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...
Main Authors: | , , , , , , , , , |
---|---|
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 |