Improving the quality of care for patients with advanced epithelial ovarian cancer: Program components,implementation barriers,and recommendations |
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| Authors: | Sarah M Temkin MD Matthew P Smeltzer PhD MStat Monique D Dawkins EdD MPA Leigh M Boehmer PharmD BCOP Leigha Senter MS LGC Destin R Black MD Stephanie V Blank MD Anna Yemelyanova MD Anthony M Magliocco MD Mollie A Finkel RN MSN WHNP-BC AOCNP-BC Tracy E Moore LCSW Premal H Thaker MD |
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| Institution: | 1. Office of Research for Women's Health, National Institutes of Health, Bethesda, Maryland;2. Division of Epidemiology, Biostatistics, and Environmental Health, School of Public Health, The University of Memphis, Memphis, Tennessee;3. Association of Community Cancer Centers, Rockville, Maryland;4. Division of Human Genetics, College of Medicine, The Ohio State University and Ohio State Comprehensive Cancer Center, Columbus, Ohio;5. Division of Gynecologic Oncology, Willis-Knighton Medical Center, Shreveport, Louisiana;6. Icahn School of Medicine at Mount Sinai, New York, New York;7. Department of Pathology, Weill Cornell Medical College/New York Presbyterian Hospital, New York, New York;8. Protean BioDiagnostics, Orlando, Florida;9. Division of Gynecologic Oncology, Mount Sinai Medical Center-Chelsea, New York, New York;10. Ovarian Cancer Research Alliance, New York, New York;11. Washington University Siteman Cancer Center, St Louis, Missouri |
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| Abstract: | The high lethality of ovarian cancer in the United States and associated complexities of the patient journey across the cancer care continuum warrant an assessment of current practices and barriers to quality care in the United States. The objectives of this study were to identify and assess key components in the provision of high-quality care delivery for patients with ovarian cancer, identify challenges in the implementation of best practices, and develop corresponding quality-related recommendations to guide multidisciplinary ovarian cancer programs and practices. This multiphase ovarian cancer quality-care initiative was guided by a multidisciplinary expert steering committee, including gynecologic oncologists, pathologists, a genetic counselor, a nurse navigator, social workers, and cancer center administrators. Key partnerships were also established. A collaborative approach was adopted to develop comprehensive recommendations by identifying ideal quality-of-care program components in advanced epithelial ovarian cancer management. The core program components included: care coordination and patient education, prevention and screening, diagnosis and initial management, treatment planning, disease surveillance, equity in care, and quality of life. Quality-directed recommendations were developed across 7 core program components, with a focus on ensuring high-quality ovarian cancer care delivery for patients through improved patient education and engagement by addressing unmet medical and supportive care needs. Implementation challenges were described, and key recommendations to overcome barriers were provided. The recommendations emerging from this initiative can serve as a comprehensive resource guide for multidisciplinary cancer practices, providers, and other stakeholders working to provide quality-directed cancer care for patients diagnosed with ovarian cancer and their families. |
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| Keywords: | biomarkers chemotherapy delivery of health care diagnosis health equity immunotherapy ovarian neoplasms patient care management quality of health care radiotherapy |
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