Abstract:
:This study aimed at developing and measuring quality indicators for oesophageal cancer (OC) and gastric cancer (GC) and to support quality improvement for practitioners. Quality indicators were identified from a systematic literature search including clinical guidelines. The selection process involved experts evaluating relevance, reliability, interpretability and actionability of each indicator. Three national databases were linked: the cancer registry, the population registry and the claims database. Completeness and validity of the data were validated before being measured for 10,660 patients diagnosed between 2004 and 2008. From a final set of 29 indicators, 18 were measurable using the available data. In 2008, less than 50% of patients were discussed at a multidisciplinary team meeting and less than 90% underwent a computed tomography scan 1 month after incidence date for cancer staging. Five-year relative survival was 22% for OC and 34.3% for GC. The post-operative mortality in OC patients was 4.8% (30 days) and 9.9% (90 days), whereas it reached 5.6 and 12.0% respectively in GC patients. This study demonstrates the feasibility to develop a set of quality indicators for gastro-oesophageal cancer. A mixed picture of the quality of care was illustrated for some relevant care processes. Nevertheless, 5-year survival is higher than reported in neighbouring countries.
journal_name
Eur J Cancer Care (Engl)journal_title
European journal of cancer careauthors
Stordeur S,Vlayen J,Vrijens F,Camberlin C,De Gendt C,Van Eycken E,Lerut Tdoi
10.1111/ecc.12279subject
Has Abstractpub_date
2015-05-01 00:00:00pages
376-86issue
3eissn
0961-5423issn
1365-2354journal_volume
24pub_type
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journal_title:European journal of cancer care
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