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High-quality care for all children with cancer
R R G Knops1, M E J L Hulscher, R P M G Hermens
1Department of Paediatric Oncology, Emma Children's Hospital/Academic Medical Centre, Amsterdam. r.r.knops@amc.uva.nl
Insights
This study identified 109 high-quality care recommendations for children with cancer, using literature and expert consensus. These findings will guide the development of quality indicators to improve pediatric oncology care.
Area of Science:
- Pediatric Oncology
- Healthcare Quality Improvement
- Clinical Practice Guidelines
Background:
- High-quality care is crucial for improving treatment outcomes, survival rates, and quality of life for children with cancer and their families.
- The study aimed to establish a foundational set of high-quality care recommendations for all pediatric cancer patients.
- These recommendations serve as a basis for developing quality indicators in pediatric oncology.
Framework:
- A comprehensive literature search and review of international health organizations' websites were conducted.
- The RAND modified Delphi method was employed for grading and selecting recommendations.
- An expert panel evaluated, discussed, and prioritized the identified recommendations.
Implementation:
- An initial inventory yielded 131 recommendations for pediatric cancer care.
- Through expert consensus and prioritization, 109 high-quality care recommendations were selected.
- A subset of 31 recommendations was further prioritized for immediate impact.
Implications:
- The established set of recommendations provides a robust foundation for creating quality indicators.
- These indicators will enable the evaluation of care quality in pediatric oncology settings.
- This work supports the advancement of evidence-based practices in the care of children with cancer.
Background:
Providing high-quality care for children with cancer could improve treatment outcomes, survival and quality of life of the children and parents. The aim of this study is to select high-quality care recommendations for all children with cancer based on literature and consensus for future development of quality indicators.
Materials And Methods:
We performed an extensive search in databases for scientific literature and in websites of international health care and guideline development organizations to create an inventory of recommendations for the care for all children with cancer. The RAND modified Delphi method was used to grade and select recommendations for high-quality care.
Results:
Our search resulted in a list of 131 recommendations on care for all children with cancer. The expert panel graded, discussed and prioritized these recommendations. Analysis of these ratings resulted ultimately in a list of 109 high-quality care recommendations for all children with cancer, including 31 prioritized recommendations.
Conclusions:
This study defines a set of high-quality care recommendations based on literature and consensus. These recommendations provide a basis for the development of a comprehensive set of quality indicators to evaluate care in paediatric oncology.
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