery in any jurisdiction.
BACKGROUND: Little performance measurement has been undertaken in the area of oncology, particularly for surgery, which is a pivotal event in the continuum of cancer care. This work was conducted to develop indicators of quality for colorectal cancer surgery, using a 3-step modified Delphi approach. METHODS: A multidisciplinary panel, comprising surgical and methodological co-chairs, 9 surgeons, a medical oncologist, a radiation oncologist, a nurse and a pathologist, reviewed potential indicators extracted from the medical literature through 2 consecutive rounds of rating followed by consensus discussion. The panel then prioritized the indicators selected in the previous 2 rounds. RESULTS: Of 45 possible indicators that emerged from 30 selected articles, 15 were prioritized by the panel as benchmarks for assessing the quality of surgical care. The 15 indicators represent 3 levels of measurement (provincial/regional, hospital, individual provider) across several phases of care (diagnosis, surgery, adjuvant therapy, pathology and follow-up), as well as broad measures of access and outcome. The indicators selected by the panel were more often supported by evidence than those that were discarded. CONCLUSIONS: This project represents a unique initiative, and the results may be applicable to colorectal cancer surgery in any jurisdiction.
Authors: A B Benson; M A Choti; A M Cohen; J H Doroshow; C Fuchs; K Kiel; E W Martin; C McGinn; N J Petrelli; J A Posey; J M Skibber; A Venook; T J Yeatman Journal: Oncology (Williston Park) Date: 2000-11 Impact factor: 2.990
Authors: M E Hammond; P L Fitzgibbons; C C Compton; D J Grignon; D L Page; L P Fielding; D Bostwick; T F Pajak Journal: Arch Pathol Lab Med Date: 2000-07 Impact factor: 5.534
Authors: Omar Vergara-Fernandez; Carol J Swallow; J Charles Victor; Brenda I O'Connor; Robert Gryphe; Helen M MacRae; Zane Cohen; Robin S McLeod Journal: Can J Surg Date: 2010-08 Impact factor: 2.089
Authors: T Di Valentin; J Biagi; S Bourque; R Butt; P Champion; V Chaput; B Colwell; C Cripps; M Dorreen; S Edwards; C Falkson; D Frechette; S Gill; R Goel; D Grant; N Hammad; A Jeyakumar; M L'espérance; C Marginean; J Maroun; M Nantais; N Perrin; C Quinton; M Rother; B Samson; J Siddiqui; S Singh; S Snow; E St-Hilaire; M Tehfe; M Thirlwell; S Welch; L Williams; F Wright; R Goodwin Journal: Curr Oncol Date: 2013-10 Impact factor: 3.677
Authors: Ramzi M Helewa; Donna Turner; Debrah Wirtzfeld; Jason Park; David Hochman; Piotr Czaykowski; Harminder Singh; Emma Shu; Lin Xue; Andrew McKay Journal: World J Surg Oncol Date: 2013-06-17 Impact factor: 2.754
Authors: Robin Urquhart; Cynthia Kendell; Joan Sargeant; Gordon Buduhan; Paul Johnson; Daniel Rayson; Eva Grunfeld; Geoffrey A Porter Journal: Implement Sci Date: 2012-10-25 Impact factor: 7.327