Defining a standard set of patient-centered outcomes for men with localized prostate cancer.
Eur Urol
; 67(3): 460-7, 2015 Mar.
Article
em En
| MEDLINE
| ID: mdl-25234359
ABSTRACT
BACKGROUND:
Value-based health care has been proposed as a unifying force to drive improved outcomes and cost containment.OBJECTIVE:
To develop a standard set of multidimensional patient-centered health outcomes for tracking, comparing, and improving localized prostate cancer (PCa) treatment value. DESIGN, SETTING, ANDPARTICIPANTS:
We convened an international working group of patients, registry experts, urologists, and radiation oncologists to review existing data and practices. OUTCOME MEASUREMENTS AND STATISTICALANALYSIS:
The group defined a recommended standard set representing who should be tracked, what should be measured and at what time points, and what data are necessary to make meaningful comparisons. Using a modified Delphi method over a series of teleconferences, the group reached consensus for the Standard Set. RESULTS ANDLIMITATIONS:
We recommend that the Standard Set apply to men with newly diagnosed localized PCa treated with active surveillance, surgery, radiation, or other methods. The Standard Set includes acute toxicities occurring within 6 mo of treatment as well as patient-reported outcomes tracked regularly out to 10 yr. Patient-reported domains of urinary incontinence and irritation, bowel symptoms, sexual symptoms, and hormonal symptoms are included, and the recommended measurement tool is the Expanded Prostate Cancer Index Composite Short Form. Disease control outcomes include overall, cause-specific, metastasis-free, and biochemical relapse-free survival. Baseline clinical, pathologic, and comorbidity information is included to improve the interpretability of comparisons.CONCLUSIONS:
We have defined a simple, easily implemented set of outcomes that we believe should be measured in all men with localized PCa as a crucial first step in improving the value of care. PATIENTSUMMARY:
Measuring, reporting, and comparing identical outcomes across treatments and treatment centers will provide patients and providers with information to make informed treatment decisions. We defined a set of outcomes that we recommend being tracked for every man being treated for localized prostate cancer.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Próstata
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Nível de Saúde
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Indicadores Básicos de Saúde
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Avaliação de Processos em Cuidados de Saúde
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Assistência Centrada no Paciente
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Indicadores de Qualidade em Assistência à Saúde
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Oncologia
Tipo de estudo:
Etiology_studies
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Guideline
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Prognostic_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
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Patient_preference
Limite:
Humans
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Male
Idioma:
En
Revista:
Eur Urol
Ano de publicação:
2015
Tipo de documento:
Article