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Title: Development of quality indicators to monitor radiotherapy care for men with prostate cancer: A modified Delphi method.
Austin Authors: Tsiamis, Ellie;Millar, Jeremy;Baxi, Siddhartha;Borg, Martin;De Ieso, Paolo;Elsaleh, Hany;Foroudi, Farshad ;Higgs, Braden;Holt, Tanya;Martin, Jarad;Moretti, Kim;Pryor, David;Skala, Marketa;Evans, Sue
Affiliation: The Alfred, Radiation Oncology, Melbourne, Australia
Department of Epidemiology & Preventative Medicine, Monash University, Melbourne, Australia
Genesis Cancer Care Burnbury, Australia
Adelaide Radiotherapy Centre, Australia
Northern Territory Radiation Oncology, Alan Walker Cancer Care Centre, Australia
The Australian National University, Canberra, Australia
Olivia Newton-John Cancer Wellness and Research Centre, Austin Health, Heidelberg, Victoria, Australia
Department of Radiation Oncology, Royal Adelaide Hospital, Australia
Department of Radiation Oncology, Princess Alexandra Hospital, Australia
Department of Radiation Oncology, Calvary Mater Newcastle, Australia
School of Population Health, University of South Australia, Adelaide, Australia
APCRC-Q, Queensland University of Technology, Brisbane, Australia
W P Holman Clinic, Launceston, Australia
Issue Date: 2018 2018-05-09
Publication information: Radiotherapy and oncology 2018; 128(2): 308-314
Abstract: Quality indicators (QIs) have been developed for many aspects of prostate cancer care, but are under-developed with regard to radiotherapy treatment. We aimed to develop a valid, relevant and feasible set of core QIs to measure quality of radiotherapy care in men with prostate cancer. We used a RAND-modified Delphi process to select QIs that were regarded as both important and feasible measures of quality radiotherapy care. This involved two phases: (1) a literature review to identify a list of proposed QIs; and (2) a QI selection process by an expert panel (n = 12) conducted in a series of three rounds: two online questionnaires' and one face-to-face meeting. The RAND criterion identified variation in ratings and determined the level of agreement after each round of voting. A total of 144 candidate QIs, which included measures from pre-treatment to post-treatment and survivorship care were identified. After three rounds of voting, the panel approved a comprehensive set of 17 QIs, with most assessing a process of care (n = 16, 94.1%) and the remaining assessing a health outcome. This study developed a core set of 17 QIs which will be used to report from the Prostate Cancer Outcomes Registry-Australia & New Zealand, to monitor the quality of radiotherapy care prostate cancer patients receive.
DOI: 10.1016/j.radonc.2018.04.017
Journal: Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology
PubMed URL: 29753551
Type: Journal Article
Subjects: Healthcare
Prostatic neoplasms
Quality indicators
Quality of health care
Appears in Collections:Journal articles

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