ArticleJournal of the National Comprehensive Cancer Network : JNCCN2013
Using NCCN clinical practice guidelines in oncology to measure the quality of colorectal cancer care in the veterans health administration.
Article in Journal of the National Comprehensive Cancer Network : JNCCN, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Quality of Care in Veterans Affairs Health Care System In-Person and National TeleOncology Service-Delivered Care.JCO oncology practice · 2025Article
- Measuring the quality of care in metastatic colorectal cancer: a scoping review of quality indicators.JNCI cancer spectrum · 2024Article
- Summary of Veterans Health Administration Cancer Data Sources.Journal of registry management · 2024Article
- Colorectal cancer adjuvant chemotherapy trends among a nonelderly veteran cohort at a southern veterans health administration.Cancer reports (Hoboken, N.J.) · 2022Article
- A scoping review on population-centered indicators for cancer care continuum.Frontiers in public health · 2022Article
- Clinical outcomes of patients with pancreatic tumors discussed in Tumor Board.Revista do Colegio Brasileiro de Cirurgioes · 2022Article
- Association of Adherence to Quality Metrics with Recurrence or Mortality among Veterans with Colorectal Cancer.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Formation of Polyploid Giant Cancer Cells Involves in the Prognostic Value of Neoadjuvant Chemoradiation in Locally Advanced Rectal Cancer.Journal of oncology · 2019Article
- Chronic disease management perspectives of colorectal cancer survivors using the Veterans Affairs healthcare system: a qualitative analysis.BMC health services research · 2018Article
- Changes in the Delivery of Veterans Affairs Cancer Care: Ensuring Delivery of Coordinated, Quality Cancer Care in a Time of Uncertainty.Journal of oncology practice · 2017Article
- The accuracy and completeness for receipt of colorectal cancer care using Veterans Health Administration administrative data.BMC health services research · 2016Article
- Lung and colorectal cancer treatment and outcomes in the Veterans Affairs health care system.Cancer management and research · 2015Review
- Implementation of new clinical programs in the VHA healthcare system: the importance of early collaboration between clinical leadership and research.Journal of general internal medicine · 2014Article
- Individual- and neighborhood-level predictors of mortality in Florida colorectal cancer patients.PloS one · 2014Article
- ACMG technical standards and guidelines for genetic testing for inherited colorectal cancer (Lynch syndrome, familial adenomatous polyposis, and MYH-associated polyposis).Genetics in medicine : official journal of the American College of Medical Genetics · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
Clinical practice guidelines can be used to help develop measures of quality of cancer care. This article describes the use of a Cancer Care Quality Measurement System (CCQMS) to monitor these measures for colorectal cancer in the Veterans Health Administration (VHA). The CCQMS assessed practice guideline concordance primarily based on colon (14 indicators) and rectal (11 indicators) cancer care guidelines of the NCCN. Indicators were developed with input from VHA stakeholders with the goal of examining the continuum of diagnosis, neoadjuvant therapy, surgery, adjuvant therapy, and survivorship surveillance and/or end-of-life care. In addition, 9 measures of timeliness of cancer care were developed. The measures/indicators formed the basis of a computerized data abstraction tool that produced reports on quality of care in real-time as data were entered. The tool was developed for a 28-facility learning collaborative, the Colorectal Cancer Care Collaborative (C4), aimed at improving colorectal cancer (CRC) care quality. Data on 1373 incident stage I-IV CRC cases were entered over approximately 18 months and were used to target and monitor quality improvement activities. The primary opportunity for improvement involved surveillance colonoscopy and services in patients after curative-intent treatment. NCCN Clinical Practice Guidelines in Oncology were successfully used to develop a measurement system for a VHA research-operations quality improvement partnership.
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Registered trials
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.