RT Journal Article
SR Electronic
T1 Development of quality indicators for colorectal cancer surgery, using a 3-step modified Delphi approach
JF Canadian Journal of Surgery
JO CAN J SURG
FD Canadian Medical Association
SP 441
OP 452
VO 48
IS 6
A1 Anna R. Gagliardi
A1 Marko Simunovic
A1 Bernard Langer
A1 Hartley Stern
A1 Adalsteinn D. Brown
YR 2005
UL http://canjsurg.ca/content/48/6/441.abstract
AB Background: Little performance measurement has been undertaken in the area of oncology, particularly for surgery, which is a pivotal event in the continuum of cancer care. This work was conducted to develop indicators of quality for colorectal cancer surgery, using a 3-step modified Delphi approach.Methods: A multidisciplinary panel, comprising surgical and methodological co-chairs, 9 surgeons, a medical oncologist, a radiation oncologist, a nurse and a pathologist, reviewed potential indicators extracted from the medical literature through 2 consecutive rounds of rating followed by consensus discussion. The panel then prioritized the indicators selected in the previous 2 rounds.Results: Of 45 possible indicators that emerged from 30 selected articles, 15 were prioritized by the panel as benchmarks for assessing the quality of surgical care. The 15 indicators represent 3 levels of measurement (provincial/ regional, hospital, individual provider) across several phases of care (diagnosis, surgery, adjuvant therapy, pathology and follow-up), as well as broad measures of access and outcome. The indicators selected by the panel were more often supported by evidence than those that were discarded.Conclusions: This project represents a unique initiative, and the results may be applicable to colorectal cancer surgery in any jurisdiction.