TY - JOUR
T1 - Consensus-Derived Quality Performance Indicators for Neuroendocrine Tumour Care
AU - Woodhouse, Braden
AU - Pattison, Sharon
AU - Segelov, Eva
AU - Singh, Simron
AU - Parker, Kate Elizabeth
AU - Kong, Grace
AU - Macdonald, William
AU - Wyld, David
AU - Meyer-Rochow, Goswin
AU - Pavlakis, Nick
AU - Conroy, Siobhan
AU - Gordon, Vallerie
AU - Koea, Jonathan
AU - Krämer, Nicole
AU - Michael, Michael
AU - Wakelin, Kate
AU - Asif, Tahmina
AU - Lo, Dorothy
AU - Price, Timothy
AU - Lawrence, Ben
AU - on behalf of the Commonwealth Neuroendocrine Tumour Collaboration (CommNETs)
PY - 2019/9
Y1 - 2019/9
N2 - Quality performance indicators (QPIs) are used to monitor the delivery of cancer care. Neuroendocrine tumours (NETs) are a family of individually uncommon cancers that derive from neuroendocrine cells or their precursors, and can occur in most organs. There are currently no QPIs available for NETs and their heterogeneity makes QPI development difficult. CommNETs is a collaboration between NET clinicians, researchers and advocates in Canada, Australia and New Zealand. We created QPIs for NETs using a three-step consensus process. First, a multidisciplinary team used the nominal group technique to create candidates (n = 133) which were then curated into appropriateness statements (62 statements, 44 sub-statements). A two-stage modified RAND/UCLA Delphi consensus process was conducted: an online survey rated the statement appropriateness then the top-ranked statements (n = 20) were assessed in a face-to-face meeting. Finally, 10 QPIs met consensus criteria; documentation of primary site, proliferative index, differentiation, tumour board review, use of a structured pathology report, presence of distant metastasis, 5- and 10-year disease-free and overall survival. These NET QPIs will be trialed as a method to monitor and improve care for people with NETs and to facilitate international comparison.
AB - Quality performance indicators (QPIs) are used to monitor the delivery of cancer care. Neuroendocrine tumours (NETs) are a family of individually uncommon cancers that derive from neuroendocrine cells or their precursors, and can occur in most organs. There are currently no QPIs available for NETs and their heterogeneity makes QPI development difficult. CommNETs is a collaboration between NET clinicians, researchers and advocates in Canada, Australia and New Zealand. We created QPIs for NETs using a three-step consensus process. First, a multidisciplinary team used the nominal group technique to create candidates (n = 133) which were then curated into appropriateness statements (62 statements, 44 sub-statements). A two-stage modified RAND/UCLA Delphi consensus process was conducted: an online survey rated the statement appropriateness then the top-ranked statements (n = 20) were assessed in a face-to-face meeting. Finally, 10 QPIs met consensus criteria; documentation of primary site, proliferative index, differentiation, tumour board review, use of a structured pathology report, presence of distant metastasis, 5- and 10-year disease-free and overall survival. These NET QPIs will be trialed as a method to monitor and improve care for people with NETs and to facilitate international comparison.
U2 - 10.3390/jcm8091455
DO - 10.3390/jcm8091455
M3 - Article
SN - 2077-0383
VL - 8
JO - Journal of Clinical Medicine
JF - Journal of Clinical Medicine
IS - 9
M1 - 1455
ER -