Evidence map›Paper›PMID 23658684›Full record

ArticlePloS one2013

Evaluating the quality of colorectal cancer care across the interface of healthcare sectors.

Sabine Ludt, Elisabeth Urban, Jörg Eckardt, Stefanie Wache, Björn Broge, Petra Kaufmann-Kolle, Günther Heller, Antje Miksch, Katharina Glassen, Katja Hermann and 5 more

Abstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. What makes a good quality indicator set? A systematic review of criteria.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021
    Pooled it
  2. [Cross-sectoral care trajectories of patients with colorectal cancer in Saxony-Anhalt].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2024
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  7. Quality management: where is the evidence? Developing an indicator-based approach in Kenya.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2017
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  10. The patients' active role in managing a personal electronic health record: a qualitative analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2015
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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

15 authors.

Sabine LudtDepartment of General Practice and Health Services Research, University of Heidelberg Hospital, Heidelberg, Germany. sabine.ludt@med.uni-heidelberg.de
Elisabeth Urban
Jörg Eckardt
Stefanie Wache
Björn Broge
Petra Kaufmann-Kolle
Günther Heller
Antje Miksch
Katharina Glassen
Katja Hermann
Regine Bölter
Dominik Ose
Stephen M Campbell
Michel Wensing
Joachim Szecsenyi

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) has a high prevalence in western countries. Diagnosis and treatment of CRC is complex and requires multidisciplinary collaboration across the interface of health care sectors. In Germany, a new nationwide established program aims to provide quality information of healthcare delivery across different sectors. Within this context, this study describes the development of a set of quality indicators charting the whole pathway of CRC-care including data specifications that are necessary to operationalize these indicators before practice testing.

methodsIndicators were developed following a systematic 10 step modified 'RAND/UCLA Appropriateness Method' which involved a multidisciplinary panel of thirteen participants. For each indicator in the final set, data specifications relating to sources of quality information, data collection procedures, analysis and feedback were described.

resultsThe final indicator set included 52 indicators covering diagnostic procedures (11 indicators), therapeutic management (28 indicators) and follow-up (6 indicators). In addition, 7 indicators represented patient perspectives. Primary surgical tumor resection and pre-operative radiation (rectum carcinoma only) were perceived as most useful tracer procedures initiating quality data collection. To assess the quality of CRC care across sectors, various data sources were identified: medical records, administrative inpatient and outpatient data, sickness-funds billing code systems and patient survey.

conclusionIn Germany, a set of 52 quality indicators, covering necessary aspects across the interfaces and pathways relevant to CRC-care has been developed. Combining different sectors and sources of health care in quality assessment is an innovative and challenging approach but reflects better the reality of the patient pathway and experience of CRC-care.

Indexed as

Quality Assurance, Health CareColorectal NeoplasmsGermanyHealth Care SectorHumansProgram EvaluationQuality Indicators, Health Care

Identifiers

PMID23658684
PMCPMC3641026

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.