Establishing metastatic prostate cancer quality indicators using a modified Delphi approach

Zheng, Jinghui; Sampurno, Fanny; George, Daniel J.; Morgans, Alicia K.; Nguyen, Hannah; Abrahm, Janet L.; Bjartell, Anders; Davis, Ian D.; Fitch, Margaret I.; Gillessen, Silke; Kanesvaran, Ravindran; Matthew, Andrew; Millar, Jeremy; Payne, Heather; Pouliot, Frédéric; Yates, Patsy; Evans, Sue

doi:10.1016/j.clgc.2021.11.018

Cited by 2 publications

(4 citation statements)

References 17 publications

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“…была использована модифицированная методика Дельфи с 3 раундами опроса экспертов из 8 стран. В экспертную комиссию привлекались следующие специалисты: врачи-урологи (2), клинические онкологи (6), врач со специализацией в области паллиативной медицины (1), психолог (1), медицинские сестры (2), врачи со специализацией в области радиационной онкологии (2) [4]. Все приглашенные эксперты являлись участниками проекта по развитию международного регистра мужчин c распространенным РПЖ -IRONMAN [13,14].…”

Section: диагностика и лечение опухолей мочеполовой системы рак предс...unclassified

“…После повторной оценки были выбраны КОК, снова отвечавшие характеристикам: МЗ ≥7,5; медиана пригодности ≥7,5; ИН <1 (группа А). В окончательный список внесли следующие 23 КОК медицинской помощи при метастатическом РПЖ [4]:…”

Section: диагностика и лечение опухолей мочеполовой системы рак предс...unclassified

“…Документальное оформление обсуждения побочных эффектов до начала терапии, направленной на достижение андрогенной депривации. [4,12].…”

Section: диагностика и лечение опухолей мочеполовой системы рак предс...unclassified

“…Рак предстательной железы (РПЖ) является 3-й по значимости причиной онкологической смертности среди мужчин [3]. В мире проведено не так много исследований приверженности врачей клиническим рекомендациям по лечению РПЖ, а также разработано недостаточно технологий оценки вариабельности в онкоурологической практике между медицинскими организациями (МО) [4].…”

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Using Delphi method in the development of a modern prostate cancer care quality indicators

Andreev

Завьялов

2023

Onkourologiâ

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Background. Further improvement of the internal quality assurance of clinical practice is critical to achieve the goals and objectives of the Federal project entitled “Battle with cancer”, which aimed at reduction in cancer mortality by 2024 to 185 cases per 100,000 population. Prostate cancer (PCa) is the third leading cause of cancer mortality among men in Russia. For the selection of quality indicators (QIs) for the assessment of oncological care, including the treatment of PCa, the modified Delphi method is widely used.Aim. Identification of examples of actively used modifications of the Delphi technique and the most relevant QIs designed to control the quality of active surveillance of patients with low-risk PCa and the quality of cancer care for patients with metastatic PCa.Materials and methods. The literature search was performed using the following thematic queries in PubMed: “Delphi method/technique”, “quality indicators”, “cancer care”, “prostate cancer”, “tumors”, etc. The search time horizon extended to 2021–2022. The most modern publications devoted to applications of the Delphi methodology in the selection of QIs for treatment of men with PCa were identified.Results. The scientific literature describes in detail how to adapt the Delphi technique to choose the QIs for PCa. 20 QIs for active surveillance of patients with low-risk PCa (the draft version) and 23 QIs for treatment of patients with metastatic PCa were identified. The use of the modified Delphi technique resulted to certain consensus among experts leading to better understanding of QIs for PCa care.Conclusion. The Delphi method is a valid tool for analyzing the points of view of specialists and reaching a consensus on the considered options for solving complex problems. With the consistent improvement of oncourological practice, updating of clinical guidelines for PCa, it is feasible to revise and improve the list of the key QIs for PCa care.

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Section: диагностика и лечение опухолей мочеполовой системы рак предс...unclassified

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Using Delphi method in the development of a modern prostate cancer care quality indicators

Andreev

Завьялов

2023

Onkourologiâ

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Lung cancer (internet‐based) Delphi (LUCiD): A modified eDelphi consensus process to establish Australasian clinical quality indicators for thoracic cancer

Nash,

Stone,

Vinod

et al. 2024

Respirology

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Background and ObjectiveApproximately 16,000 new cases of lung cancer are diagnosed each year in Australia and Aotearoa New Zealand, and it is the leading cause of cancer death in the region. Unwarranted variation in lung cancer care and outcomes has been described for many years, although clinical quality indicators to facilitate benchmarking across Australasia have not been established. The purpose of this study was to establish clinical quality indicators applicable to lung and other thoracic cancers across Australia and Aotearoa New Zealand.MethodsFollowing a literature review, a modified three round eDelphi consensus process was completed between October 2022 and June 2023. Participants included clinicians from all relevant disciplines, patient advocates, researchers and other stakeholders, with representatives from all Australian states and territories and Aotearoa New Zealand. Consensus was set at a threshold of 70%, with the first two rounds conducted as online surveys, and the final round held as a hybrid in person and virtual consensus meeting.ResultsThe literature review identified 422 international thoracic oncology indicators, and a total of 71 indicators were evaluated over the course of the Delphi consensus. Ultimately, 27 clinical quality indicators reached consensus, covering the continuum of thoracic oncologic care from diagnosis to first line treatment. Indicators benchmarking supportive care were poorly represented. Attendant numeric quality standards were developed to facilitate benchmarking.ConclusionTwenty‐seven clinical quality indicators relevant to thoracic oncology care in Australasia were developed. Real world implementation will now be explored utilizing a prospective dataset collected across Australia.

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Establishing metastatic prostate cancer quality indicators using a modified Delphi approach

Cited by 2 publications

References 17 publications

Using Delphi method in the development of a modern prostate cancer care quality indicators

Using Delphi method in the development of a modern prostate cancer care quality indicators

Lung cancer (internet‐based) Delphi (LUCiD): A modified eDelphi consensus process to establish Australasian clinical quality indicators for thoracic cancer

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