日本子宫内膜癌治疗质量指标。

IF 3.7 2区 医学 Q1 OBSTETRICS & GYNECOLOGY
Journal of Gynecologic Oncology Pub Date : 2025-09-01 Epub Date: 2025-03-17 DOI:10.3802/jgo.2025.36.e77
Tamaki Kakuwa, Yuichi Ichinose, Ryoko Rikitake, Taisuke Ishii, Satoru Nagase, Yoichi Kobayashi, Masanori Kaneuchi, Hideki Tokunaga, Manabu Seino, Hiroaki Kajiyama, Munetaka Takekuma, Tsutomu Tabata, Yoshito Terai, Yasuhisa Terao, Tohru Morisada, Hidemichi Watari, Yoko Yamamoto, Akira Kawata, Takahiro Higashi
{"title":"日本子宫内膜癌治疗质量指标。","authors":"Tamaki Kakuwa, Yuichi Ichinose, Ryoko Rikitake, Taisuke Ishii, Satoru Nagase, Yoichi Kobayashi, Masanori Kaneuchi, Hideki Tokunaga, Manabu Seino, Hiroaki Kajiyama, Munetaka Takekuma, Tsutomu Tabata, Yoshito Terai, Yasuhisa Terao, Tohru Morisada, Hidemichi Watari, Yoko Yamamoto, Akira Kawata, Takahiro Higashi","doi":"10.3802/jgo.2025.36.e77","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The incidence and mortality rates of endometrial cancer are increasing globally, including in Japan. Quality of cancer care is promoted through guideline adherence. This study aimed to establish quality indicators (QIs) for endometrial cancer and explore the factors contributing to treatment nonadherence.</p><p><strong>Methods: </strong>QIs and pattern-of-care indicators (PCIs) were developed using the Research and Development/University of California Los Angeles modified Delphi method. QIs reflect desirable healthcare patterns, whereas PCIs address treatment areas with lacking evidence. Data from the Hospital-Based Cancer Registry and Diagnosis Procedure Combination Survey were used. Patients diagnosed or treated between January 1 and December 31, 2020 were included. The reasons for nonadherence were collected. Logistic regression was used to analyze the factors influencing adherence, including age, body mass index, comorbidities, facilities, and recurrence risk.</p><p><strong>Results: </strong>Of the 35 proposed QI candidates, 8 QIs and 9 PCIs were selected, predominantly focusing on surgical aspects. Adherence rates varied, with peritoneal lavage cytology being the highest (93.1%), and postoperative hormone replacement therapy (HRT) for patients aged <45 years being the lowest (30.9%), when focusing on process indicators. Reasons for nonadherence included patient preference and medical comorbidities as significant factors. Multivariate analysis highlighted age, clinical stage, and Barthel index as significant contributors to nonadherence.</p><p><strong>Conclusion: </strong>We developed QIs to comprehensively assess endometrial cancer treatment. Adherence rates are favorable; however, HRT has a low adherence rate. Factors leading to nonadherence include advanced age and incomplete activities of daily living, particularly in advanced stages.</p>","PeriodicalId":15868,"journal":{"name":"Journal of Gynecologic Oncology","volume":" ","pages":"e77"},"PeriodicalIF":3.7000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12426749/pdf/","citationCount":"0","resultStr":"{\"title\":\"Quality indicators for endometrial cancer care in Japan.\",\"authors\":\"Tamaki Kakuwa, Yuichi Ichinose, Ryoko Rikitake, Taisuke Ishii, Satoru Nagase, Yoichi Kobayashi, Masanori Kaneuchi, Hideki Tokunaga, Manabu Seino, Hiroaki Kajiyama, Munetaka Takekuma, Tsutomu Tabata, Yoshito Terai, Yasuhisa Terao, Tohru Morisada, Hidemichi Watari, Yoko Yamamoto, Akira Kawata, Takahiro Higashi\",\"doi\":\"10.3802/jgo.2025.36.e77\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>The incidence and mortality rates of endometrial cancer are increasing globally, including in Japan. Quality of cancer care is promoted through guideline adherence. This study aimed to establish quality indicators (QIs) for endometrial cancer and explore the factors contributing to treatment nonadherence.</p><p><strong>Methods: </strong>QIs and pattern-of-care indicators (PCIs) were developed using the Research and Development/University of California Los Angeles modified Delphi method. QIs reflect desirable healthcare patterns, whereas PCIs address treatment areas with lacking evidence. Data from the Hospital-Based Cancer Registry and Diagnosis Procedure Combination Survey were used. Patients diagnosed or treated between January 1 and December 31, 2020 were included. The reasons for nonadherence were collected. Logistic regression was used to analyze the factors influencing adherence, including age, body mass index, comorbidities, facilities, and recurrence risk.</p><p><strong>Results: </strong>Of the 35 proposed QI candidates, 8 QIs and 9 PCIs were selected, predominantly focusing on surgical aspects. Adherence rates varied, with peritoneal lavage cytology being the highest (93.1%), and postoperative hormone replacement therapy (HRT) for patients aged <45 years being the lowest (30.9%), when focusing on process indicators. Reasons for nonadherence included patient preference and medical comorbidities as significant factors. Multivariate analysis highlighted age, clinical stage, and Barthel index as significant contributors to nonadherence.</p><p><strong>Conclusion: </strong>We developed QIs to comprehensively assess endometrial cancer treatment. Adherence rates are favorable; however, HRT has a low adherence rate. Factors leading to nonadherence include advanced age and incomplete activities of daily living, particularly in advanced stages.</p>\",\"PeriodicalId\":15868,\"journal\":{\"name\":\"Journal of Gynecologic Oncology\",\"volume\":\" \",\"pages\":\"e77\"},\"PeriodicalIF\":3.7000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12426749/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Gynecologic Oncology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3802/jgo.2025.36.e77\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/3/17 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Gynecologic Oncology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3802/jgo.2025.36.e77","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/3/17 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0

摘要

目的:子宫内膜癌的发病率和死亡率在全球范围内呈上升趋势,包括在日本。癌症治疗的质量是通过遵循指南来提高的。本研究旨在建立子宫内膜癌的质量指标(QIs),并探讨导致治疗不依从的因素。方法:采用美国加州大学洛杉矶分校的改进德尔菲法(Delphi)编制质量指标和护理模式指标(PCIs)。QIs反映了理想的医疗保健模式,而pci针对的是缺乏证据的治疗领域。数据来自医院癌症登记和诊断程序联合调查。纳入2020年1月1日至12月31日期间诊断或治疗的患者。收集不遵医嘱的原因。采用Logistic回归分析影响依从性的因素,包括年龄、体重指数、合并症、设施和复发风险。结果:在35个推荐的QI候选者中,选择了8个QI和9个pci,主要集中在外科方面。依从率各不相同,其中腹膜灌洗细胞学检查最高(93.1%),老年患者术后激素替代治疗(HRT)结论:我们制定了QIs来全面评估子宫内膜癌的治疗。依从率是有利的;然而,HRT的坚持率很低。导致不依从的因素包括高龄和日常生活活动不完全,特别是在晚期。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Quality indicators for endometrial cancer care in Japan.

Quality indicators for endometrial cancer care in Japan.

Quality indicators for endometrial cancer care in Japan.

Quality indicators for endometrial cancer care in Japan.

Objective: The incidence and mortality rates of endometrial cancer are increasing globally, including in Japan. Quality of cancer care is promoted through guideline adherence. This study aimed to establish quality indicators (QIs) for endometrial cancer and explore the factors contributing to treatment nonadherence.

Methods: QIs and pattern-of-care indicators (PCIs) were developed using the Research and Development/University of California Los Angeles modified Delphi method. QIs reflect desirable healthcare patterns, whereas PCIs address treatment areas with lacking evidence. Data from the Hospital-Based Cancer Registry and Diagnosis Procedure Combination Survey were used. Patients diagnosed or treated between January 1 and December 31, 2020 were included. The reasons for nonadherence were collected. Logistic regression was used to analyze the factors influencing adherence, including age, body mass index, comorbidities, facilities, and recurrence risk.

Results: Of the 35 proposed QI candidates, 8 QIs and 9 PCIs were selected, predominantly focusing on surgical aspects. Adherence rates varied, with peritoneal lavage cytology being the highest (93.1%), and postoperative hormone replacement therapy (HRT) for patients aged <45 years being the lowest (30.9%), when focusing on process indicators. Reasons for nonadherence included patient preference and medical comorbidities as significant factors. Multivariate analysis highlighted age, clinical stage, and Barthel index as significant contributors to nonadherence.

Conclusion: We developed QIs to comprehensively assess endometrial cancer treatment. Adherence rates are favorable; however, HRT has a low adherence rate. Factors leading to nonadherence include advanced age and incomplete activities of daily living, particularly in advanced stages.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Journal of Gynecologic Oncology
Journal of Gynecologic Oncology ONCOLOGY-OBSTETRICS & GYNECOLOGY
CiteScore
6.00
自引率
2.60%
发文量
84
审稿时长
>12 weeks
期刊介绍: The Journal of Gynecologic Oncology (JGO) is an official publication of the Asian Society of Gynecologic Oncology. Abbreviated title is ''J Gynecol Oncol''. It was launched in 1990. The JGO''s aim is to publish the highest quality manuscripts dedicated to the advancement of care of the patients with gynecologic cancer. It is an international peer-reviewed periodical journal that is published bimonthly (January, March, May, July, September, and November). Supplement numbers are at times published. The journal publishes editorials, original and review articles, correspondence, book review, etc.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信