Article
Medicine, General & Internal
Izidor Mlakar, Simon Lin, Jama Nateqi, Stefanie Gruarin, Lorena Dieguez, Paulina Piairo, Liliana R. Pires, Sara Tement, Ilona Aleksandravica, Marcis Leja, Krista Arcimovica, Valerie Bleret, Jean-Francois Kaux, Philippe Kolh, Didier Maquet, Jesus Garcia Gomez, Jesus Garcia Mata, Mercedes Salgado, Matej Horvat, Maja Ravnik, Vojko Flis, Urska Smrke
Summary: This study aims to establish an expert consensus on the relevance and key indicators of quality of life in breast cancer survivors' clinical practice, through a two-stage online Delphi process evaluating the domains and subdomains of quality of life.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Gastroenterology & Hepatology
Amandeep Pooni, Selina Schmocker, Carl Brown, Anthony MacLean, David Hochman, Lara Williams, Nancy Baxter, Marko Simunovic, Sender Liberman, Sebastien Drolet, Katerina Neumann, Kartik Jhaveri, Richard Kirsch, Erin D. Kennedy
Summary: This study utilized a modified Delphi method to select 48 multidisciplinary quality indicators, specifically measuring the uptake of key processes necessary for high quality care of patients with rectal cancer in clinical practice. These indicators encompass pathology, radiology, surgical, radiation oncology, and multidisciplinary cancer conference aspects.
COLORECTAL DISEASE
(2021)
Article
Health Care Sciences & Services
Candy Guiguet-Auclair, Olivier Riviere, Laurent Gerbaud, Francoise Vendittelli
Summary: Through a Delphi procedure, experts and clinicians evaluated and selected 50 indicators that reflect the quality of perinatal care, which should be recorded in the birth register of each French maternity ward.
Article
Oncology
Chanchan He, Chenyang Pei, Jing Ma
Summary: This study aims to establish an evaluation index system for cervical cancer health literacy among Chinese women and provide theoretical support for cervical cancer prevention and health education programs in China.
Article
Health Care Sciences & Services
Rachel Wilf-Miron, Shlomit Avni, Liora Valinsky, Vicki Myers, Arnona Ziv, Gidi Peretz, Osnat Luxenburg, Mor Saban, Paula Feder-Bubis
Summary: A diverse group of consultants reached a consensus on the most important national equity indicators, including both clinical and system indicators. The results should be used to guide governmental decision-making and inter-sectoral strategies, furthering the pursuit of a more equitable healthcare system.
INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT
(2021)
Article
Oncology
Vasuki Rajaguru, Jieun Jang, JaeHyun Kim, JeoungA Kwon, Oyeon Cho, SeungYeun Chung, MiSun Ahn, JinHee Park, YoungJoo Won, KyuWon Jung, Jaeyong Shin, Mison Chun
Summary: This study utilized a modified Delphi method to identify important cancer indicators, which were classified into six domains. The development of these indicators provides a crucial foundation for community-based monitoring of cancer patients, usable by healthcare authorities and policymakers.
Article
Oncology
Rebecca J. DeBoer, Victoria Umutoni, Lisa Bazzett-Matabele, Ethan Katznelson, Cam Nguyen, Aline Umwizerwa, Jean Bosco Bigirimana, Alan Paciorek, Nicaise Nsabimana, Deogratias Ruhangaza, Diomede Ntasumbumuyange, Lawrence N. Shulman, Scott A. Triedman, Cyprien Shyirambere
Summary: This study aims to describe the treatment quality, resource-driven adaptations, and outcomes of cervical cancer patients in Rwanda. The results show that multi-modality treatment is effective in low-resource settings, and temporizing chemotherapy can play a role in delaying chemoradiation.
GYNECOLOGIC ONCOLOGY
(2022)
Article
Public, Environmental & Occupational Health
Martina Giltenane, Ann Sheridan, Thilo Kroll, Kate Frazer
Summary: This study identified 28 process indicators using a modified Delphi method to help Public Health Nurses measure care during first postnatal visits. Quality indicators play a crucial role in improving care outcomes and developing them provides a platform for benchmarking in public health nursing practice.
PUBLIC HEALTH NURSING
(2021)
Article
Oncology
Jia Zheng, Fanny Sampurno, Daniel J. George, Alicia K. Morgans, Hannah Nguyen, Janet L. Abrahm, Anders Bjartell, Ian D. Davis, Margaret Fitch, Silke Gillessen, Ravindran Kanesvaran, Andrew Matthew, Jeremy L. Millar, Joe M. O'Sullivan, Heather Payne, Frederic Pouliot, Patsy Yates, Sue M. Evans
Summary: This study developed a set of international quality indicators specifically for the management of metastatic prostate cancer. The indicators cover various aspects including general management, therapies, complications, and patient-reported quality of life. They can be used to compare the quality of care provided by different institutions and identify areas for improvement.
CLINICAL GENITOURINARY CANCER
(2022)
Article
Medicine, General & Internal
Adom Bondzi-Simpson, Tiago Ribeiro, Harsukh Benipal, Victoria Barabash, Aisha Lofters, Rinku Sutradhar, Rebecca A. Snyder, Callisia Clarke, Natalie G. Coburn, Julie Hallet
Summary: Quality monitoring is critical in cancer care systems and integrating SDoH into QIs for CRC surgery is important for identifying health inequities. This review aims to examine the integration of SDoH into CRC surgery QIs.
Article
Public, Environmental & Occupational Health
Joao Vasco Santos, Filipa Santos Martins, Joana Vidal-Castro, Sofia Silva-Rocha, Rita Areias, Antonio Oliveira, Sandra Santos, Cristina Lamelas, Helena Amorim, Alexandra Martins, Mariana Vieira, Joao Pedro Ramos, Marta Pinto
Summary: The study successfully selected and reused primary health care indicators in a Portuguese Local Public Health Unit for monitoring and evaluating LHP using a Delphi consensus method. Consensus was reached on the appropriateness of most diseases having appropriate health indicators, with diabetes mellitus having the most suitable indicators.
PUBLIC HEALTH NURSING
(2022)
Review
Oncology
Candice Donnelly, Michelle Or, James Toh, Mathushan Thevaraja, Anna Janssen, Tim Shaw, Nimalan Pathma-Nathan, Paul Harnett, Kim-Lin Chiew, Shalini Vinod, Puma Sundaresan
Summary: This study aims to develop a set of priority quality indicators (QIs) for colorectal cancer multidisciplinary teams (MDTs). Through literature search and a Delphi consensus process, 26 most clinically relevant QIs were identified, which can be used to evaluate and monitor the performance of Australian MDTs.
ASIA-PACIFIC JOURNAL OF CLINICAL ONCOLOGY
(2023)
Article
Oncology
E. R. Copson, J. E. Abraham, J. P. Braybrooke, D. Cameron, S. A. Mcintosh, C. O. Michie, A. F. C. Okines, C. Palmieri, F. Raja, R. Roylance, Delphi Panellists
Summary: This study establishes a definition for high risk of recurrence in HER2-negative early breast cancer patients through expert consensus. The definition includes multiple risk factors and sets appropriate risk thresholds for different patient subgroups.
Article
Nutrition & Dietetics
Rachel F. Rodgers, Valerie Goutama, Kendrin Sonneville
Summary: Eating behaviors and patterns are important indicators of health, yet there is a lack of a collective theoretical framework to understand and intervene upon these behaviors. This study used a Delphi methodology to establish a consensus-based framework for health-promoting eating behaviors. The findings resulted in a novel framework that can guide collaborative efforts towards integrating physical and mental health promotion.
Article
Oncology
Emily E. Johnston, Isaac Martinez, Joanne Wolfe, Steven M. Asch
Summary: An expert panel has developed 16 endorsed quality measures for end-of-life care in pediatric oncology, covering areas such as avoidance of medically intense care, death location preference, hospital policies/programs, and supportive care services. These measures require validation with bereaved families and further refinement before being implemented in real-world settings.
Article
Oncology
Jacques Raphael, Lucie Richard, Melody Lam, Phillip S. Blanchette, Natasha B. Leighl, George Rodrigues, Maureen E. Trudeau, Monika K. Krzyzanowska
Summary: This study used provincial administrative health data to estimate the proportion of patients with advanced cancer for which IO had been approved received the treatment and explored factors associated with IO use.
Article
Endocrinology & Metabolism
Lucy X. Ma, Osvaldo Espin-Garcia, Philippe L. Bedard, Tracy Stockley, Rebecca Prince, Ozgur Mete, Monika K. Krzyzanowska
Summary: This study analyzes the actionability and clinical use of NGS results in advanced thyroid cancer. Most patients had at least one potentially actionable mutation and 57% of patients had at least one Level 1 or 2 alteration, predominantly driven by BRAF V600E and RET alterations. This study rationalizes the need for routine multigene NGS testing or reflex BRAF and RET testing in the management of patients with advanced thyroid cancer.
Review
Oncology
Sonieya Nagarajah, Melanie Lynn Powis, Rouhi Fazelzad, Monika K. Krzyzanowska, Vishal Kukreti
Summary: This study systematically reviewed the uptake of oncology-specific Choosing Wisely recommendations and found that most articles reported passive changes in adherence after the publication of the recommendations. Active implementation strategies, such as provider education and stakeholder engagement, were associated with improved compliance. However, the uptake of oncology-specific Choosing Wisely recommendations remains limited, indicating a need for more attention and support for active implementation.
JCO ONCOLOGY PRACTICE
(2022)
Meeting Abstract
Oncology
J. Raphael, L. Richard, M. Lam, P. Blanchette, N. Leighl, G. Rodrigues, M. E. Trudeau, M. K. Krzyzanowska
ANNALS OF ONCOLOGY
(2022)
Article
Oncology
Melanie Powis, Rinku Sutradhar, Aditi Patrikar, Matthew Cheung, Inna Gong, Abi Vijenthira, Lisa K. Hicks, Drew Wilton, Monika K. Krzyzanowska, Simron Singh
Summary: A population-based study in Ontario, Canada found that cancer patients who were recent or nonrecent immigrants and marginalized individuals had lower rates of COVID-19 vaccination. This difference is likely due to the interplay between systemic barriers to access and cultural or social influences.
JNCI-JOURNAL OF THE NATIONAL CANCER INSTITUTE
(2023)
Article
Oncology
Simon Cook, Cosmin Munteanu, Efthymios Papadopoulos, Howard Abrams, Jennifer N. Stinson, Eric Pitters, Douglas Stephens, Margaret Lumchick, Urban Emmenegger, Rama Koneru, Janet Papadakos, Armin Shahrokni, Sara Durbano, Ines Menjak, Rajin Mehta, Kristen Haase, Raymond Jang, Monika K. Krzyzanowska, Craig Dale, Jennifer Jones, Manon Lemonde, Shabbir Alibhai, Martine Puts
Summary: Researchers developed a self-reported electronic geriatric assessment tool called CHAMP to improve feasibility and accuracy of assessment and treatment decision making for older adults with cancer. The tool was tested and approved by both older adults and oncology clinicians. The CHAMP tool includes questions and recommendations in various health domains.
JOURNAL OF GERIATRIC ONCOLOGY
(2023)
Article
Oncology
Milothy Parthipan, Gregory Feng, Nelly Toledano, Valentina Donison, Henriette Breunis, Abirami Sudharshan, Urban Emmenegger, Antonio Finelli, Padraig Warde, Enrique Soto-Perez-de-Celis, Monika Krzyzanowska, Andrew Matthew, Hance Clarke, Daniel Santa Mina, Shabbir M. H. Alibhai, Martine Puts
Summary: Studying the symptom experiences of older men with metastatic prostate cancer during treatment can help identify unmet supportive care needs and improve patient wellbeing. Previous research has focused on the psychological experience rather than the overall symptom experience. The objective of this study was to understand the lived experience of symptoms and supportive care needs in older men undergoing treatment for metastatic prostate cancer.
JOURNAL OF GERIATRIC ONCOLOGY
(2023)
Article
Oncology
Martine Puts, Naser Alqurini, Fay Strohschein, Rama Koneru, Ewa Szumacher, Caroline Mariano, Johanne Monette, Tina Hsu, Sarah Brennenstuhl, Bianca McLean, Aria Wills, Arielle Berger, Eitan Amir, Lindy Romanovsky, Anson Li, Rajin Mehta, Monika Krzyzanowska, Christine Elser, Raymond Jang, Anca Prica, Doreen Wan-Chow-Wah, Eric Pitters, Urban Emmenegger, Ines B. Menjak, Simon Bergman, Manon Lemonde, Henriette Breunis, Francois Beland, Shabbir M. H. Alibhai
Summary: The American Society of Clinical Oncology recommends geriatric assessment and management for older adults with cancer considering chemotherapy, but there is limited evidence on its impact on quality of life.
JOURNAL OF CLINICAL ONCOLOGY
(2023)
Article
Oncology
Matthew H. Taylor, Sophie Leboulleux, Yury Panaseykin, Bhavana Konda, Christelle de la Fouchardiere, Brett G. M. Hughes, Andrew G. Gianoukakis, Young Joo Park, Ilia Romanov, Monika K. Krzyzanowska, Diana Garbinsky, Bintu Sherif, Jie Janice Pan, Terri A. Binder, Nicholas Sauter, Ran Xie, Marcia S. Brose
Summary: In this study comparing the starting dose of lenvatinib 18 mg/day with 24 mg/day in RR-DTC patients, no significant difference was found in the health-related quality of life (HRQoL). These findings support the use of the approved lenvatinib starting dose of 24 mg/day in RR-DTC patients.
Article
Oncology
Camilla Zimmermann, Ashley Pope, Breffni Hannon, Philippe L. Bedard, Gary Rodin, Neesha Dhani, Madeline Li, Leonie Herx, Monika K. Krzyzanowska, Doris Howell, Jennifer J. Knox, Natasha B. Leighl, Srikala Sridhar, Amit M. Oza, Stephanie Lheureux, Christopher M. Booth, Geoffrey Liu, Jacqueline Alcalde Castro, Nadia Swami, Rachel Sue-A-Quan, Anne Rydall, Lisa W. Le
Summary: This study reports preliminary findings of a mixed methods study involving a randomized controlled trial (RCT) of Symptom screening with Targeted Early Palliative care (STEP) and qualitative interviews. The results showed that STEP was more effective in providing palliative care and improving patient-reported outcomes of quality of life, symptom control, and satisfaction with care compared to usual care.
SUPPORTIVE CARE IN CANCER
(2023)
Article
Oncology
Rui Fu, Rinku Sutradhar, Qing Li, Pabiththa Kamalraj, Anna Dare, Timothy P. Hanna, Kelvin K. W. Chan, Jonathan C. Irish, Natalie Coburn, Julie Hallet, Simron Singh, Ambica Parmar, Craig C. Earle, Lauren Lapointe-Shaw, Monika K. Krzyzanowska, Alexander V. Louie, Alyson Mahar, David R. Urbach, Daniel I. McIsaac, Danny Enepekides, David Gomez, Nicole J. Look Hong, Jill Tinmouth, Antoine Eskander
Summary: This study investigated the association between the COVID-19 pandemic and early survival among newly diagnosed cancer patients. It found that there was no difference in one-year overall survival between patients diagnosed during the pandemic and those diagnosed in the previous two years. This study highlights the complex impact of the COVID-19 pandemic on cancer care.
Article
Oncology
Doris Howell, Patrick McGowan, Denise Bryant-Lukosius, Ryan Kirkby, Melanie Powis, Diana Sherifali, Vishal Kukreti, Sara Rask, Monica K. Krzyzanowska
Summary: This paper describes a training program that improved oncology nurses' confidence in providing self-management support to cancer patients. However, further testing in a larger population of nurses is needed to evaluate its effects on nurses' skills and patient outcomes.
Review
Health Care Sciences & Services
Saeed Moradian, Roma Maguire, Geoffrey Liu, Monika K. Krzyzanowska, Marcus Butler, Chantal Cheung, Marisa Signorile, Nancy Gregorio, Shiva Ghasemi, Doris Howell
Summary: Advances in cancer treatment have led to longer survival for patients, but they still face physical and psychological symptoms. This systematic review aims to assess the effectiveness of eHealth interventions in supporting cancer patients in managing symptoms and improving their quality of life.
JMIR RESEARCH PROTOCOLS
(2023)
Letter
Oncology
Lawson Eng, Rinku Sutradhar, Monika K. Krzyzanowska
JOURNAL OF CLINICAL ONCOLOGY
(2023)
Article
Oncology
Mohamed A. Ugas, Lisa Avery, Yanning Wang, Alejandro Berlin, Meredith E. Giuliani, Monika Krzyzanowska, Tina J. Papadakos, Naa Kwarley (Linda) Quartey, Diana Samoil, Janet K. Papadakos
Summary: This study examines the impact of the COVID-19 pandemic on the treatment, psychology, knowledge, attitudes, and practices of cancer patients. The results show that most participants did not experience treatment delays and vaccination rates were high. Non-white participants and those who referred to journal articles for information reported higher psychological impact scores.
