Measuring the quality of care in metastatic colorectal cancer: a scoping review of quality indicators
Journal Title
JNCI Cancer Spectrum
Publication Type
Online publication before print
Abstract
BACKGROUND AND AIMS: Quality indicators are essential to measure and benchmark the quality of cancer care. Although there are well-established metrics for early-stage colorectal cancer, few exist for advanced colorectal cancer. This scoping review aims to collate and review all quality indicators for metastatic colorectal cancer. METHODS: A dedicated search was performed of Web of Science, PubMed, CINAHL and relevant grey literature to identify quality indicators for metastatic colorectal cancer, evaluating the diagnostic workup, systemic anticancer treatments, surgical approaches, radiation approaches, supportive care and palliative/terminal care provided to patients. RESULTS: We identified 11 articles, of which 5 were systematized reviews and 6 articles concerned the development, validation or operationalization of QIs. Thirty-five distinct QIs for metastatic colorectal cancer were extracted across 6 domains of care: 1) diagnosis, staging and treatment planning, 2) systemic anti-cancer treatment, 3) radiation oncology, 4) surgical approaches, 5) supportive care, 6) palliative and end of life care, with a general QI of overall survival. Of the 35 QIs extracted, 8 (22%) were unique to metastatic CRC, and 27 (77%) were generic QIs across different tumour types but applicable to mCRC. CONCLUSION AND RELEVANCE: There are few quality indicators specifically relevant to metastatic colorectal cancer. Those that do exist are generally generic process measures used across tumour types, and do not measure the nuance or complexity of current multidisciplinary management of patients with metastatic colorectal cancer.
Department(s)
Radiation Oncology
Open Access at Publisher's Site
https://doi.org/10.1093/jncics/pkae073
Terms of Use/Rights Notice
Refer to copyright notice on published article.


Creation Date: 2024-09-10 04:36:56
Last Modified: 2024-09-10 04:41:31

© 2024 The Walter and Eliza Hall Institute of Medical Research. Access to this website is subject to our Privacy Policy and Terms of Use

An error has occurred. This application may no longer respond until reloaded. Reload 🗙