Monitoring quality of care for patients with pancreatic cancer: a modified Delphi consensus |
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| Authors: | Ashika D. Maharaj Liane Ioannou Daniel Croagh John Zalcberg Rachel E. Neale David Goldstein Neil Merrett James G. Kench Kate White Charles H.C. Pilgrim Lorraine Chantrill Peter Cosman Andrew Kneebone Lara Lipton Mehrdad Nikfarjam Jennifer Philip Charbel Sandroussi Peter Tagkalidis Sue M. Evans |
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| Affiliation: | 1. Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Australia;2. Monash University, Melbourne, Victoria, Australia;3. Monash Health, Clayton, Victoria, Australia;4. Epworth Healthcare, Richmond, Australia;5. QIMR Berghofer Medical Research Institute, Herston, Australia;6. Prince of Wales Clinical School, UNSW Medicine, NSW, Australia;7. School of Medicine, Western Sydney University, NSW, Australia;8. Royal Prince Alfred Hospital, Camperdown, NSW, Australia;9. Sydney Nursing School, University of Sydney, Australia;10. Alfred Health, Melbourne, Victoria, Australia;11. Cabrini, Malvern, Victoria, Australia;12. Peninsula Health, Frankston, Victoria, Australia;13. Peninsula Private Hospital, Frankston, Victoria, Australia;14. Kinghorn Cancer Centre, St Vincent''s Hospital, NSW, Australia;15. Garvan Institute of Medical Research and University of New South Wales, NSW, Australia;16. School of Medicine, Faculty of Science, Medicine & Health, University of Wollongong, NSW, Australia;17. Northern Clinical School, University of Sydney, Australia;18. Royal Melbourne Hospital, Parkville, Victoria, Australia;19. Western Health, Sunshine, Victoria, Australia;20. Melbourne University, Parkville, Victoria, Australia;21. Austin Health, Heidelberg, Australia;22. Central Clinical School, University of Sydney, NSW, Australia;23. St Vincent''s Private Hospital, Darlinghurst, NSW, Australia;24. Faculty of Health, University of Technology, NSW, Australia;25. Department of Upper GI Surgery, Royal North Shore Hospital, NSW, Australia;26. Macquarie University Hospital, Macquarie University, Australia |
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| Abstract: | BackgroundBest 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.MethodsA 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.ResultsFrom 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.ConclusionsThe developed indicator set can be applied as a tool for internal quality improvement, comparative quality reporting, public reporting and research in PC care. |
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| Keywords: | Correspondence Sue M. Evans Department of Epidemiology and Preventative Medicine 553 St Kilda Road 3004 Melbourne Victoria Australia. |
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