ArticleCancer science2016
Monitoring and evaluating the quality of cancer care in Japan using administrative claims data.
Article in Cancer science, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quality indicators of supportive care for patients with cancer undergoing treatment: a systematic review.BMC cancer · 2025Pooled it
- Real-world adherence to antiemetic guidelines in Japanese patients receiving high or carboplatin-based moderate emetic risk chemotherapy.International journal of clinical oncology · 2025Observational
- Real-World Comparison of Gene-Matched vs. Non-Gene-Matched Therapy Outcomes Using Integrated Genomic and Clinical Data.Cancer science · 2025Article
- Adjuvant Chemotherapy for Patients With Chronic Kidney Disease: A Study on Treatment Adoption and Associated Factors.Cancer medicine · 2025Article
- Review
- Consultations of patients with cancer to enhance shared decision-making in Japan: A retrospective observational study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Observational
- Treatment Patterns and Postoperative Activities of Daily Living in Patients with Non-small Cell Lung Cancer: A Retrospective Study Using Nationwide Health Services Utilization Data in Japan.Annals of surgical oncology · 2024Article
- A cross-sectoral approach to utilizing health claims data for quality assurance in medical rehabilitation: study protocol of a combined prospective longitudinal and retrospective cohort study.BMC health services research · 2023Article
- Observational
- Time to Treatment Initiation for Six Cancer Types: An Analysis of Data from a Nationwide Registry in Japan.World journal of surgery · 2023Observational
- Differences in the performance of adjuvant chemotherapy between hemodialysis and nonhemodialysis patients.Cancer medicine · 2023Article
- Baseline cardiac function checkup in patients with gastric or breast cancer receiving trastuzumab or anthracyclines.Cancer medicine · 2023Article
- Association between diabetes and adjuvant chemotherapy implementation in patients with stage III colorectal cancer.Journal of diabetes investigation · 2022Article
- Certified nurse specialists in cancer nursing and prophylactic antiemetic prescription for chemotherapy patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Article
- Real-world emetic risk of chemotherapy and the corresponding antiemetic therapy in Japan: A study based on a nationwide database.Cancer reports (Hoboken, N.J.) · 2022Article
- First-Year Healthcare Resource Utilization Costs of Five Major Cancers in Japan.International journal of environmental research and public health · 2021Article
- Impact of a board certification system and implementation of clinical practice guidelines for pancreatic cancer on mortality of pancreaticoduodenectomy.Surgery today · 2020Article
- Epidemiology and practice patterns for male breast cancer compared with female breast cancer in Japan.Cancer medicine · 2020Article
- Thymic epithelial tumor treatment in Japan: analysis of hospital cancer registry and insurance claims data, 2012-2014.Japanese journal of clinical oncology · 2020Observational
- Usability of Clinical Information in Discharge Summary Data in the Diagnosis Procedure Combination Survey for Cancer Patients.International journal of environmental research and public health · 2020Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The importance of measuring the quality of cancer care has been well recognized in many developed countries, but has never been successfully implemented on a national level in Japan. We sought to establish a wide-scale quality monitoring and evaluation program for cancer by measuring 13 process-of-care quality indicators (QI) using a registry-linked claims database. We measured two QI on pre-treatment testing, nine on adherence to clinical guidelines on therapeutic treatments, and two on supportive care, for breast, prostate, colorectal, stomach, lung, liver and cervical cancer patients who were diagnosed in 2011 from 178 hospitals. We further assessed the reasons for non-adherence for patients who did not receive the indicated care in 26 hospitals. QI for pretreatment testing were high in most hospitals (above 80%), but scores on adjuvant radiation and chemoradiation therapies were low (20-37%), except for breast cancer (74%). QI for adjuvant chemotherapy and supportive care were more widely distributed across hospitals (45-68%). Further analysis in 26 hospitals showed that most of the patients who did not receive adjuvant chemotherapy had clinically valid reasons for not receiving the specified care (above 70%), but the majority of the patients did not have sufficient reasons for not receiving adjuvant radiotherapy (52-69%) and supportive care (above 80%). We present here the first wide-scale quality measurement initiative of cancer patients in Japan. Patients without clinically valid reasons for non-adherence should be examined further in future to improve care.
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