TY - JOUR
T1 - Defining High-Quality Integrated Head and Neck Cancer Care Through a Composite Outcome Measure
T2 - Textbook Outcome
AU - van der Heide, Maurits F. J.
AU - de Jel, Dominique V. C.
AU - Hoeijmakers, Fieke
AU - Hoebers, Frank J. P.
AU - de Boer, Jan Paul
AU - Hamming-Vrieze, Olga
AU - Wouters, Michel W. J. M.
AU - Smeele, Ludi E.
N1 - Funding Information: The authors thank all current and former members of the Dutch Head and Neck Audit for the development of the quality indicators that formed the basis of our composite measures. Publisher Copyright: © 2021 The American Laryngological, Rhinological and Otological Society, Inc.
PY - 2022/1/1
Y1 - 2022/1/1
N2 - Objectives/Hypothesis: To further improve the quality of head and neck cancer (HNC) care, we developed a composite measure defined as “textbook outcome” (TO). Methods: We analyzed a retrospective cohort of patients after curvative-intent primary surgery, radiotherapy (RT), or chemoradiation (CRT) for HNC between 2015 and 2018 at the Netherlands Cancer Institute. TO was defined as 1) the start of treatment within 30 days, 2a) satisfactory pathologic outcomes, without 30-day postoperative complications, for the surgically treated group, and 2b), for RT and CRT patients, no unexpected or prolonged hospitalization and toxicity after the completion of treatment as planned. Results: In total, 392 patients with HNC were included. An overall TO was achieved in 9.6% of patients after surgery, 20.6% after RT, and 2.2% after CRT. Two indicators (margins >5 mm and start treatment <30 days) reduced TO radically for both groups. Conclusion: TO can aid the evaluation of the quality of care for HNC patients and guide improvement processes. Level of Evidence: 3 Laryngoscope, 132:78–87, 2022.
AB - Objectives/Hypothesis: To further improve the quality of head and neck cancer (HNC) care, we developed a composite measure defined as “textbook outcome” (TO). Methods: We analyzed a retrospective cohort of patients after curvative-intent primary surgery, radiotherapy (RT), or chemoradiation (CRT) for HNC between 2015 and 2018 at the Netherlands Cancer Institute. TO was defined as 1) the start of treatment within 30 days, 2a) satisfactory pathologic outcomes, without 30-day postoperative complications, for the surgically treated group, and 2b), for RT and CRT patients, no unexpected or prolonged hospitalization and toxicity after the completion of treatment as planned. Results: In total, 392 patients with HNC were included. An overall TO was achieved in 9.6% of patients after surgery, 20.6% after RT, and 2.2% after CRT. Two indicators (margins >5 mm and start treatment <30 days) reduced TO radically for both groups. Conclusion: TO can aid the evaluation of the quality of care for HNC patients and guide improvement processes. Level of Evidence: 3 Laryngoscope, 132:78–87, 2022.
KW - Head and neck
KW - outcomes
KW - quality improvement
UR - http://www.scopus.com/inward/record.url?scp=85120932419&partnerID=8YFLogxK
U2 - https://doi.org/10.1002/lary.29720
DO - https://doi.org/10.1002/lary.29720
M3 - Article
C2 - 34216399
SN - 0023-852X
VL - 132
SP - 78
EP - 87
JO - Laryngoscope
JF - Laryngoscope
IS - 1
ER -