Quality of care and short and long‐term outcomes of oropharyngeal cancer care in the elderly

Gourin, Christine G.; Herbert, Robert J.; Quon, Harry; Fakhry, Carole; Kiess, Ana P.; Eisele, David W.; Frick, Kevin D.

doi:10.1002/hed.25869

Cited by 6 publications

(4 citation statements)

References 42 publications

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“…Multiple examples exist in the field of Head and Neck Cancer, where QIs were used to identify areas of substandard or highly variable care within a hospital, between hospitals, and between countries in key areas of patient care (42,43). Moreover, by aiming for greater guideline adherence and valid QI performance, improved functional outcomes and survival can be realized (44)(45)(46). The proposed QIs that have been developed in this study are meant to serve as a foundational quality measurement tool in SSNHL to achieve similar improvements in patient function and hearing recovery.…”

Section: Discussionmentioning

confidence: 99%

Quality Indicators for the Diagnosis and Management of Sudden Sensorineural Hearing Loss

Cottrell

Zahr

Yip

et al. 2021

Otology &Amp; Neurotology

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Objective: Sudden sensorineural hearing loss (SSNHL) is an ideal entity for quality indicator (QI) development, providing treatment challenges resulting in variable or substandard care. The American Academy of Otolaryngology-Head and Neck Surgery recently updated their SSNHL guidelines. With SSNHL demonstrating a large burden of illness, this study sought to leverage the updated guidelines and develop QIs that support quality improvement initiatives at an individual, institutional, and systems level. Methods: Candidate indicators (CIs) were extracted from high-quality SSNHL guidelines that were evaluated using the Appraisal of Guidelines for Research and Evaluation II tool. Each CI and its supporting evidence were summarized and reviewed by a nine-member expert panel based on validity, reliability, and feasibility of measurement. Final QIs were selected from CIs using the modified RAND Corporation-University of California, Los Angeles appropriateness methodology.Results: Fifteen CIs were identified after literature review. After the first round of evaluations, the panel agreed on 11 candidate indicators as appropriate QIs with 2 additional CIs suggested for consideration. An expert panel meeting provided a platform to discuss areas of disagreement before final evaluations. The expert panel subsequently agreed upon 11 final QIs as appropriate measures of high-quality care for SSNHL. Conclusion:The 11 proposed QIs from this study are supported by evidence and expert consensus, facilitating measurement across a wide breadth of quality domains. With the recently updated SSNHL guidelines, and a greater focus on quality improvement opportunities, these QIs may be used by healthcare providers for targeted quality improvement initiatives.

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Section: Discussionmentioning

confidence: 99%

Quality Indicators for the Diagnosis and Management of Sudden Sensorineural Hearing Loss

Cottrell

Zahr

Yip

et al. 2021

Otology &Amp; Neurotology

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“…Quality assurance in head and neck surgery suggests structured registries including those of surgical complications and their risk factors [92]. In specific patient populations (e.g., elderly or infirm) adverse events have other predictors, other consequences, and sequelae [93]; it is uncertain how these should influence therapeutic decision making [94].…”

Section: Adverse Events (Complications and Toxicity)mentioning

confidence: 99%

Value and Quality of Care in Head and Neck Oncology

et al. 2020

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Purpose of Review The concept of value-based health care (VBHC) was articulated more than a decade ago. However, its clinical implementation remains an ongoing process and a particularly demanding one for the domain of head and neck cancer (HNC). These cancers often present with fast growing tumors in functionally and cosmetically sensitive sites and afflict patients with differing circumstances and comorbidity. Moreover, the various treatment modalities and protocols have different effects on functional outcomes. Hence, the interpretation of what constitutes VBHC in head and neck oncology remains challenging. Recent Findings This monograph reviews developments in specific aspects of VBHC for HNC patients, including establishment of registries and quality indices (such as infrastructure, process, and outcome indicators). It emphasizes the importance of the multidisciplinary team, "time to treatment intervals," and adherence to guidelines. The discussion addresses major indicators including survival, quality of life and functional outcomes, and adverse events. Also, strengths and weaknesses of nomograms, prognostic and decision models, and variation of care warrant attention. Summary Health care professionals, together with patients, must properly define quality and relevant outcomes, both for the individual patient as well as the HNC population. It is essential to capture and organize the relevant data so that they can be analyzed and the results used to improve both outcomes and value. Keywords Head and neck. Cancer. Quality of care. Indicators. Value-based health care This article was written by members and invitees of the International Head and Neck Scientific Group (www.IHNSG.com). This article is part of the Topical Collection on Head and Neck Cancers.

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“…an einem Kollektiv von 1721 Patienten mit Larynxkarzinomen zeigen, dass die Behandlung gemäß NC-CN-Leitlinien mit einem besseren Überleben assoziiert ist. Dies wird durch andere Studien bestätigt [26,27].…”

Section: Referatunclassified

Qualität in der Kopf-Hals-Onkologie

Wiegand

Dietz

2020

Laryngo-Rhino-Otol

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ZuSAmmenfASSungEine fachlich-qualifizierte, patienten-und bedarfsgerechte, wirtschaftliche, qualitativ hochwertige Versorgung von Patienten mit Kopf-Hals-Karzinomen ist eine Herausforderung. Basis der Qualitätsoptimierung in der deutschen Kopf-Hals-Onkologie sind qualitätsfördernde Rahmenbedingungen, wie der Nationale Krebsplan, der Ausbau klinischer Krebsregister und das Vorhandensein evidenzbasierter Leitlinien, die im Rahmen des 2008 initiierten "Leitlinienprogramms Onkologie" erstellt wurden (S3-Leitlinien Mundhöhlenkarzinom und Larynxkarzinom). Aktuell gibt es in Deutschland 56 zertifizierte Kopf-Hals-Tumorzentren mit dem Ziel einer objektivierbaren Qualitätssteigerung der Behandlung und einer Verbesserung des Outcomes der Patienten. Verschiedene Qualitätsindikatoren wurden erarbeitet, es gibt Programme zur Qualitätssicherung der Therapie sowie innerhalb von Studien. Ziel des Referates ist es, Qualitätsstandards in der Kopf-Hals-Onkologie darzustellen. AbStrActA professionally qualified, patient-and demand-oriented, economical, high-quality care of patients with head and neck cancer is a challenge. Quality optimization in German head and neck oncology is based on quality-enhancing framework conditions such as the National Cancer Plan, the expansion of clinical cancer registries and the existence of evidence-based guidelines that were drawn up as part of the "Oncology Guidelines Programme" initiated in 2008 (S3 guidelines for oral cavity and larynx cancer). There are currently 56 certified head and neck tumour centres in Germany with the aim of objectifiably increasing the quality of treatment and improving the outcomes of patients. Various quality indicators have been developed, there are programs for quality assurance of therapy and within studies. The aim of this review is to present quality standards in head and neck oncology. InhaltsverzeichnisZusammenfassung S60 Abstract S60 2. Qualitätsfördernde Rahmenbedingungen in der Onkologie S61 2.1 Nationaler Krebsplan S62 2.2 Krebsregister S62 2.3 Leitlinien S63 3. Qualitätsindikatoren in der Kopf-Hals-Onkologie S64 3.1 Qualitätsindikatoren der AWMF-Leitlinien Mundhöhlenkarzinom und Larynxkarzinom S64 3.2 Weitere Qualitätsindikatoren der Kopf-Hals-Onkologie S64 4. Zertifizierung von Kopf-Hals-Tumorzentren S67 4.1 Volumeneffekte in der Kopf-Hals-Onkologie S69 S60 Online publiziert: 16.03.2020 Wiegand S et al. Qualität in der Kopf-Hals-Onkologie … Laryngo-Rhino-Otol 2020; 99: S60-S83

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Quality of care and short and long‐term outcomes of oropharyngeal cancer care in the elderly

Cited by 6 publications

References 42 publications

Quality Indicators for the Diagnosis and Management of Sudden Sensorineural Hearing Loss

Quality Indicators for the Diagnosis and Management of Sudden Sensorineural Hearing Loss

Value and Quality of Care in Head and Neck Oncology

Qualität in der Kopf-Hals-Onkologie

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