Evidence map›Paper›PMID 16417050›Full record

ReviewCanadian journal of surgery. Journal canadien de chirurgie2005

Development of quality indicators for colorectal cancer surgery, using a 3-step modified Delphi approach.

Anna R Gagliardi, Marko Simunovic, Bernard Langer, Hartley Stern, Adalsteinn D Brown

Abstract readComparative StudyReview
In one paragraph

Review in Canadian journal of surgery. Journal canadien de chirurgie, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  10. Defining appropriate antibiotic prescribing in primary care: A modified Delphi panel approach.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2020
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  18. Observational
  19. Objective Assessment of Quality Measurement and Improvement.Clinics in colon and rectal surgery · 2014
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Anna R GagliardiSunnybrook and Women's College Health Sciences Centre, Toronto.
Marko Simunovic
Bernard Langer
Hartley Stern
Adalsteinn D Brown

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLittle performance measurement has been undertaken in the area of oncology, particularly for surgery, which is a pivotal event in the continuum of cancer care. This work was conducted to develop indicators of quality for colorectal cancer surgery, using a 3-step modified Delphi approach.

methodsA multidisciplinary panel, comprising surgical and methodological co-chairs, 9 surgeons, a medical oncologist, a radiation oncologist, a nurse and a pathologist, reviewed potential indicators extracted from the medical literature through 2 consecutive rounds of rating followed by consensus discussion. The panel then prioritized the indicators selected in the previous 2 rounds.

resultsOf 45 possible indicators that emerged from 30 selected articles, 15 were prioritized by the panel as benchmarks for assessing the quality of surgical care. The 15 indicators represent 3 levels of measurement (provincial/regional, hospital, individual provider) across several phases of care (diagnosis, surgery, adjuvant therapy, pathology and follow-up), as well as broad measures of access and outcome. The indicators selected by the panel were more often supported by evidence than those that were discarded.

conclusionsThis project represents a unique initiative, and the results may be applicable to colorectal cancer surgery in any jurisdiction.

Indexed as

Quality Indicators, Health CareBenchmarkingColorectal NeoplasmsColorectal SurgeryConsensusDelphi TechniqueFemaleHealth Care SurveysHumansMaleOntarioSensitivity and Specificity

Identifiers

PMID16417050
PMCPMC3211732

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.