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Quality assurance of rectal cancer diagnosis and treatment - phase 3 : statistical methods to benchmark centres on a set of quality indicators

(2011) KCE Reports. 161C.
Author
Organization
Abstract
In 2004, the Belgian Section for Colorectal Surgery, a section of the Royal Belgian Society for Surgery, decided to start PROCARE (PROject on CAncer of the REctum), a multidisciplinary, profession-driven and decentralized project with as main objectives the reduction of diagnostic and therapeutic variability and improvement of outcome in patients with rectal cancer. All medical specialties involved in the care of rectal cancer established a multidisciplinary steering group in 2005. They agreed to approach the stated goal by means of treatment standardization through guidelines, implementation of these guidelines and quality assurance through registration and feedback. In 2007, the PROCARE guidelines were updated (Procare Phase I, KCE report 69). In 2008, a set of 40 process and outcome quality of care indicators (QCI) was developed and organized into 8 domains of care: general, diagnosis/staging, neoadjuvant treatment, surgery, adjuvant treatment, palliative treatment, follow-up and histopathologic examination. These QCIs were tested on the prospective PROCARE database and on an administrative (claims) database (Procare Phase II, KCE report 81). Afterwards, 4 QCIs were added by the PROCARE group. Centres have been receiving feedback from the PROCARE registry on these QCIs with a description of the distribution of the unadjusted centre-averaged observed measures and the centre’s position therein. To optimize this feedback, centres should ideally be informed of their risk-adjusted outcomes and be given some benchmarks. The PROCARE Phase III study is devoted to developing a methodology to achieve this feedback.
Keywords
Regression Analysis, Rectal Neoplasms, Quality of Health Care, Health Care, Quality Indicators, Benchmarking, Good Clinical Practice

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MLA
Goetghebeur, Els et al. “Quality Assurance of Rectal Cancer Diagnosis and Treatment - Phase 3 : Statistical Methods to Benchmark Centres on a Set of Quality Indicators.” KCE Reports 2011 : n. pag. Print.
APA
Goetghebeur, E., Van Rossem, R., Baert, K., Vanhoutte, K., Boterberg, T., Demetter, P., De Ridder, M., et al. (2011). Quality assurance of rectal cancer diagnosis and treatment - phase 3 : statistical methods to benchmark centres on a set of quality indicators. KCE Reports. Brussels, Belgium: Belgian Health Care Knowledge Centre.
Chicago author-date
Goetghebeur, Els, Ronan Van Rossem, Katrien Baert, Kürt Vanhoutte, Tom Boterberg, Pieter Demetter, Mark De Ridder, et al. 2011. “Quality Assurance of Rectal Cancer Diagnosis and Treatment - Phase 3 : Statistical Methods to Benchmark Centres on a Set of Quality Indicators.” KCE Reports. Brussels, Belgium: Belgian Health Care Knowledge Centre.
Chicago author-date (all authors)
Goetghebeur, Els, Ronan Van Rossem, Katrien Baert, Kürt Vanhoutte, Tom Boterberg, Pieter Demetter, Mark De Ridder, David Harrington, Marc Peeters, Guy Storme, Johanna Verhulst, Joan Vlayen, France Vrijens, Stijn Vansteelandt, and Wim Ceelen. 2011. “Quality Assurance of Rectal Cancer Diagnosis and Treatment - Phase 3 : Statistical Methods to Benchmark Centres on a Set of Quality Indicators.” KCE Reports. Brussels, Belgium: Belgian Health Care Knowledge Centre.
Vancouver
1.
Goetghebeur E, Van Rossem R, Baert K, Vanhoutte K, Boterberg T, Demetter P, et al. Quality assurance of rectal cancer diagnosis and treatment - phase 3 : statistical methods to benchmark centres on a set of quality indicators. KCE Reports. Brussels, Belgium: Belgian Health Care Knowledge Centre; 2011.
IEEE
[1]
E. Goetghebeur et al., “Quality assurance of rectal cancer diagnosis and treatment - phase 3 : statistical methods to benchmark centres on a set of quality indicators,” KCE Reports, vol. 161C. Belgian Health Care Knowledge Centre, Brussels, Belgium, 2011.
@misc{2032426,
  abstract     = {In 2004, the Belgian Section for Colorectal Surgery, a section of the Royal Belgian Society for Surgery, decided to start PROCARE (PROject on CAncer of the REctum), a multidisciplinary, profession-driven and decentralized project with as main objectives the reduction of diagnostic and therapeutic variability and improvement of outcome in patients with rectal cancer. All medical specialties involved in the care of rectal cancer established a multidisciplinary steering group in 2005. They agreed to approach the stated goal by means of treatment standardization through guidelines, implementation of these guidelines and quality assurance through registration and feedback.
In 2007, the PROCARE guidelines were updated (Procare Phase I, KCE report 69). In 2008, a set of 40 process and outcome quality of care indicators (QCI) was developed and organized into 8 domains of care: general, diagnosis/staging, neoadjuvant treatment, surgery, adjuvant treatment, palliative treatment, follow-up and histopathologic examination. These QCIs were tested on the prospective PROCARE database and on an administrative (claims) database (Procare Phase II, KCE report 81). Afterwards, 4 QCIs were added by the PROCARE group.
Centres have been receiving feedback from the PROCARE registry on these QCIs with a description of the distribution of the unadjusted centre-averaged observed measures and the centre’s position therein. To optimize this feedback, centres should ideally be informed of their risk-adjusted outcomes and be given some benchmarks. The PROCARE Phase III study is devoted to developing a methodology to achieve this feedback.},
  author       = {Goetghebeur, Els and Van Rossem, Ronan and Baert, Katrien and Vanhoutte, Kürt and Boterberg, Tom and Demetter, Pieter and De Ridder, Mark and Harrington, David and Peeters, Marc and Storme, Guy and Verhulst, Johanna and Vlayen, Joan and Vrijens, France and Vansteelandt, Stijn and Ceelen, Wim},
  keywords     = {Regression Analysis,Rectal Neoplasms,Quality of Health Care,Health Care,Quality Indicators,Benchmarking,Good Clinical Practice},
  language     = {eng},
  pages        = {XII, 114},
  publisher    = {Belgian Health Care Knowledge Centre},
  series       = {KCE Reports},
  title        = {Quality assurance of rectal cancer diagnosis and treatment - phase 3 : statistical methods to benchmark centres on a set of quality indicators},
  url          = {https://kce.fgov.be/publication/report/quality-assurance-of-rectal-cancer-diagnosis-and-treatment-%E2%80%93-phase-3-statistical-},
  volume       = {161C},
  year         = {2011},
}