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首页> 外文期刊>Gynecologic Oncology: An International Journal >Evaluation of the quality of the management of cancer of the corpus uteri-Selection of relevant quality indicators and implementation in Belgium
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Evaluation of the quality of the management of cancer of the corpus uteri-Selection of relevant quality indicators and implementation in Belgium

机译：评估子宫体癌的治疗质量-选择相关质量指标并在比利时实施

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Objective Describe the methodology and selection of quality indicators (QI) to be implemented in the EFFECT (EFFectiveness of Endometrial Cancer Treatment) project. EFFECT aims to monitor the variability in Quality of Care (QoC) of uterine cancer in Belgium, to compare the effectiveness of different treatment strategies to improve the QoC and to check the internal validity of the QI to validate the impact of process indicators on outcome. Methods A QI list was retrieved from literature, recent guidelines and QI databases. The Belgian Healthcare Knowledge Center methodology was used for the selection process and involved an expert's panel rating the QI on 4 criteria. The resulting scores and further discussion resulted in a final QI list. An online EFFECT module was developed by the Belgian Cancer Registry including the list of variables required for measuring the QI. Three test phases were performed to evaluate the relevance, feasibility and understanding of the variables and to test the compatibility of the dataset. Results 138 QI were considered for further discussion and 82 QI were eligible for rating. Based on the rating scores and consensus among the expert's panel, 41 QI were considered measurable and relevant. Testing of the data collection enabled optimization of the content and the user-friendliness of the dataset and online module. Conclusions This first Belgian initiative for monitoring the QoC of uterine cancer indicates that the previously used QI selection methodology is reproducible for uterine cancer. The QI list could be applied by other research groups for comparison.
机译：目的描述将在EFFECT（子宫内膜癌治疗效果）项目中实施的方法和质量指标（QI）的选择。 EFFECT旨在监测比利时子宫癌的护理质量（QoC）的差异，比较各种改善QoC的治疗策略的有效性，并检查QI的内部有效性，以验证过程指标对结果的影响。方法从文献，最新指南和QI数据库中检索QI列表。比利时医疗保健知识中心的方法用于选择过程，并由一个专家小组根据4个标准对QI进行评分。所得的分数和进一步的讨论产生了最终的QI列表。比利时癌症注册局开发了一个在线EFFECT模块，其中包括测量QI所需的变量列表。进行了三个测试阶段，以评估变量的相关性，可行性和理解性，并测试数据集的兼容性。结果138 QI被认为需要进一步讨论，而82 QI有资格获得评级。根据专家小组的评分分数和共识，认为41个QI可以衡量和相关。测试数据收集可以优化内容以及数据集和在线模块的用户友好性。结论比利时的第一个监测子宫癌QoC的计划表明，以前使用的QI选择方法可重现子宫癌。 QI列表可以由其他研究小组进行比较。

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