Quality indicators for cervical cancer care in Japan

Tomone Watanabe, Mikio Mikami, Hidetaka Katabuchi, Shingo Kato, Masanori Kaneuchi, Masahiro Takahashi, Hidekatsu Nakai, Satoru Nagase, Hitoshi Niikura, Masaki Mandai, Yasuyuki Hirashima, Hiroyuki Yanai, Wataru Yamagami, Satoru Kamitani, Takahiro Higashi

研究成果: Article

抄録

OBJECTIVE: We aimed to propose a set of quality indicators (QIs) based on the clinical guidelines for cervical cancer treatment published by The Japan Society of Gynecologic Oncology, and to assess adherence to standard-of-care as an index of the quality of care for cervical cancer in Japan.

METHODS: A panel of clinical experts devised the QIs using a modified Delphi method. Adherence to each QI was evaluated using data from a hospital-based cancer registry of patients diagnosed in 2013, and linked with insurance claims data, between October 1, 2012, and December 31, 2014. All patients who received first-line treatment at the participating facility were included. The QI scores were communicated to participating hospitals, and additional data about the reasons for non-adherence were collected.

RESULTS: In total, 297 hospitals participated, and the care provided to 15,163 cervical cancer patients was examined using 10 measurable QIs. The adherence rate ranged from 50.0% for 'cystoscope or proctoscope for stage IVA' to 98.8% for 'chemotherapy using platinum for stage IVB'. Despite the variation in care, hospitals reported clinically valid reasons for more than half of the non-adherent cases. Clinically valid reasons accounted for 75%, 90.9%, 73.4%, 44.5%, and 88.1% of presented non-adherent cases respectively.

CONCLUSION: Our study revealed variations in pattern of care as well as an adherence to standards-of-care across Japan. Further assessment of the causes of variation and non-adherence can help identify areas where improvements are needed in patient care.

元の言語English
ページ(範囲)e83
ジャーナルJournal of Gynecologic Oncology
29
発行部数6
DOI
出版物ステータスPublished - 2018 11 1

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Uterine Cervical Neoplasms
Japan
Standard of Care
Proctoscopes
Cystoscopes
Cancer Care Facilities
Quality of Health Care
Platinum
Insurance
Registries
Patient Care
Guidelines
Drug Therapy
Therapeutics

ASJC Scopus subject areas

  • Oncology
  • Obstetrics and Gynaecology

これを引用

Watanabe, T., Mikami, M., Katabuchi, H., Kato, S., Kaneuchi, M., Takahashi, M., ... Higashi, T. (2018). Quality indicators for cervical cancer care in Japan. Journal of Gynecologic Oncology, 29(6), e83. https://doi.org/10.3802/jgo.2018.29.e83

Quality indicators for cervical cancer care in Japan. / Watanabe, Tomone; Mikami, Mikio; Katabuchi, Hidetaka; Kato, Shingo; Kaneuchi, Masanori; Takahashi, Masahiro; Nakai, Hidekatsu; Nagase, Satoru; Niikura, Hitoshi; Mandai, Masaki; Hirashima, Yasuyuki; Yanai, Hiroyuki; Yamagami, Wataru; Kamitani, Satoru; Higashi, Takahiro.

:: Journal of Gynecologic Oncology, 巻 29, 番号 6, 01.11.2018, p. e83.

研究成果: Article

Watanabe, T, Mikami, M, Katabuchi, H, Kato, S, Kaneuchi, M, Takahashi, M, Nakai, H, Nagase, S, Niikura, H, Mandai, M, Hirashima, Y, Yanai, H, Yamagami, W, Kamitani, S & Higashi, T 2018, 'Quality indicators for cervical cancer care in Japan', Journal of Gynecologic Oncology, 巻. 29, 番号 6, pp. e83. https://doi.org/10.3802/jgo.2018.29.e83
Watanabe T, Mikami M, Katabuchi H, Kato S, Kaneuchi M, Takahashi M その他. Quality indicators for cervical cancer care in Japan. Journal of Gynecologic Oncology. 2018 11 1;29(6):e83. https://doi.org/10.3802/jgo.2018.29.e83
Watanabe, Tomone ; Mikami, Mikio ; Katabuchi, Hidetaka ; Kato, Shingo ; Kaneuchi, Masanori ; Takahashi, Masahiro ; Nakai, Hidekatsu ; Nagase, Satoru ; Niikura, Hitoshi ; Mandai, Masaki ; Hirashima, Yasuyuki ; Yanai, Hiroyuki ; Yamagami, Wataru ; Kamitani, Satoru ; Higashi, Takahiro. / Quality indicators for cervical cancer care in Japan. :: Journal of Gynecologic Oncology. 2018 ; 巻 29, 番号 6. pp. e83.
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abstract = "OBJECTIVE: We aimed to propose a set of quality indicators (QIs) based on the clinical guidelines for cervical cancer treatment published by The Japan Society of Gynecologic Oncology, and to assess adherence to standard-of-care as an index of the quality of care for cervical cancer in Japan.METHODS: A panel of clinical experts devised the QIs using a modified Delphi method. Adherence to each QI was evaluated using data from a hospital-based cancer registry of patients diagnosed in 2013, and linked with insurance claims data, between October 1, 2012, and December 31, 2014. All patients who received first-line treatment at the participating facility were included. The QI scores were communicated to participating hospitals, and additional data about the reasons for non-adherence were collected.RESULTS: In total, 297 hospitals participated, and the care provided to 15,163 cervical cancer patients was examined using 10 measurable QIs. The adherence rate ranged from 50.0{\%} for 'cystoscope or proctoscope for stage IVA' to 98.8{\%} for 'chemotherapy using platinum for stage IVB'. Despite the variation in care, hospitals reported clinically valid reasons for more than half of the non-adherent cases. Clinically valid reasons accounted for 75{\%}, 90.9{\%}, 73.4{\%}, 44.5{\%}, and 88.1{\%} of presented non-adherent cases respectively.CONCLUSION: Our study revealed variations in pattern of care as well as an adherence to standards-of-care across Japan. Further assessment of the causes of variation and non-adherence can help identify areas where improvements are needed in patient care.",
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