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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

Els Goetghebeur UGent, Ronan Van Rossem UGent, Katrien Baert UGent, Kürt Vanhoutte UGent, Tom Boterberg UGent, Pieter Demetter, Mark De Ridder, David Harrington, Marc Peeters and Guy Storme, et al. (2011) KCE Reports. 161C.
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.
Please use this url to cite or link to this publication:
author
organization
alternative title
Quality insurance of rectal cancer-phase 3 : statistical methods to benchmark centers on a set of quality indicators
year
type
misc (report)
publication status
published
subject
keyword
Regression Analysis, Rectal Neoplasms, Quality of Health Care, Health Care, Quality Indicators, Benchmarking, Good Clinical Practice
in
KCE Reports
volume
161C
pages
XII, 114 pages
publisher
Belgian Health Care Knowledge Centre
place of publication
Brussels, Belgium
OTHER
D/2011/10.273/40
language
English
UGent publication?
yes
classification
V
copyright statement
I have retained and own the full copyright for this publication
id
2032426
handle
http://hdl.handle.net/1854/LU-2032426
alternative location
https://kce.fgov.be/publication/report/quality-assurance-of-rectal-cancer-diagnosis-and-treatment-%E2%80%93-phase-3-statistical-
date created
2012-02-15 10:11:20
date last changed
2012-08-01 16:34:09
@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{\textquoteright}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, K{\"u}rt 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},
  keyword      = {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},
}

Chicago
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.
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.
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.
MLA
Goetghebeur, Els, Ronan Van Rossem, Katrien Baert, 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.