Evidence map›Paper›PMID 39755562›Full record

ArticleBMJ open quality2025

Quality indicators and development targets in the national clinical quality registries in cancer care and screening.

Amalie Helme Simoni, Lina Marie Vinge Ahlstrøm, Anne Gulbech Ording, Lene Hjerrild Iversen, Søren Paaske Johnsen, Jens Winther Jensen, Henrik Møller

Abstract read
In one paragraph

Article in BMJ open quality, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Quality indicators for cervical screening in Sweden.Journal of medical screening · 2026
    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

7 authors.

Amalie Helme SimoniDanish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark asimoni@dcm.aau.dk.ORCID http://orcid.org/0000-0002-3327-8418
Lina Marie Vinge AhlstrømThe Danish Clinical Quality Program and Clinical Registries (RKKP), Aarhus, Denmark.
Anne Gulbech OrdingDanish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.ORCID http://orcid.org/0000-0002-8073-7664
Lene Hjerrild IversenDepartment of Surgery, Aarhus University Hospital, Aarhus, Denmark.ORCID http://orcid.org/0000-0002-2336-2923
Søren Paaske JohnsenDanish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.ORCID http://orcid.org/0000-0002-2787-0271
Jens Winther JensenThe Danish Clinical Quality Program and Clinical Registries (RKKP), Aarhus, Denmark.ORCID http://orcid.org/0009-0000-7934-8218
Henrik MøllerDanish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Danish clinical quality registries monitor and improve the quality of care, using quality indicators and defined development targets referred to as 'standards'. This study aims to investigate the fulfilment of standards in the Danish clinical quality registries in cancer care and screening.

methodsData was included from annual reports in the 27 Danish clinical quality registries in cancer care and screening. The most recent report from each registry was downloaded the 13 December 2023. Indicators were included if: evaluating care or screening over 12 months, presenting a well-defined standard with a desired direction and presenting the proportion and number of individuals for which the standard was fulfilled. Data were extracted on national and regional levels for the last 3 years, and fulfilment of standards was presented as the proportion of indicators that fulfilled the standard within each unit of comparison.

resultsIn total, 216 quality indicators were included. At the national and regional level, standards were fulfilled for 75% and 71%, respectively. Fulfilment within the registries varied from 5% to 100% on national and 12% to 99% on regional level. Standards were more often fulfilled for result (than process indicators) and for established (than supplemental indicators). Altogether, 43% of the standards were fulfilled across all regions delivering data for the specific indicator.

conclusionsThe approach to defining standards for clinical quality indicators as conservative minimum or ambitious development targets varied in the Danish clinical quality registries in cancer care and screening. This deviating behaviour seriously restrains possibilities for comparing clinical quality across cancers despite the robust infrastructure of the quality registries, limiting the possibilities for overview and prioritising resources and attention to the most urgent cancers.

Indexed as

Early Detection of CancerNeoplasmsQuality Indicators, Health CareRegistriesDenmarkHumansHealthcare quality improvementHealth services researchQuality improvementQuality measurement

Identifiers

PMID39755562
PMCPMC11751976

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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.