Measuring the quality of care in metastatic colorectal cancer: a scoping review of quality indicators

Dunn, CDr; Halpern, MTDr; Sapkaroski, DDr; Gibbs, PProfessor

Author(s): Dunn, CDr; Halpern, MTDr; Sapkaroski, DDr; Gibbs, PProfessor;
Details: Publication Year 2024-08-27,Volume 8,Issue #5,Page pkae073
Journal Title: JNCI Cancer Spectrum
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.
Publisher: Oxford Academic
Keywords: Humans; *Quality Indicators, Health Care; *Colorectal Neoplasms/pathology/therapy/mortality; *Palliative Care; *Terminal Care/standards; Quality of Health Care; Neoplasm Staging; Radiation Oncology/standards; Neoplasm Metastasis
Research Division(s): Personalised Oncology
PubMed ID: 39189978
Publisher's Version: https://doi.org/10.1093/jncics/pkae073
Open Access at Publisher's Site: https://doi.org/10.1093/jncics/pkae07
Terms of Use/Rights Notice: Refer to copyright notice on published article.

Creation Date: 2024-09-02 10:42:04

Last Modified: 2024-10-25 10:50:49