Quality performance indicators for oesophageal and gastric cancer: ANZ expert Delphi consensus

Suheelan Kulasegaran, Braden Woodhouse, Yijiao Wang, Manjunath Siddaiah-Subramanya, Neil Merrett, Bernard Mark Smithers, David Watson, Andrew MacCormick, Sanket Srinivasa, Jonathan Koea

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Quality performance indicators for the management of oesophagogastric cancer can be used to objectively measure and compare the performance of individual units and capture key elements of patient care to improve patient outcomes.

Methods: Two systematic reviews were completed to identify evidence-based quality performance indicators for the surgical management of oesophagogastric cancer. Based on the indicators identified, a two-round modified Delphi process with invitations was sent to all members of the Australia and Aotearoa New Zealand Gastric and Oesophageal Surgery Association. The expert working group discussed each suggested indicator and either removed, added, or adjusted the list of indicators of oesophagogastric cancer.

Results: The final list of both OG cancer indicators included Specialized Multi-disciplinary team discussion, Endoscopy documentation, Staging Contrast CT Chest/Abdomen and Pelvis, Neoadjuvant or Adjuvant chemo/radiotherapy administered in accordance with the Local multi-disciplinary team, Pathological margin clearance (R0 Resection), Lymphadenectomy retrieving 15 or more nodes, Formal review of pathological findings and documentation, Postoperative complications, 30-day and 90-day postoperative mortality, clinical surveillance and Specialized Dietetic guidance. Indicators specific to gastric cancer included Preoperative biopsy for pathological diagnosis and Staging Laparoscopy. Indicators specific to oesophageal cancer include positron emission tomography scan if CT negative for metastasis, Perioperative Oesophagectomy Care Pathway, length of stay of 21 days or more, and Unplanned readmission within 30 days.

Conclusions: The results of this study present a core set of indicators for the surgical management of oesophagogastric cancer that can be used to measure quality and compare performance between different units.

Original languageEnglish
Pages (from-to)1732-1737
Number of pages6
JournalANZ Journal of Surgery
Volume94
Issue number10
Early online date28 Jul 2024
DOIs
Publication statusPublished - Oct 2024

Keywords

  • oesophageal adenocarcinoma
  • oesophageal cancer
  • quality improvement
  • quality indicator

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