ECCO Essential Requirements for Quality Cancer Care: Primary care

Banks, Ian; Weller, David; Ungan, Mehmet; Selby, Peter J.; Aapro, Matti; Beishon, Marc; Bolt, Marije; Bonanno, Fiona; Champeix, Claire; Dégi, Csaba L.; Eneqvist, Lisa Jelf; Kaźmierska, Joanna; Kołacińska, Agnieszka; Malas, Simon; Moine, Sébastien; Pavlič, Danica Rotar; Price, Richard; Walter, Fiona M; Wyld, Lynda

doi:10.1016/j.critrevonc.2019.07.007

Cited by 16 publications

(17 citation statements)

References 82 publications

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“…In the European Consensus Conference Colon and Rectum with this multimodality treatment method, treatment protocols differed depending on the institution and in examination procedures for diagnosis and staging [6]. One of the European Union's activities for cancer called the European Partnership for Action Against Cancer (EPAAC) is working to reduce the variation between healthcare services within and between countries [7].…”

Section: Discussionmentioning

confidence: 99%

Current Trends in the Quality Assessment of Colorectal Cancer Practice and Treatment in South Korea during 2012-2017

et al. 2021

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Colorectal cancer (CRC) is increasing in South Korea due to westernized eating habits and regular health checkups. The Korean Health Insurance Review and Assessment Service (HIRA) has conducted a national quality assessment of the treatment of CRC. This study examined the quality assessment report of the Korean HIRA and analyzed the status of practice pattern and the epidemiology of CRC in South Korea. Materials and Methods The number of subjects was determined based on the number of surgical procedures in each institution during 2012-2017. The institution types were classified according to the number of beds and the composition of oncologic specialists. Twenty-one indicators for diagnosis, chemotherapy, radiotherapy, surgery, pathology, and mortality were analyzed and the interinstitutional variation for each indicator was calculated. Results Among 21 evaluation indices, indicators related to medical records, receipt of chemotherapy with a high coefficient of variation of ≥ 0.1% were improved over 6 years until the survey in 2017. In the analysis of indices affecting surgical mortality, the regional lymph node resection and examination rate (p=0.022) showed a negative correlation with surgical mortality. Hospitalization stay (p < 0.001) and hospitalization cost (p=0.002) were positively correlated with surgical mortality. Conclusion This study showed that the treatment quality and examination status for CRC in South Korea were appropriate for improving relevant medical records, receipt of chemotherapy, maintaining the quality of treatment, and mortality. These analyses could be the basis for developing an improved quality assessment program worldwide.

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Section: Discussionmentioning

confidence: 99%

Current Trends in the Quality Assessment of Colorectal Cancer Practice and Treatment in South Korea during 2012-2017

et al. 2021

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“… Education on breast health awareness is often lacking in countries and should target girls at school as well as adult women. In view of exponential increase in cancer incidence, primary care physicians must be involved in many steps of the cancer journey, starting with screening and early diagnosis [ 23 ]. It is essential to promote close collaboration between these specialists and breast centres for a fast referral.…”

Section: Breast Cancer: Key Facts and Challengesmentioning

confidence: 99%

The requirements of a specialist breast centre

et al. 2020

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This article is an update of the requirements of a specialist breast centre, produced by EUSOMA and endorsed by ECCO as part of Essential Requirements for Quality Cancer Care (ERQCC) programme, and ESMO. To meet aspirations for comprehensive cancer control, healthcare organisations must consider the requirements in this article, paying particular attention to multidisciplinarity and patient-centred pathways from diagnosis, to treatment, to survivorship. The centrepiece of this article is the requirements section, comprising definitions; multidisciplinary structure; minimum case, procedure and staffing volumes; and detailed descriptions of the skills of, and resources needed by, members and specialisms in the multidisciplinary team in a breast centre. These requirements are positioned within narrative on European breast cancer epidemiology, the standard of care, challenges to delivering this standard, and supporting evidence, to enable a broad audience to appreciate the importance of establishing these requirements in specialist breast centres.

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“…To what extent do these studies indicate whether PAs have the knowledge and skills to support cancer diagnosis in primary care? 3. Informed by research question 1, how does PA performance compare with performance of other clinical professionals on processes (for example investigation, history taking, referral) and outcomes of care relevant to cancer diagnosis?…”

Section: Methodsmentioning

confidence: 99%

“…shortages in primary care providers amid increasing patient demand, and shifts to multidisciplinary models of primary care teams to provide care. 3 Secondly, they give some indications of how PAs that are regulated and integrated into the healthcare system might perform on processes such as ordering of ionizing radiation that are not currently permitted in the UK.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…2 Research to date has focused on primary care physicians but primary care is changing, with greater input from a range of professionals, such as physician assistants (PAs). [3][4][5] PAs have recently been introduced in the UK as physician associates. Training involves an intense 2-year Masters programme, which covers similar content to medicine (e.g.…”

Section: Introductionmentioning

confidence: 99%

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Physician Associate/Assistant Impacts on Cancer Diagnosis in Primary Care: A Systematic Review

Sheringham

Kassianos

Plackett

et al. 2021

Preprint

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Background: Symptom recognition and timely referral in primary care are crucial for the early diagnosis of cancer. Physician assistants or associates (PAs) have been introduced in 15 healthcare systems across the world, with numbers increasing to address primary care physician shortages. Little is known about their impact on suspected cancer recognition and referral. This review sought to summarise findings from international observational studies on PAs’ competence and performance on processes concerned with the quality of recognition and referral of suspected cancer in primary care. Method: A rapid systematic review of international peer-reviewed literature was performed (PROSPERO reference: CRD42019154114). Searches were undertaken on OVID, EMBASE, Web of Science, and CINAHL databases (2009-2019). Studies were eligible if they reported on PA skills, processes and outcomes relevant to suspected cancer recognition and referral. Title and abstract screening was followed by full paper review and data extraction. synthesis of qualitative and quantitative findings was undertaken on three themes: deployment, competence, and performance. Preliminary findings were discussed with an expert advisory group to inform interpretation. Results: From 876 references, 15 eligible papers were identified, of which 13 were from the USA. Seven studies reported on general clinical processes in primary care that would support cancer diagnosis, most commonly ordering of diagnostic tests (n=6) and referrals to specialists (n=4). Fewer papers reported on consultation processes, such as examinations or history taking (n=3) Six papers considered PAs’ competence and performance on cancer screening. PAs performed similarly to primary care physicians on rates of diagnostic tests ordered, referrals and patient outcomes (satisfaction, malpractice, emergency visits). No studies reported on the timeliness of cancer diagnosis. Conclusion: This review of peer-reviewed literature combined with advisory group interpretation suggests the introduction of PAs into primary care may maintain the quality of referrals and diagnostic tests needed to support cancer diagnosis. It also highlights the lack of research on several aspects of PAs’ roles, including outcomes of the diagnostic process.

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ECCO Essential Requirements for Quality Cancer Care: Primary care

Cited by 16 publications

References 82 publications

Current Trends in the Quality Assessment of Colorectal Cancer Practice and Treatment in South Korea during 2012-2017

Current Trends in the Quality Assessment of Colorectal Cancer Practice and Treatment in South Korea during 2012-2017

The requirements of a specialist breast centre

Physician Associate/Assistant Impacts on Cancer Diagnosis in Primary Care: A Systematic Review

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