Evidence map›Paper›PMID 40814863›Full record

ArticleANZ journal of surgery2026

Multidisciplinary Clinical Quality Indicators for Head and Neck Cancer: A Modified Delphi Study in Australia.

Rebecca L Venchiarutti, Ashleigh R Sharman, Candice Donnelly, Nectarios Andrews, Martin Batstone, Sandeep Bhuta, Ruta Gupta, Claire Jeans, Jenny Lee, Eng H Ooi and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in ANZ journal of surgery, 2026. 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. 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

18 authors.

Rebecca L VenchiaruttiHead and Neck Research, Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia.ORCID 0000-0001-6493-7933
Ashleigh R SharmanHead and Neck Research, Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia.ORCID 0000-0002-9342-5061
Candice DonnellyFaculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.
Nectarios AndrewsMetro Dental Centre, Marrickville, New South Wales, Australia.
Martin BatstoneRoyal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Sandeep BhutaGold Coast University Hospital, Southport, Queensland, Australia.
Ruta GuptaHead and Neck Research, Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia.
Claire JeansKonara Cancer Centre, Broadmeadow, New South Wales, Australia.ORCID 0000-0001-7752-5655
Jenny LeeHead and Neck Research, Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia.
Eng H OoiCollege of Medicine and Public Health, Flinders University, Bedford Park, South Australia, Australia.
Mark SchifterHead and Neck Research, Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia.ORCID 0009-0005-0927-0765
Puma SundaresanFaculty of Medicine and Health, The University of Sydney, Camperdown, New South Wales, Australia.
Swee T TanWellington Regional Plastic, Maxillofacial & Burns Unit, Hutt Hospital, Lower Hutt, New Zealand.
Denyse WhelanHead and Neck Cancer Australia, Pyrmont, New South Wales, Australia.
Takako Eva YabeWollongong Hospital, Wollongong, New South Wales, Australia.ORCID 0000-0002-4523-8595
Meiling ZhouPeter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre, Melbourne, Victoria, Australia.
Carsten E PalmeHead and Neck Research, Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia.
Jonathan R ClarkHead and Neck Research, Chris O'Brien Lifehouse, Camperdown, New South Wales, Australia.

Funding

Cancer Institute NSW 2020/TPG2081Sydney Local Health DistrictThe Lang Walker Family Foundation;
6 · The paper itself

Abstract

backgroundMonitoring delivery of cancer care is critical to improve outcomes in increasingly resource-constrained settings. The aim of this study was to develop a priority set of multidisciplinary quality indicators (QIs) for benchmarking and monitoring the quality of care for head and neck cancer (HNC) in Australia.

methodsFollowing a systematic literature review, a modified Delphi consensus process was undertaken with Australian health professionals and people with lived experience of HNC. Consensus was sought over three rounds. In Rounds 2 and 3, participants rated the importance of QIs on a scale of 1 (not at all important) to 7 (highly important). QIs reached consensus if they had a mean importance score ≥ 6 (out of 7) and ≥ 75% of participants rated them 6 or 7.

resultsThe systematic review identified 317 unique QIs, and 81 were chosen for presentation in Rounds 2 of the Delphi. In Round 2, 66 health professionals and 12 people with lived experience of HNC reached consensus on 48 QIs, with three reworded and one new QI added. Fifty-two QIs were presented in Round 3; 42 health professionals and 10 people with lived experience participated, reaching consensus on 24 QIs. Most of the QIs fell under the treatment domain, with commencement of curative treatment and documentation of surgical margins attaining the highest consensus.

conclusionWe developed a priority set of 24 clinically relevant QIs for HNC, which will be tested in a clinical quality registry to benchmark optimal management of HNC and outcomes.

Indexed as

Head and Neck NeoplasmsQuality Indicators, Health CareAustraliaBenchmarkingConsensusDelphi TechniqueHumansDelphihead and neckneoplasmquality of care

Identifiers

PMID40814863
PMCPMC13006727

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LicenceCC BY-NC-ND
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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.