Prioritizing Patient‐Reported Outcomes in Breast Cancer Surgery Quality Improvement
Breast‐cancer‐specific tools that measure health‐related quality of life (HRQOL) were developed for use in research or clinical practice, and little is known about these tools’ performance ability for quality improvement. Furthermore, existing tools may not fully reflect all issues that contribute t...
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Veröffentlicht in: | The breast journal 2017-03, Vol.23 (2), p.127-137 |
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description | Breast‐cancer‐specific tools that measure health‐related quality of life (HRQOL) were developed for use in research or clinical practice, and little is known about these tools’ performance ability for quality improvement. Furthermore, existing tools may not fully reflect all issues that contribute to quality care as seen by patients. Work is needed to identify and validate patient‐reported outcome measures for use in quality improvement in breast cancer surgical care. We conducted an exploratory qualitative study in order to better understand what HRQOL domains and processes of care define high quality surgical care for women undergoing mastectomy for breast cancer from both the patient and clinician perspective. We conducted focus groups and one‐on‐one interviews with 15 women and administered a prioritization questionnaire to participants. We also conducted a prioritization questionnaire among surgical oncologists, general surgeons, and reconstructive surgeons who are members of the Washington State Medical Association. Both the patient and surgeon prioritization questionnaire asked participants to prioritize HRQOL and treatment satisfaction‐related aspects of their breast cancer surgical care at key time points before and after mastectomy. A Stakeholder Advisory Panel was convened to review focus group, interview, and prioritization questionnaire results and make recommendations as to patient‐reported outcome domains to focus on and existing instruments to use for quality improvement. Patients and clinicians largely agreed on important HRQOL domains, including emotional well‐being, education, communication, and process of care. The Stakeholder Advisory Panel, composed of 12 clinicians and five patients, reviewed study findings and existing patient‐reported outcomes measurement tools. The panel recommended that the BREAST‐Q, a flexible tool with independently validated modules designed for research and clinical care, is an ideal tool to begin developing novel quality improvement benchmarks focused on patient‐reported outcomes. |
doi_str_mv | 10.1111/tbj.12707 |
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Furthermore, existing tools may not fully reflect all issues that contribute to quality care as seen by patients. Work is needed to identify and validate patient‐reported outcome measures for use in quality improvement in breast cancer surgical care. We conducted an exploratory qualitative study in order to better understand what HRQOL domains and processes of care define high quality surgical care for women undergoing mastectomy for breast cancer from both the patient and clinician perspective. We conducted focus groups and one‐on‐one interviews with 15 women and administered a prioritization questionnaire to participants. We also conducted a prioritization questionnaire among surgical oncologists, general surgeons, and reconstructive surgeons who are members of the Washington State Medical Association. Both the patient and surgeon prioritization questionnaire asked participants to prioritize HRQOL and treatment satisfaction‐related aspects of their breast cancer surgical care at key time points before and after mastectomy. A Stakeholder Advisory Panel was convened to review focus group, interview, and prioritization questionnaire results and make recommendations as to patient‐reported outcome domains to focus on and existing instruments to use for quality improvement. Patients and clinicians largely agreed on important HRQOL domains, including emotional well‐being, education, communication, and process of care. The Stakeholder Advisory Panel, composed of 12 clinicians and five patients, reviewed study findings and existing patient‐reported outcomes measurement tools. The panel recommended that the BREAST‐Q, a flexible tool with independently validated modules designed for research and clinical care, is an ideal tool to begin developing novel quality improvement benchmarks focused on patient‐reported outcomes.</description><identifier>ISSN: 1075-122X</identifier><identifier>EISSN: 1524-4741</identifier><identifier>DOI: 10.1111/tbj.12707</identifier><identifier>PMID: 27779352</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Benchmarks ; Breast cancer ; Breast Neoplasms - psychology ; Breast Neoplasms - surgery ; Cancer ; Emotions ; Female ; Focus Groups ; Humans ; mastectomy ; Mastectomy - psychology ; Medical personnel ; Modules ; Patient Reported Outcome Measures ; Patient Satisfaction ; Patients ; patient‐reported outcomes ; Quality ; Quality control ; Quality of Life ; Questionnaires ; Surgeons ; Surgery ; Surgical instruments ; Surveys and Questionnaires ; Washington</subject><ispartof>The breast journal, 2017-03, Vol.23 (2), p.127-137</ispartof><rights>2016 Wiley Periodicals, Inc.</rights><rights>Copyright © 2017 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4217-7bf34467177e0a44f57857791549d083bfaa43c0199592843ff3b4d1d6d0ada73</citedby><cites>FETCH-LOGICAL-c4217-7bf34467177e0a44f57857791549d083bfaa43c0199592843ff3b4d1d6d0ada73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Ftbj.12707$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ftbj.12707$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27779352$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Javid, Sara H.</creatorcontrib><creatorcontrib>Lawrence, Sarah O.</creatorcontrib><creatorcontrib>Lavallee, Danielle C.</creatorcontrib><title>Prioritizing Patient‐Reported Outcomes in Breast Cancer Surgery Quality Improvement</title><title>The breast journal</title><addtitle>Breast J</addtitle><description>Breast‐cancer‐specific tools that measure health‐related quality of life (HRQOL) were developed for use in research or clinical practice, and little is known about these tools’ performance ability for quality improvement. Furthermore, existing tools may not fully reflect all issues that contribute to quality care as seen by patients. Work is needed to identify and validate patient‐reported outcome measures for use in quality improvement in breast cancer surgical care. We conducted an exploratory qualitative study in order to better understand what HRQOL domains and processes of care define high quality surgical care for women undergoing mastectomy for breast cancer from both the patient and clinician perspective. We conducted focus groups and one‐on‐one interviews with 15 women and administered a prioritization questionnaire to participants. We also conducted a prioritization questionnaire among surgical oncologists, general surgeons, and reconstructive surgeons who are members of the Washington State Medical Association. Both the patient and surgeon prioritization questionnaire asked participants to prioritize HRQOL and treatment satisfaction‐related aspects of their breast cancer surgical care at key time points before and after mastectomy. A Stakeholder Advisory Panel was convened to review focus group, interview, and prioritization questionnaire results and make recommendations as to patient‐reported outcome domains to focus on and existing instruments to use for quality improvement. Patients and clinicians largely agreed on important HRQOL domains, including emotional well‐being, education, communication, and process of care. The Stakeholder Advisory Panel, composed of 12 clinicians and five patients, reviewed study findings and existing patient‐reported outcomes measurement tools. The panel recommended that the BREAST‐Q, a flexible tool with independently validated modules designed for research and clinical care, is an ideal tool to begin developing novel quality improvement benchmarks focused on patient‐reported outcomes.</description><subject>Benchmarks</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - psychology</subject><subject>Breast Neoplasms - surgery</subject><subject>Cancer</subject><subject>Emotions</subject><subject>Female</subject><subject>Focus Groups</subject><subject>Humans</subject><subject>mastectomy</subject><subject>Mastectomy - psychology</subject><subject>Medical personnel</subject><subject>Modules</subject><subject>Patient Reported Outcome Measures</subject><subject>Patient Satisfaction</subject><subject>Patients</subject><subject>patient‐reported outcomes</subject><subject>Quality</subject><subject>Quality control</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgical instruments</subject><subject>Surveys and Questionnaires</subject><subject>Washington</subject><issn>1075-122X</issn><issn>1524-4741</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkctKAzEUhoMoXqoLX0AG3OhiNNfJZGmLl0rBWwvuQmYmIylzqUlGqSsfwWf0SYy2uhAEz-acxcd3zuEHYBfBIxTq2GfTI4Q55CtgEzFMY8opWg0z5CxGGN9vgC3nphBCLCBdBxuYcy4Iw5tgcm1Na403L6Z5iK6VN7rx769vt3rWWq-L6KrzeVtrF5km6lutnI8Gqsm1je46-6DtPLrpVGX8PBrWM9s-6ToItsFaqSqnd5a9ByZnp-PBRTy6Oh8OTkZxTjHiMc9KQmnCEecaKkpLxlMWLkOMigKmJCuVoiSHSAgmcEpJWZKMFqhICqgKxUkPHCy8YfNjp52XtXG5rirV6LZzEqUp4glLBPsHSliCmSAkoPu_0Gnb2SY8IpHAIqVCpGmgDhdUblvnrC7lzJpa2blEUH7GIkMs8iuWwO4tjV1W6-KH_M4hAMcL4NlUev63SY77lwvlB_H7lkg</recordid><startdate>201703</startdate><enddate>201703</enddate><creator>Javid, Sara H.</creator><creator>Lawrence, Sarah O.</creator><creator>Lavallee, Danielle C.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>201703</creationdate><title>Prioritizing Patient‐Reported Outcomes in Breast Cancer Surgery Quality Improvement</title><author>Javid, Sara H. ; Lawrence, Sarah O. ; Lavallee, Danielle C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4217-7bf34467177e0a44f57857791549d083bfaa43c0199592843ff3b4d1d6d0ada73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Benchmarks</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - psychology</topic><topic>Breast Neoplasms - surgery</topic><topic>Cancer</topic><topic>Emotions</topic><topic>Female</topic><topic>Focus Groups</topic><topic>Humans</topic><topic>mastectomy</topic><topic>Mastectomy - psychology</topic><topic>Medical personnel</topic><topic>Modules</topic><topic>Patient Reported Outcome Measures</topic><topic>Patient Satisfaction</topic><topic>Patients</topic><topic>patient‐reported outcomes</topic><topic>Quality</topic><topic>Quality control</topic><topic>Quality of Life</topic><topic>Questionnaires</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgical instruments</topic><topic>Surveys and Questionnaires</topic><topic>Washington</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Javid, Sara H.</creatorcontrib><creatorcontrib>Lawrence, Sarah O.</creatorcontrib><creatorcontrib>Lavallee, Danielle C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The breast journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Javid, Sara H.</au><au>Lawrence, Sarah O.</au><au>Lavallee, Danielle C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prioritizing Patient‐Reported Outcomes in Breast Cancer Surgery Quality Improvement</atitle><jtitle>The breast journal</jtitle><addtitle>Breast J</addtitle><date>2017-03</date><risdate>2017</risdate><volume>23</volume><issue>2</issue><spage>127</spage><epage>137</epage><pages>127-137</pages><issn>1075-122X</issn><eissn>1524-4741</eissn><abstract>Breast‐cancer‐specific tools that measure health‐related quality of life (HRQOL) were developed for use in research or clinical practice, and little is known about these tools’ performance ability for quality improvement. 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Both the patient and surgeon prioritization questionnaire asked participants to prioritize HRQOL and treatment satisfaction‐related aspects of their breast cancer surgical care at key time points before and after mastectomy. A Stakeholder Advisory Panel was convened to review focus group, interview, and prioritization questionnaire results and make recommendations as to patient‐reported outcome domains to focus on and existing instruments to use for quality improvement. Patients and clinicians largely agreed on important HRQOL domains, including emotional well‐being, education, communication, and process of care. The Stakeholder Advisory Panel, composed of 12 clinicians and five patients, reviewed study findings and existing patient‐reported outcomes measurement tools. 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subjects | Benchmarks Breast cancer Breast Neoplasms - psychology Breast Neoplasms - surgery Cancer Emotions Female Focus Groups Humans mastectomy Mastectomy - psychology Medical personnel Modules Patient Reported Outcome Measures Patient Satisfaction Patients patient‐reported outcomes Quality Quality control Quality of Life Questionnaires Surgeons Surgery Surgical instruments Surveys and Questionnaires Washington |
title | Prioritizing Patient‐Reported Outcomes in Breast Cancer Surgery Quality Improvement |
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