Measures to evaluate quality of care in renal cancer: Results of a delphi study in spain

• Vicente Guillem Porta ^[1] ; Carlos Camps ^[7] ; Miguel Ángel Climent Durán ^[1] ; Enrique Gallardo ^[2] ; Aránzazu González del Alba ^[8] ; Martín Lázaro-Quintela ^[9] ; María José Méndez Vidal ^[10] ; Álvaro Pinto Marín ^[3] ; Javier Puente ^[4] ; Cristina Antón-Rodríguez ^[5] ; Fernando Caballero-Martínez ^[5] ; Francisco J. Campos-Lucas ^[5] ; Ilse Lugo ^[11] ; Álvaro Rogado ^[11] ; Ignacio Durán ^[6]
  1. [1] Instituto Valenciano de Oncologia

     Instituto Valenciano de Oncologia

     Valencia, España

     
  2. [2] Universitat Autònoma de Barcelona

     Universitat Autònoma de Barcelona

     Barcelona, España

     
  3. [3] Hospital Universitario La Paz

     Hospital Universitario La Paz

     Madrid, España

     
  4. [4] Instituto de Investigación Sanitaria del Hospital Clínico San Carlos

     Instituto de Investigación Sanitaria del Hospital Clínico San Carlos

     Madrid, España

     
  5. [5] Universidad Francisco de Vitoria

     Universidad Francisco de Vitoria

     Pozuelo de Alarcón, España

     
  6. [6] Hospital Universitario Marqués de Valdecilla

     Hospital Universitario Marqués de Valdecilla

     Santander, España

     
  7. [7] Fundación ECO (Excelencia Y Calidad de La Oncología), Madrid, Spain Medical Oncology Department, Hospital General de Valencia, CIBERONC, València, Spain
  8. [8] Fundación ECO (Excelencia Y Calidad de La Oncología), Madrid, Spain Medical Oncology Department, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain
  9. [9] Fundación ECO (Excelencia Y Calidad de La Oncología), Madrid, Spain Medical Oncology Department, Complexo Hospitalario Universitario de Vigo, Vigo, Spain Oncology Translational Research Group (ONCOINVES), Galicia Sur Health Research Institute, Vigo, Spain
  10. [10] Medical Oncology Department, Maimonides Institute for Biomedical Research of Córdoba, Hospital Reina Sofía, Córdoba, Spain View author publications
  11. [11] Fundación ECO (Excelencia Y Calidad de La Oncología), Madrid, Spain

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• Localización: Clinical & translational oncology, ISSN 1699-048X, Vol. 24, Nº. 3 (Marzo), 2022, págs. 495-502
• Idioma: inglés
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• Resumen

  • Purpose To review current measures for renal cancer care and develop a comprehensive and updated list of measures for their practical use in Spain.

    Methods The study was developed by Fundación ECO, a Spanish foundation aiming to improve oncology quality of care. A systematic literature review was carried out to identify measures and knowledge gaps. A scientific committee composed of nine experts reviewed the literature findings and added measures. A preliminary list of 42 measures was evaluated with the Delphi method to gather feedback from 47 medical oncology experts in Spain. Experts scored the appropriateness of the measures and ranked their priority in two consecutive online surveys. The scientific committee reviewed the Delphi results and developed the measures. A technical group from Universidad Francisco de Vitoria conducted and oversaw the Delphi method.

    Results The Delphi method led to consensus on all 42 measures. The scientific committee used a prioritisation matrix to select 25 of these measures for evaluating quality of care in renal cancer. These measures regarded structure, process, and outcome and covered general management, diagnosis, treatment, follow-up, and evaluation of health outcomes. Easy-to-use index cards were developed for all 25 measures, including their definition, formula, acceptable level of attainment, and rationale.

    Conclusions This manuscript aims to provide healthcare professionals with expert- and evidence-based measures that are useful for evaluating quality of care in renal cancer in Spain and cover all aspects and stages.