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    Establishing metastatic prostate cancer quality indicators using a modified Delphi approach

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    Authors
    Zheng, J.
    Sampurno, F.
    George, D. J.
    Morgans, A. K.
    Nguyen, H.
    Abrahm, J. L.
    Bjartell, A.
    Davis, I. D.
    Fitch, M. I.
    Gillessen, Silke
    Kanesvaran, R.
    Matthew, A.
    Millar, J. L.
    O'Sullivan, J. M.
    Payne, H.
    Pouliot, F.
    Yates, P.
    Evans, S. M.
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    Affiliation
    School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
    Issue Date
    2022
    
    Metadata
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    Abstract
    Background There is variation in the care provided to men with metastatic prostate cancer (mPCa). There has been no previous set of quality indicators (QIs) regarding the management of men with mPCa. The objective of this study is to develop a set of international mPCa-specific QIs, which will enable global benchmarking of quality of care. Materials and methods Potential QIs were identified through a literature review. Fourteen multidisciplinary mPCa experts (representing medical and radiation oncology, nursing, psychology, palliative care and urology) from eight countries participated in a modified Delphi process, which consisted of two online surveys, one face-to-face meeting and two teleconferences. Panelists were asked to rate each indicator's importance and feasibility on a Likert scale from 1 to 9. Indicators that received median importance and median feasibility scores ≥ 7.5, and a disagreement index <1 for both measures, on the final round of voting were included in the final set. Results There was consensus on 23 QIs out of total of 662. Four regarding “general management”, 12 “therapies”, three “complications” and four “patient-reported quality of life”. One of the inherent limitations of the Delphi process is that there is a small expert panel involved. Conclusion The quality indicator set defined by our process for management of men with mPCa will enable greater understanding of the standard and variation of care globally and will promote consistency of good practice. Future directions will include retrospective evaluation for compliance with these indicators, as well as prospective monitoring.
    Citation
    Zheng J, Sampurno F, George DJ, Morgans AK, Nguyen H, Abrahm JL, et al. Establishing metastatic prostate cancer quality indicators using a modified Delphi approach. Vol. 20, Clinical Genitourinary Cancer. Elsevier BV; 2022. p. e151–7.
    Journal
    Clinical Genitourinary Cancer
    URI
    http://hdl.handle.net/10541/625342
    DOI
    10.1016/j.clgc.2021.11.018
    Additional Links
    https://dx.doi.org/10.1016/j.clgc.2021.11.018
    Type
    Meetings and Proceedings
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.clgc.2021.11.018
    Scopus Count
    Collections
    All Paterson Institute for Cancer Research

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