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Related Experiment Video

Updated: Nov 2, 2025

Models of Bone Metastasis
08:49

Models of Bone Metastasis

Published on: September 4, 2012

42.5K

Metastatic bone disease: new quality performance indicator development.

Samantha Downie1, Jennifer Cherry2, Peter Hall3

  • 1Trauma & Orthopaedics, University of Edinburgh, Edinburgh, UK sdownie04@gmail.com.

BMJ Supportive & Palliative Care
|June 16, 2021
PubMed
Summary
This summary is machine-generated.

Quality performance indicators (QPIs) were developed to assess care for patients with metastatic bone disease (MBD). These validated QPIs can evaluate and improve MBD patient care across different treatment centers.

Keywords:
Clinical decisionsbonebreastchronic conditionslungprostate

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Area of Science:

  • Orthopaedics
  • Oncology
  • Quality Improvement

Background:

  • Standardized care is crucial for patients with metastatic bone disease (MBD).
  • Evaluating care quality for MBD patients referred to orthopaedics is essential.
  • Existing literature and guidelines provide a basis for quality assessment.

Purpose of the Study:

  • To develop and test a set of quality performance indicators (QPIs) for MBD care.
  • To ensure consistent MBD patient management regardless of treatment center.
  • To establish a framework for evaluating variations in MBD care.

Main Methods:

  • Adapted QPIs from literature and guidelines.
  • Utilized a modified RAND/Delphi consensus process for ranking feasibility and necessity.
  • Validated and field-tested QPIs in a retrospective cohort of 108 MBD patients.

Main Results:

  • 18 QPIs for MBD care were generated through expert consensus.
  • Highest consensus QPIs included urgent assessment for high fracture risk and comprehensive preoperative workup.
  • Pilot testing showed targets were met for 5/18 QPIs, with significant variation in performance.

Conclusions:

  • Validated QPIs for MBD care were successfully developed from existing evidence and guidelines.
  • These QPIs can identify variations in care delivery among different treatment centers.
  • Further correlation with outcome scores is recommended to assess QPIs' predictive value for surgical outcomes.