2023 World Conference on Lung Cancer (Posters)-EP17.01. Lung Cancer (Internet-Based) Delphi (LuCiD): a Delphi Consensus to Develop Australasian Thoracic Oncology Quality Indicators

EP17.01. Lung Cancer (Internet-Based) Delphi (LuCiD): a Delphi Consensus to Develop Australasian Thoracic Oncology Quality Indicators - PDF(Slides)

Back to course

Pdf Summary

The Lung Cancer (Internet-Based) Delphi (LuCiD) study aimed to establish clinical quality indicators (CQIs) for lung and other thoracic cancers in Australia and New Zealand. The study revealed that there are inequities and disparities in lung cancer care in these regions, including variations in lung cancer incidence, stage at diagnosis, multidisciplinary discussion rates, treatment receipt, and mortality. CQIs can help drive improvements in practice, but they are not consistently measured across the region.<br /><br />The study utilized a three-round modified Delphi consensus process. Participants included patient advocates, clinicians, researchers, and other stakeholders. They ranked candidate CQIs using a 7-point Likert scale, with a consensus threshold of 70%. The final consensus meeting used a hybrid face-to-face and online format with anonymous voting.<br /><br />The study had a total of 79 participants in Round 1, 63 participants in Round 2, and 23 participants in Round 3. The majority of participants were medical practitioners, followed by patient advocates and researchers. A total of 44 CQIs were proposed, with 27 reaching consensus.<br /><br />The consensus CQIs covered various aspects of lung cancer care, including referral and diagnosis, MDT (multidisciplinary team) considerations, performance status and staging, treatment, supportive care, and mortality. Examples of CQIs included the percentage of patients with timely initial referrals and diagnostic procedures, the percentage of patients with documented tumor and performance status at the time of MDT discussion, and the percentage of patients receiving appropriate treatments.<br /><br />The study acknowledged funding support from the Australian Government Research Training Program Scholarship, Lung Foundation Australia, and the WA Cancer and Palliative Care Network. The established CQIs will be implemented as part of the Lung Cancer Clinical Quality Data Platform (LUCAP) project, and they will help in the holistic evaluation of thoracic oncology care.<br /><br />Overall, the LuCiD study successfully established CQIs for lung and other thoracic cancers in Australia and New Zealand, providing a framework for improving the quality of care and reducing disparities in lung cancer treatment and outcomes.

Asset Subtitle

Jessica Nash

Meta Tag

Speaker Jessica Nash

Topic Global Health, Health Services & Health Economics: Digital Solutions

Keywords

Lung Cancer

Clinical Quality Indicators

LuCiD Study

Australia

New Zealand

Inequities in Lung Cancer Care

Delphi Consensus Process

Multidisciplinary Team

CQIs in Lung Cancer Care

Lung Cancer Treatment