McLeod, Megan and Torode, Julie and Leung, Kari and Bhoo-Pathy, Nirmala and Booth, Christopher and Chakowa, Jade and Gralow, Julie and Ilbawi, Andre and Jassem, Jacek and Parkes, Jeannette and Mallafre-Larrosa, Merixtell and Mutebi, Miriam and Pramesh, C. S. and Sengar, Manju and Tsunoda, Audrey and Unger-Saldana, Karla and Vanderpuye, Verna and Yusuf, Aasim and Sullivan, Richard and Aggarwal, Ajay (2024) Quality indicators for evaluating cancer care in low-income and middle-income country settings: a multinational modified Delphi study. Lancet Oncology, 25 (2). e63-e72. ISSN 1470-2045, DOI https://doi.org/10.1016/S1470-2045(23)00568-5.
Full text not available from this repository.Abstract
This Policy Review sourced opinions from experts in cancer care across low-income and middle -income countries (LMICs) to build consensus around high -priority measures of care quality. A comprehensive list of quality indicators in medical, radiation, and surgical oncology was identified from systematic literature reviews. A modified Delphi study consisting of three 90 -min workshops and two international electronic surveys integrating a global range of key clinical, policy, and research leaders was used to derive consensus on cancer quality indicators that would be both feasible to collect and were high priority for cancer care systems in LMICs. Workshop participants narrowed the list of 216 quality indicators from the literature review to 34 for inclusion in the subsequent surveys. Experts' responses to the surveys showed consensus around nine high -priority quality indicators for measuring the quality of hospitalbased cancer care in LMICs. These quality indicators focus on important processes of care delivery from accurate diagnosis (eg, histologic diagnosis via biopsy and TNM staging) to adequate, timely, and appropriate treatment (eg, completion of radiotherapy and appropriate surgical intervention). The core indicators selected could be used to implement systems of feedback and quality improvement.
| Item Type: | Article |
|---|---|
| Funders: | Global Alliance for Chronic Disease Access Cancer Care India (GACD-025 ACCI), National Institute for Health Research Advanced Fellowship (NIHR-300599) |
| Uncontrolled Keywords: | Breast-cancer; performance; improvement; interventions; priorities; oncology; feedback; history; impact; audit |
| Subjects: | R Medicine > RC Internal medicine R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer) |
| Divisions: | Universiti Malaya Medical Centre (UMMC) |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 06 Jan 2025 01:57 |
| Last Modified: | 06 Jan 2025 01:57 |
| URI: | http://eprints.um.edu.my/id/eprint/47055 |
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