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 Mallafré-Larrosa, Merixtell and Mutebi, Miriam and Pramesh, C.S. and Sengar, Manju and Tsunoda, Audrey and Unger-Saldaña, 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. The 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 hospital-based 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. © 2024 Elsevier Ltd
| Item Type: | Article |
|---|---|
| Funders: | National Institute for Health and Care Research [Grant no. NIHR-300599] |
| Uncontrolled Keywords: | Delivery of health care; Delphi technique; Humans; Neoplasms; Quality improvement; Quality indicators, Health care; Quality of health care |
| Subjects: | R Medicine |
| Divisions: | Faculty of Medicine > Social & Preventive Medicine |
| Depositing User: | Ms. Juhaida Abd Rahim |
| Date Deposited: | 12 Jul 2024 08:19 |
| Last Modified: | 12 Jul 2024 08:19 |
| URI: | http://eprints.um.edu.my/id/eprint/44867 |
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