Evidence map›Paper›PMID 38513280›Full record

SynthesisBJS open2024

Quality indicators in surgical oncology: systematic review of measures used to compare quality across hospitals.

Megan McLeod, Kari Leung, C S Pramesh, Peter Kingham, Miriam Mutebi, Julie Torode, Andre Ilbawi, Jade Chakowa, Richard Sullivan, Ajay Aggarwal

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BJS open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
5.9field-weighted citation impact, top 4% of its field
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

8 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Textbook outcome in gastrectomy: useful metric or moving target? A scoping review.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Article
  6. Article
  7. Review
  8. Quality Indicators in Otolaryngology-Head and Neck Surgery: A Scoping Review.Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
    Article
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

10 authors at 8 institutions in 5 countries.

Megan McLeodDepartment of Health Policy, London School of Economics and Political Science, London, UK.ORCID 0000-0002-6290-5310
Kari LeungDepartment of Oncology, Guy's & St Thomas' NHS Trust, London, UK.
C S PrameshTata Memorial Centre, Homi Bhabha National Institute, Mumbai, India.
Peter KinghamDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Miriam MutebiDepartment of Surgery, Aga Khan University, Nairobi, Kenya.
Julie TorodeInstitute of Cancer Policy, Centre for Cancer, Society & Public Health, King's College London, London, UK.
Andre IlbawiDepartment of Universal Health Coverage, World Health Organization, Geneva, Switzerland.
Jade ChakowaCity Cancer Challenge, Geneva, Switzerland.
Richard SullivanInstitute of Cancer Policy, Global Oncology Group, Centre for Cancer, Society & Public Health, King's College London, London, UK.
Ajay AggarwalDepartment of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0001-9645-6659
King's College London · GBAga Khan University Nairobi · KEGuy's and St Thomas' NHS Foundation Trust · GBHomi Bhabha National Institute · INLondon School of Hygiene & Tropical Medicine · GBMemorial Sloan Kettering Cancer Center · USVanderbilt University Medical Center · USWorld Health Organization · CH

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Medical Research Council MR/P025420/1NCI NIH HHS P30 CA008748World Health Organization 001
6 · The paper itself

Abstract

backgroundMeasurement and reporting of quality indicators at the hospital level has been shown to improve outcomes and support patient choice. Although there are many studies validating individual quality indicators, there has been no systematic approach to understanding what quality indicators exist for surgical oncology and no standardization for their use. The aim of this study was to review quality indicators used to assess variation in quality in surgical oncology care across hospitals or regions. It also sought to describe the aims of these studies and what, if any, feedback was offered to the analysed groups.

methodsA literature search was performed to identify studies published between 1 January 2000 and 23 October 2023 that applied surgical quality indicators to detect variation in cancer care at the hospital or regional level.

resultsA total of 89 studies assessed 91 unique quality indicators that fell into the following Donabedian domains: process indicators (58; 64%); outcome indicators (26; 29%); structure indicators (6; 7%); and structure and outcome indicators (1; 1%). Purposes of evaluating variation included: identifying outliers (43; 48%); comparing centres with a benchmark (14; 16%); and supplying evidence of practice variation (29; 33%). Only 23 studies (26%) reported providing the results of their analyses back to those supplying data.

conclusionComparisons of quality in surgical oncology within and among hospitals and regions have been undertaken in high-income countries. Quality indicators tended to be process measures and reporting focused on identifying outlying hospitals. Few studies offered feedback to data suppliers.

Indexed as

HospitalsQuality Indicators, Health CareSurgical OncologyBenchmarkingHumansNeoplasms

Identifiers

PMID38513280
PMCPMC10957165
OpenAlexW4393062914

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.