Quality improvement of neuro-oncology services: integrating the routine collection of patient-reported, health-related quality-of-life measures

Neuro-oncology Practice
Rocío Fernández-MéndezAlexis J Joannides

Abstract

Brain cancer has a strong impact on health-related quality of life (HRQoL), and its evaluation in clinical practice can improve the quality of care provided. The aim of this project was to integrate routine collection of HRQoL information from patients with brain tumor or metastasis in 2 specialized United Kingdom tertiary centers, and to evaluate the implementation process. Since October 2016, routine collection of electronic self-reported HRQoL information has been progressively embedded in the participating centers using standard questionnaires. During the first year, the project was implemented, and the process evaluated, through regular cycles of process evaluation followed by an action plan, monitoring of questionnaire completion rates, and assessment of patient views. Main challenges encountered included reluctance to change usual practice and limited resources. Key measures for success included strong leadership of senior staff, involvement of stakeholders in project design and evaluation, and continuous strategic support to professionals. Final project workflow included 6 process steps, 1 decision step, and 4 outputs. Questionnaires were mostly self-completed (75.1%), and completion took 6-9 minutes. Most patients agre...Continue Reading

References

Feb 1, 1996·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·D OsobaE Newlands
Dec 17, 2002·JAMA : the Journal of the American Medical Association·Symone B DetmarNeil K Aaronson
Jan 15, 2003·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·E P WrightA Cull
Jun 7, 2003·Quality & Safety in Health Care·G Harvey, M Wensing
Jul 17, 2008·Neuro-oncology·Jin-xiang ChengBo-Lin Liu
Sep 16, 2008·BMC Medical Informatics and Decision Making·Anneke L FranckePatriek Mistiaen
Nov 26, 2009·The Australian Journal of Rural Health·Belinda ThewesUNKNOWN Greater Southern Area Health Service Screening Collaborative Group
Feb 16, 2010·Journal of Pain and Symptom Management·Astrid ErharterBernhard Holzner
Apr 29, 2010·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Claire F SnyderAlbert W Wu
May 29, 2010·The Oncologist·Martin J B TaphoornAndrew Bottomley
Jun 24, 2010·European Journal of Cancer : Official Journal for European Organization for Research and Treatment of Cancer (EORTC) [and] European Association for Cancer Research (EACR)·Galina VelikovaJulia M Brown
Feb 2, 2011·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Charles S CleelandAra A Vaporciyan
Jul 20, 2012·CA: a Cancer Journal for Clinicians·Antonia V BennettEthan Basch
May 15, 2013·Current Neurology and Neuroscience Reports·Linda DirvenMartin J B Taphoorn
Dec 5, 2013·Journal of Oncology Practice·Roxanne E JensenBryce B Reeve
Mar 4, 2014·The Cochrane Database of Systematic Reviews·Yu Yang SoonJiade J Lu
Apr 9, 2014·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Grigorios KotronoulasStephen MacGillivray
Apr 18, 2016·Neurosurgical Review·Nancy Ann Oberheim BushMitchel S Berger
Oct 17, 2016·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Divine E EdiebahUNKNOWN EORTC Quality of Life Department and Patient Reported Outcome and Behavioral Evidence (PROBE)
Oct 5, 2017·The New England Journal of Medicine·Lisa S RotensteinNeil W Wagle

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.