Stakeholder perceptions of key aspects of high-quality cancer care to assess with patient reported outcome measures: A systematic review

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  • Stover, A.M.
    • Affiliation: Gillings School of Global Public Health, Department of Health Policy and Management
  • Kurtzman, R.
    • Affiliation: Gillings School of Global Public Health, Department of Health Behavior
  • Walker Bissram, J.
    • Affiliation: University of North Carolina at Chapel Hill. Health Sciences Library
  • Jansen, J.
    • Affiliation: N.C. Cancer Hospital, UNC Lineberger Comprehensive Cancer Center
  • Carr, P.
    • Affiliation: N.C. Cancer Hospital, UNC Lineberger Comprehensive Cancer Center
  • Atkinson, T.
    • Other Affiliation: Memorial Sloan Kettering Cancer Center
  • Ellis, C.T.
    • Other Affiliation: University of Louisville Health
  • Freeman, A.T.
    • Other Affiliation: British Columbia Cancer Agency
  • Turner, K.
    • Other Affiliation: Moffitt Cancer Center
  • Basch, E.M.
    • Affiliation: Gillings School of Global Public Health, Department of Health Policy and Management
Abstract
  • Performance measurement is the process of collecting, analyzing, and reporting standard-ized measures of clinical performance that can be compared across practices to evaluate how well care was provided. We conducted a systematic review to identify stakeholder perceptions of key symptoms and health domains to test as patient-reported performance measures in oncology. Stakeholders included cancer patients, caregivers, clinicians, and healthcare administrators. Standard review methodology was used, consistent with PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses). MEDLINE/PubMed, EMBASE, and the Cochrane Library were searched to identify relevant studies through August 2020. Four coders independently reviewed entries and con-flicts were resolved by a fifth coder. Efficacy and effectiveness studies, and studies focused exclusively on patient experiences of care (e.g., communication skills of providers) were excluded. Searches generated 1813 articles and 1779 were coded as not relevant, leaving 34 international articles for extraction. Patients, caregivers, clinicians, and healthcare administrators prioritize psychosocial care (e.g., distress) and symptom management for patient-reported performance measures. Patients and caregivers also perceive that maintaining physical function and daily activities are critical. Clinicians and administrators perceive control of specific symptoms to be critical (gastrointestinal symptoms, pain, poor sleep). Results were used to inform testing at six US cancer centers.
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  • Article
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  • In Copyright
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  • Attribution 4.0 International
Journal title
  • Cancers
Journal volume
  • 13
Journal issue
  • 14
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  • English
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  • 2072-6694
Publisher
  • MDPI

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