Using Delphi method in the development of a modern prostate cancer care quality indicators

D. Andreev, A. Zavyalov
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Abstract

Background. Further improvement of the internal quality assurance of clinical practice is critical to achieve the goals and objectives of the Federal project entitled “Battle with cancer”, which aimed at reduction in cancer mortality by 2024 to 185 cases per 100,000 population. Prostate cancer (PCa) is the third leading cause of cancer mortality among men in Russia. For the selection of quality indicators (QIs) for the assessment of oncological care, including the treatment of PCa, the modified Delphi method is widely used.Aim. Identification of examples of actively used modifications of the Delphi technique and the most relevant QIs designed to control the quality of active surveillance of patients with low-risk PCa and the quality of cancer care for patients with metastatic PCa.Materials and methods. The literature search was performed using the following thematic queries in PubMed: “Delphi method/technique”, “quality indicators”, “cancer care”, “prostate cancer”, “tumors”, etc. The search time horizon extended to 2021–2022. The most modern publications devoted to applications of the Delphi methodology in the selection of QIs for treatment of men with PCa were identified.Results. The scientific literature describes in detail how to adapt the Delphi technique to choose the QIs for PCa. 20 QIs for active surveillance of patients with low-risk PCa (the draft version) and 23 QIs for treatment of patients with metastatic PCa were identified. The use of the modified Delphi technique resulted to certain consensus among experts leading to better understanding of QIs for PCa care.Conclusion. The Delphi method is a valid tool for analyzing the points of view of specialists and reaching a consensus on the considered options for solving complex problems. With the consistent improvement of oncourological practice, updating of clinical guidelines for PCa, it is feasible to revise and improve the list of the key QIs for PCa care.
运用德尔菲法制定了一套现代前列腺癌护理质量指标
背景。进一步改善临床实践的内部质量保证对于实现题为“与癌症作斗争”的联邦项目的目标至关重要,该项目旨在到2024年将癌症死亡率降低到每10万人185例。前列腺癌(PCa)是俄罗斯男性癌症死亡的第三大原因。在评估肿瘤护理(包括前列腺癌的治疗)的质量指标(QIs)的选择上,改进的德尔菲法被广泛使用。识别积极使用德尔菲技术修改的例子和最相关的质量指标,旨在控制低风险前列腺癌患者的主动监测质量和转移性前列腺癌患者的癌症护理质量。材料和方法。在PubMed中使用以下主题查询进行文献检索:“德尔菲法/技术”、“质量指标”、“癌症护理”、“前列腺癌”、“肿瘤”等。搜索时间范围延长至2021-2022年。最现代的出版物致力于应用德尔菲方法在选择QIs治疗男性PCa鉴定。结果。科学文献详细描述了如何采用德尔菲技术来选择PCa的QIs。确定了20个用于主动监测低风险PCa患者的QIs(草案版本)和23个用于治疗转移性PCa患者的QIs。使用改进的德尔菲技术,专家之间达成了一定的共识,从而更好地理解了PCa护理的QIs。德尔菲法是一种有效的工具,用于分析专家的观点,并就解决复杂问题的考虑选项达成共识。随着肿瘤实践水平的不断提高,前列腺癌临床指南的不断更新,对前列腺癌关键质量指标清单进行修订和完善是可行的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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