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Quality of care measurement for patients with ovarian cancer in Japan.
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- Author(s): Kakuwa, Tamaki; Watanabe, Tomone; Niino, Mariko; Kawata, Akira; Satoh, Toyomi; Matsumura, Noriomi; Yokoyama, Yoshihito; Kawana, Kei; Hirashima, Yasuyuki; Kyo, Satoru; Yasuda, Masanori; Harano, Kenichi; Machida, Hiroko; Tokunaga, Hideki; Kaneuchi, Masanori; Tabata, Tsutomu; Kobayashi, Yoichi; Nagase, Satoru; Katabuchi, Hidetaka; Mikami, Mikio
- Source:
Journal of Obstetrics & Gynaecology Research; Jul2024, Vol. 50 Issue 7, p1182-1191, 10p- Subject Terms:
CLINICAL medicine; MEDICAL protocols; MEDICAL quality control; CISPLATIN; RESEARCH funding; OVARIAN tumors; KEY performance indicators (Management); CANCER patient medical care; HOSPITALS; DESCRIPTIVE statistics; BLEOMYCIN; ETOPOSIDE; HORMONE therapy; CANCER patient psychology; HEALTH promotion; DELPHI method; TUMOR classification; QUALITY assurance; DISEASE progression; PATIENTS' attitudes; GERM cell tumors - Source:
- Additional Information
- Subject Terms:
- Abstract: Aim: Quality of care is important to reduce disease progression, and improve both survival and quality of life. The Japan Society of Gynecologic Oncology has published treatment guidelines to promote standardized high‐quality care for ovarian cancer in Japan. We developed quality indicators based on the guideline recommendations and used them on large datasets of health service use to examine the quality of ovarian cancer care. Methods: A panel of experts developed the indicators using a modified Delphi method. Adherence to each indicator was evaluated using data from a hospital‐based cancer registry of patients diagnosed in 2018. All patients receiving first‐line treatment at participating facilities were included. The adherence rates were returned to participating hospitals, and reasons for nonadherence were collected. A total of 580 hospitals participated, and the study examined the care received by 6611 patients with ovarian cancer and 1879 with borderline tumors using 11 measurable quality indicators. Results: The adherence rate ranged from 22.6% for "Estrogen replacement within 6 months of operation" to 93.5% for "Bleomycin, etoposide, and cisplatin for germ cell tumor more than Stage II." Of 580 hospitals, 184 submitted the reasons for nonadherence. Conclusions: The quality of ovarian cancer care should be continuously assessed to encourage the use of best practices. These indicators may be a useful tool for this purpose. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Obstetrics & Gynaecology Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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