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Title: Monitoring quality of care for patients with pancreatic cancer: a modified Delphi consensus.
Austin 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: Peninsula Health, Frankston, Victoria, Australia
Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Australia
Garvan Institute of Medical Research and University of New South Wales, NSW, Australia
Western Health, Sunshine, Victoria, Australia
St Vincent's Private Hospital, Darlinghurst, NSW, Australia
Faculty of Health, University of Technology, NSW, Australia
Department of Upper GI Surgery, Royal North Shore Hospital, NSW, Australia
Macquarie University Hospital, Macquarie University, Australia
Royal Melbourne Hospital, Parkville, Victoria, Australia
Royal Prince Alfred Hospital, Camperdown, NSW, Australia
Monash University, Melbourne, Victoria, Australia
Monash Health, Clayton, Victoria, Australia
Cabrini, Malvern, Victoria, Australia
Austin Health, Heidelberg, Victoria, Australia
Epworth Healthcare, Richmond, Australia
Alfred Health, Melbourne, Victoria, Australia
Peninsula Private Hospital, Frankston, Victoria, Australia
Kinghorn Cancer Centre, St Vincent's Hospital, NSW, Australia
Melbourne University, Parkville, Victoria, Australia
Central Clinical School, University of Sydney, NSW, 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
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: 2019
Date: 2018-10-10
Publication information: HPB : the official journal of the International Hepato Pancreato Biliary Association 2019; 21(4): 444-455
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.
DOI: 10.1016/j.hpb.2018.08.016
ORCID: 0000-0003-4866-276X
Journal: HPB : the official journal of the International Hepato Pancreato Biliary Association
PubMed URL: 30316625
Type: Journal Article
Appears in Collections:Journal articles

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