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Indicators to evaluate quality of care in head and neck cancer in Spain

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Autores de IDIVAL

Autores ajenos al IDIVAL

  • Juan Jesús Cruz Hernández
  • Virginia Arrazubi Arrula
  • Yolanda Escobar Álvarez
  • Juan José Grau de Castro
  • Lara Iglesias Docampo
  • Julio Lambea Sorrosal
  • Pedro Pérez Segura
  • Antonio Rueda Domínguez
  • Francisco J. Campos-Lucas
  • Irene Santamaría Rodríguez
  • Maria Bessa
  • Paula Gratal
  • Fernando Caballero-Martínez
  • Diana Monge Martín
  • Cristina Antón-Rodríguez
  • Rafael López

Abstract

PurposeThis study aimed to develop a set of criteria and indicators to evaluate the quality of care of patients with head and neck cancer (HNC).MethodsA systematic literature review was conducted to identify valuable criteria/indicators for the assessment of the quality of care in HNC. With the aid of a technical group, a scientific committee of oncologists specialised in HNC used selected criteria to propose indicators that were evaluated with a two-round Delphi method. Indicators on which consensus was achieved were then prioritised by the scientific committee to develop a final set of indicators.ResultsWe proposed a list of 50 indicators used in the literature or developed by us to be evaluated with a Delphi method. There was consensus on the appropriateness of 47 indicators in the first round; the remaining 3 achieved consensus in the second round. The 50 indicators were scored to prioritise them, leading to a final selection of 29 indicators related to structure (3), process (22), or outcome (4) and covering diagnosis, treatment, follow-up, and health outcomes in patients with HNC. Easy-to-use index cards were developed for each indicator, with their criterion, definition, formula for use in real-world clinical practice, rationale, and acceptable level of attainment.ConclusionsWe have developed a set of 29 evidence-based and expert-supported indicators for evaluating the quality of care in HNC, covering diagnosis, treatment, follow-up, and health outcomes.

© 2023. The Author(s).

Datos de la publicación

ISSN/ISSNe:
1699-048X, 1699-3055

CLINICAL & TRANSLATIONAL ONCOLOGY  SPRINGER

Tipo:
Article
Páginas:
1089-1097

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Keywords

  • Criteria; Delphi; Head and neck cancer; Indicators; Quality of care; Spain

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