ReviewTranslational lung cancer research2015
What is quality, and can we define it in lung cancer?-the case for quality improvement.
Review in Translational lung cancer research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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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.
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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.
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Who cites it
8 citing papers in PubMed.
- A qualitative study of interactions with oncologists among patients with advanced lung cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Assessment of textbook outcome after lobectomy for early-stage non-small cell lung cancer in a Korean institution: A retrospective study.Thoracic cancer · 2022Article
- Institutional factors associated with adherence to quality measures for stage I and II non-small cell lung cancer.The Journal of thoracic and cardiovascular surgery · 2021Article
- Evaluation of adherence to the Commission on Cancer lung cancer quality measures.The Journal of thoracic and cardiovascular surgery · 2019Article
- Risk-Adjusted Margin Positivity Rate as a Surgical Quality Metric for Non-Small Cell Lung Cancer.The Annals of thoracic surgery · 2017Article
- Improving lung cancer outcomes by improving the quality of surgical care.Translational lung cancer research · 2015Article
- Implementing effective and sustainable multidisciplinary clinical thoracic oncology programs.Translational lung cancer research · 2015Article
- Structural Challenges of Providing Palliative Care for Patients with Breast Cancer.Indian journal of palliative careArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
Decades worth of advances in diagnostics and therapeutics are associated with only marginal improvements in survival among lung cancer patients. An obvious explanation is late stage at presentation, but gaps in the quality of care may be another reason for stifled improvements in survival rates. A framework for quality put forth by Avedis Donabedian consists of measuring structures-of-care, processes, and outcomes. Using this approach to explore for potential quality gaps, there is evidence of inexplicable variability in outcomes across patients and hospitals; variation in outcomes across differing provider types (structures-of-care); and variation in approaches to staging (processes-of-care). However, this research has limitations and incontrovertible evidence of quality gaps is challenging to obtain. Other challenges to defining quality include scientific and clinical uncertainty among providers and the fact that quality is a multi-dimensional construct that cannot be measured by a single metric. Nonetheless, two facts compel us to pursue quality improvement: (I) both empirically and anecdotally, actual care falls short of expected care; and (II) evidence of potential quality gaps is not ignorable primarily on ethical grounds.
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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.