Quality Indicators in Palliative Radiation Oncology: Development and Pilot Testing

Purpose: A quality indicator (QI) is a valuable tool to evaluate the quality of health care systems. In palliative radiation oncology, only a few related QIs have been developed to date. In this study, we sought to develop and pilot test QIs that assess the quality of care in palliative radiation th...

Full description

Bibliographic Details
Main Authors: Tetsuo Saito, MD, PhD, Naoto Shikama, MD, PhD, Takeo Takahashi, MD, PhD, Misako Miwa, MD, PhD, Kazunari Miyazawa, MD, Hitoshi Wada, MD, PhD, Naoki Nakamura, MD, PhD, Atsunori Yorozu, MD, PhD, Hisayasu Nagakura, MD, Mitsunori Miyashita, RN, PhD
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Advances in Radiation Oncology
Online Access:http://www.sciencedirect.com/science/article/pii/S2452109421002141
_version_ 1828773994548953088
author Tetsuo Saito, MD, PhD
Naoto Shikama, MD, PhD
Takeo Takahashi, MD, PhD
Misako Miwa, MD, PhD
Kazunari Miyazawa, MD
Hitoshi Wada, MD, PhD
Naoki Nakamura, MD, PhD
Atsunori Yorozu, MD, PhD
Hisayasu Nagakura, MD
Mitsunori Miyashita, RN, PhD
author_facet Tetsuo Saito, MD, PhD
Naoto Shikama, MD, PhD
Takeo Takahashi, MD, PhD
Misako Miwa, MD, PhD
Kazunari Miyazawa, MD
Hitoshi Wada, MD, PhD
Naoki Nakamura, MD, PhD
Atsunori Yorozu, MD, PhD
Hisayasu Nagakura, MD
Mitsunori Miyashita, RN, PhD
author_sort Tetsuo Saito, MD, PhD
collection DOAJ
description Purpose: A quality indicator (QI) is a valuable tool to evaluate the quality of health care systems. In palliative radiation oncology, only a few related QIs have been developed to date. In this study, we sought to develop and pilot test QIs that assess the quality of care in palliative radiation therapy. Methods and Materials: A modified Delphi method was used to establish consensus with an expert panel. The panel consisted of 8 radiation oncologists who have expertise in palliative radiation oncology and 1 expert on Delphi methodology. Online panel meetings and e-mail surveys were conducted to develop QIs on palliative radiation therapy for bone and brain metastases. Feasibility of measurement was assessed though pilot surveys that were conducted by radiation oncologists at 5 facilities. Results: After 3 online meetings and 2 e-mail surveys, we developed 4 QIs on bone metastases and 3 QIs on brain metastases. Two email surveys and 2 pilot surveys confirmed the validity of QIs and the feasibility of measurement, respectively. Conclusions: We developed valid and feasible QIs on palliative radiation therapy for bone and brain metastases. Our work may contribute to reduce the evidence–practice gaps in palliative radiation oncology.
first_indexed 2024-12-11T15:13:17Z
format Article
id doaj.art-8d8a8dd6d1594f468940bccd4b9abe9d
institution Directory Open Access Journal
issn 2452-1094
language English
last_indexed 2024-12-11T15:13:17Z
publishDate 2022-03-01
publisher Elsevier
record_format Article
series Advances in Radiation Oncology
spelling doaj.art-8d8a8dd6d1594f468940bccd4b9abe9d2022-12-22T01:00:41ZengElsevierAdvances in Radiation Oncology2452-10942022-03-0172100856Quality Indicators in Palliative Radiation Oncology: Development and Pilot TestingTetsuo Saito, MD, PhD0Naoto Shikama, MD, PhD1Takeo Takahashi, MD, PhD2Misako Miwa, MD, PhD3Kazunari Miyazawa, MD4Hitoshi Wada, MD, PhD5Naoki Nakamura, MD, PhD6Atsunori Yorozu, MD, PhD7Hisayasu Nagakura, MD8Mitsunori Miyashita, RN, PhD9Department of Radiation Oncology, Arao Municipal Hospital, Kumamoto, Japan; Corresponding author.Department of Radiology, Juntendo University School of Medicine, Tokyo, JapanDepartment of Radiation Oncology, Saitama Medical Center, Saitama Medical University, Saitama, JapanDepartment of Radiation Oncology, Sendai Kousei Hospital, Miyagi, JapanDepartment of Radiology, Showa General Hospital, Tokyo, JapanDepartment of Radiation Oncology, Southern TOHOKU Proton Therapy Center, FukushimaDepartment of Radiology, St. Marianna University School of Medicine, Kanagawa, JapanDepartment of Radiation Oncology, National Hospital Organization, Tokyo Medical Center, Tokyo, JapanDepartment of Radiology, KKR Sapporo Medical Center, Sapporo, JapanDepartment of Palliative Nursing, Health Sciences, Tohoku University Graduate School of Medicine, Miyagi, JapanPurpose: A quality indicator (QI) is a valuable tool to evaluate the quality of health care systems. In palliative radiation oncology, only a few related QIs have been developed to date. In this study, we sought to develop and pilot test QIs that assess the quality of care in palliative radiation therapy. Methods and Materials: A modified Delphi method was used to establish consensus with an expert panel. The panel consisted of 8 radiation oncologists who have expertise in palliative radiation oncology and 1 expert on Delphi methodology. Online panel meetings and e-mail surveys were conducted to develop QIs on palliative radiation therapy for bone and brain metastases. Feasibility of measurement was assessed though pilot surveys that were conducted by radiation oncologists at 5 facilities. Results: After 3 online meetings and 2 e-mail surveys, we developed 4 QIs on bone metastases and 3 QIs on brain metastases. Two email surveys and 2 pilot surveys confirmed the validity of QIs and the feasibility of measurement, respectively. Conclusions: We developed valid and feasible QIs on palliative radiation therapy for bone and brain metastases. Our work may contribute to reduce the evidence–practice gaps in palliative radiation oncology.http://www.sciencedirect.com/science/article/pii/S2452109421002141
spellingShingle Tetsuo Saito, MD, PhD
Naoto Shikama, MD, PhD
Takeo Takahashi, MD, PhD
Misako Miwa, MD, PhD
Kazunari Miyazawa, MD
Hitoshi Wada, MD, PhD
Naoki Nakamura, MD, PhD
Atsunori Yorozu, MD, PhD
Hisayasu Nagakura, MD
Mitsunori Miyashita, RN, PhD
Quality Indicators in Palliative Radiation Oncology: Development and Pilot Testing
Advances in Radiation Oncology
title Quality Indicators in Palliative Radiation Oncology: Development and Pilot Testing
title_full Quality Indicators in Palliative Radiation Oncology: Development and Pilot Testing
title_fullStr Quality Indicators in Palliative Radiation Oncology: Development and Pilot Testing
title_full_unstemmed Quality Indicators in Palliative Radiation Oncology: Development and Pilot Testing
title_short Quality Indicators in Palliative Radiation Oncology: Development and Pilot Testing
title_sort quality indicators in palliative radiation oncology development and pilot testing
url http://www.sciencedirect.com/science/article/pii/S2452109421002141
work_keys_str_mv AT tetsuosaitomdphd qualityindicatorsinpalliativeradiationoncologydevelopmentandpilottesting
AT naotoshikamamdphd qualityindicatorsinpalliativeradiationoncologydevelopmentandpilottesting
AT takeotakahashimdphd qualityindicatorsinpalliativeradiationoncologydevelopmentandpilottesting
AT misakomiwamdphd qualityindicatorsinpalliativeradiationoncologydevelopmentandpilottesting
AT kazunarimiyazawamd qualityindicatorsinpalliativeradiationoncologydevelopmentandpilottesting
AT hitoshiwadamdphd qualityindicatorsinpalliativeradiationoncologydevelopmentandpilottesting
AT naokinakamuramdphd qualityindicatorsinpalliativeradiationoncologydevelopmentandpilottesting
AT atsunoriyorozumdphd qualityindicatorsinpalliativeradiationoncologydevelopmentandpilottesting
AT hisayasunagakuramd qualityindicatorsinpalliativeradiationoncologydevelopmentandpilottesting
AT mitsunorimiyashitarnphd qualityindicatorsinpalliativeradiationoncologydevelopmentandpilottesting