Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/19658
Title: Monitoring quality of care for patients with pancreatic cancer: a modified Delphi consensus.
Authors: Maharaj, Ashika D;Ioannou, Liane;Croagh, Daniel;Zalcberg, John;Neale, Rachel E;Goldstein, David;Merrett, Neil;Kench, James G;White, Kate;Pilgrim, Charles H C;Chantrill, Lorraine;Cosman, Peter;Kneebone, Andrew;Lipton, Lara;Nikfarjam, Mehrdad;Philip, Jennifer;Sandroussi, Charbel;Tagkalidis, Peter;Chye, Richard;Haghighi, Koroush S;Samra, Jaswinder;Evans, Sue M
Affiliation: Faculty of Health, University of Technology, NSW, Australia
Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Australia
Austin Health, Heidelberg, Victoria, Australia
Monash University, Melbourne, Victoria, Australia; Monash Health, Clayton, Victoria, Australia
Epworth Healthcare, Richmond, Australia
Alfred Health, Melbourne, Victoria, Australia
Cabrini, Malvern, Victoria, Australia; Peninsula Health, Frankston, Victoria, Australia
Peninsula Private Hospital, Frankston, Victoria, Australia
Kinghorn Cancer Centre, St Vincent's Hospital, NSW, Australia
Garvan Institute of Medical Research and University of New South Wales, NSW, Australia
Cabrini, Malvern, Victoria, Australia; Royal Melbourne Hospital, Parkville, Victoria, Australia
Western Health, Sunshine, Victoria, Australia
St Vincent's Private Hospital, Darlinghurst, NSW, Australia
Prince of Wales Clinical School, UNSW Medicine, NSW, Australia; Kinghorn Cancer Centre, St Vincent's Hospital, NSW, Australia
Department of Upper GI Surgery, Royal North Shore Hospital, NSW, Australia; Macquarie University Hospital, Macquarie University, Australia
Melbourne University, Parkville, Victoria, Australia
Central Clinical School, University of Sydney, NSW, Australia
Alfred Health, Melbourne, Victoria, Australia; Royal Melbourne Hospital, Parkville, Victoria, Australia
QIMR Berghofer Medical Research Institute, Herston, Australia
Prince of Wales Clinical School, UNSW Medicine, NSW, Australia
School of Medicine, Western Sydney University, NSW, Australia
Royal Prince Alfred Hospital, Camperdown, NSW, Australia; Central Clinical School, University of Sydney, NSW, Australia
Sydney Nursing School, University of Sydney, Australia
School of Medicine, Faculty of Science, Medicine & Health, University of Wollongong, NSW, Australia
Northern Clinical School, University of Sydney, Australia
Issue Date: 10-Oct-2018
EDate: 2018-10-10
Citation: HPB : the official journal of the International Hepato Pancreato Biliary Association 2018; online first: 10 October
Abstract: Best practise care optimises survival and quality of life in patients with pancreatic cancer (PC), but there is evidence of variability in management and suboptimal care for some patients. Monitoring practise is necessary to underpin improvement initiatives. We aimed to develop a core set of quality indicators that measure quality of care across the disease trajectory. A modified, three-round Delphi survey was performed among experts with wide experience in PC care across three states in Australia. A total of 107 potential quality indicators were identified from the literature and divided into five areas: diagnosis and staging, surgery, other treatment, patient management and outcomes. A further six indicators were added by the panel, increasing potential quality indicators to 113. Rated on a scale of 1-9, indicators with high median importance and feasibility (score 7-9) and low disagreement (<1) were considered in the candidate set. From 113 potential quality indicators, 34 indicators met the inclusion criteria and 27 (7 diagnosis and staging, 5 surgical, 4 other treatment, 5 patient management, 6 outcome) were included in the final set. The developed indicator set can be applied as a tool for internal quality improvement, comparative quality reporting, public reporting and research in PC care.
URI: http://ahro.austin.org.au/austinjspui/handle/1/19658
DOI: 10.1016/j.hpb.2018.08.016
ORCID: 0000-0003-4866-276X
PubMed URL: 30316625
Type: Journal Article
Appears in Collections:Journal articles

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