Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

UCLA cancer researchers develop quality measures for colorectal cancer surgery

15.11.2006
Guidelines should improve patient care

A set of quality measures used to evaluate the quality of care received by patients undergoing surgery for colorectal cancer has been created by UCLA researchers in an effort to improve care before, during and after the surgery.

Improving the quality of surgical care for colorectal cancer patients is vital as the number of resections continues to increase in an aging population, said Dr. Clifford Ko, an associate professor of surgery, a researcher at UCLA's Jonsson Cancer Center and lead author of the study. About 148,000 people will get colorectal cancer this year alone, and about 90 to 95 percent of those will undergo surgery.

Colorectal cancer is the second most common cancer type among new cancers being diagnosed in the United States and as such, is treated at major academic medical centers as well as in community hospitals and surgical centers. Because it is treated in so many different places, guidelines outlining the best care for patients provide a valuable tool.

Ko and his colleagues came up with 92 quality of care indicators in six broad areas that encompass everything from surgeon credentials to patient-care provider discussions to medication use. The study is published in the Nov. 15 of the Journal of the National Cancer Institute.

The new quality indicators cover all aspects of surgical care, including a patient's health evaluation before the surgery to the most appropriate surgical techniques to resect varying types of colorectal cancer to creating a list of medications the patient already is taking to avoid dangerous interactions. The new quality indicators, which expand on a set of practice guidelines created by the National Cancer Institute in 2000, also detail the best post-operative patient management practices.

"You can do the best operation in the world, but it doesn't mean much if the patient doesn't do well after surgery," Ko said.

To come up with the quality indicators, Ko and his team carried out structured interviews with leaders in the field of colorectal cancer surgery, as well as a systematic review of the literature. A panel of 14 colorectal surgeons, general surgeons and surgical oncologists then evaluated the list and rated the indicators for validity, Ko said.

Of the 142 indicator on the original list, 92 were determined to be valid by the panel of experts and now make up the new list of quality indicators.

Ko and his team hope the quality indicators will be used as a checklist by surgeons and others in the community caring for colorectal cancer surgery patients. Most healthcare professionals probably already are doing some of the things on the checklist, Ko said, but the quality measures could serve as a safeguard to ensure that everything that should be done actually gets done.

"If we do all the right things, the patient will do better before, during and after surgery," Ko said. "The more information we have, the better job we can do."

The new quality indicators will be distributed to healthcare professionals in the community in CD form. Additionally, UCLA researchers will be presenting their work at conferences and meetings in order to raise awareness about the new quality indicators. Ko said the indicators can be used by individual institutions to measure the quality of their care as well as devise ways to improve it.

"These indicators identify potentially meaningful and important steps for providing high quality of care among health care systems, hospitals and providers offering surgical care to patients with colorectal cancer," the study states.

Quality of care measures have been developed for many diseases. They're used by regulatory agencies such as the Centers for Medicare and Medicaid Services to evaluate quality of care in a variety of diseases. Until now, no quality of care indicators had been developed for colorectal cancer other than the NCI's practice guidelines.

Ko and his team next will use the quality of care indicators to determine if they impact a patient's outcome after colorectal cancer surgery. They hope to determine if there are any further ways that surgeons and others caring for colorectal cancer patients can improve outcome, prognosis and quality of life.

Kim Irwin | EurekAlert!
Further information:
http://www.mednet.ucla.edu

More articles from Health and Medicine:

nachricht 3D images of cancer cells in the body: Medical physicists from Halle present new method
16.05.2018 | Martin-Luther-Universität Halle-Wittenberg

nachricht Better equipped in the fight against lung cancer
16.05.2018 | Friedrich-Alexander-Universität Erlangen-Nürnberg

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: LZH showcases laser material processing of tomorrow at the LASYS 2018

At the LASYS 2018, from June 5th to 7th, the Laser Zentrum Hannover e.V. (LZH) will be showcasing processes for the laser material processing of tomorrow in hall 4 at stand 4E75. With blown bomb shells the LZH will present first results of a research project on civil security.

At this year's LASYS, the LZH will exhibit light-based processes such as cutting, welding, ablation and structuring as well as additive manufacturing for...

Im Focus: Self-illuminating pixels for a new display generation

There are videos on the internet that can make one marvel at technology. For example, a smartphone is casually bent around the arm or a thin-film display is rolled in all directions and with almost every diameter. From the user's point of view, this looks fantastic. From a professional point of view, however, the question arises: Is that already possible?

At Display Week 2018, scientists from the Fraunhofer Institute for Applied Polymer Research IAP will be demonstrating today’s technological possibilities and...

Im Focus: Explanation for puzzling quantum oscillations has been found

So-called quantum many-body scars allow quantum systems to stay out of equilibrium much longer, explaining experiment | Study published in Nature Physics

Recently, researchers from Harvard and MIT succeeded in trapping a record 53 atoms and individually controlling their quantum state, realizing what is called a...

Im Focus: Dozens of binaries from Milky Way's globular clusters could be detectable by LISA

Next-generation gravitational wave detector in space will complement LIGO on Earth

The historic first detection of gravitational waves from colliding black holes far outside our galaxy opened a new window to understanding the universe. A...

Im Focus: Entangled atoms shine in unison

A team led by Austrian experimental physicist Rainer Blatt has succeeded in characterizing the quantum entanglement of two spatially separated atoms by observing their light emission. This fundamental demonstration could lead to the development of highly sensitive optical gradiometers for the precise measurement of the gravitational field or the earth's magnetic field.

The age of quantum technology has long been heralded. Decades of research into the quantum world have led to the development of methods that make it possible...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

Save the date: Forum European Neuroscience – 07-11 July 2018 in Berlin, Germany

02.05.2018 | Event News

Invitation to the upcoming "Current Topics in Bioinformatics: Big Data in Genomics and Medicine"

13.04.2018 | Event News

Unique scope of UV LED technologies and applications presented in Berlin: ICULTA-2018

12.04.2018 | Event News

 
Latest News

Research reveals how order first appears in liquid crystals

23.05.2018 | Life Sciences

Space-like gravity weakens biochemical signals in muscle formation

23.05.2018 | Life Sciences

NIST puts the optical microscope under the microscope to achieve atomic accuracy

23.05.2018 | Physics and Astronomy

VideoLinks
Science & Research
Overview of more VideoLinks >>>