What are quality indicators related to cancer survivorship?

Updated: Feb 28, 2018
  • Author: Winston W Tan, MD, FACP; more...
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Malin et al compiled a list of existing quality indicators related to survivorship that have been established by the American Society of Clinical Oncology’s Quality Oncology Practice Initiative (QOPI), National Quality Forum, National Initiative on Cancer Care Quality and RAND Corporation. [9] Three indicators were identified that apply to all cancers, seven apply to breast cancer, five apply to colorectal cancer, two apply to prostate cancer, and one applies to melanoma. The authors also note that most of the indicators are based on level II or III evidence (level I is the strongest).

Rowland and Ganz proposed metrics for success at the level of the survivor (eg, decreased cancer morbidity), the clinician (eg, better ability to coordinate care), and the system (eg, reduced duplication of services). These can be used to evaluate the impact of survivorship care planning and different care models. [10]

Pratt-Chapman et al proposed measures for survivorship patient navigation related to health care utilization (access to clinical care, awareness of late and long-term effects, and access to supportive care) and patient-reported outcomes (quality of life, self-efficacy and activation, satisfaction with care and navigation, health knowledge and literacy and healthy behaviors). [11] In addition, care transition measures that have been validated and used in other disease areas may be applicable to cancer survivorship transitions. [12]

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