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Original Research: Lung Cancer |

Quality Indicators for the Evaluation of Patients With Lung CancerLung Cancer Quality Indicators

Peter J. Mazzone, MD, FCCP; Anil Vachani, MD, FCCP; Andrew Chang, MD, FCCP; Frank Detterbeck, MD, FCCP; David Cooke, MD, FCCP; John Howington, MD, FCCP; Amos Dodi, MD; Douglas Arenberg, MD, FCCP
Author and Funding Information

From the Respiratory Institute (Dr Mazzone), Cleveland Clinic, Cleveland, OH; University of Pennsylvania (Dr Vachani), Philadelphia, PA; University of Michigan (Drs Chang, Dodi, and Arenberg), Ann Arbor, MI; Yale University (Dr Detterbeck), New Haven, CT; University of California, Davis (Dr Cooke), Davis, CA; and the Department of Thoracic Surgery (Dr Howington), NorthShore University HealthSystem, Evanston, IL.

CORRESPONDENCE TO: Peter J. Mazzone, MD, FCCP, Respiratory Institute, Cleveland Clinic, 9500 Euclid Ave, A90, Cleveland, OH 44195; e-mail: mazzonp@ccf.org


FUNDING/SUPPORT: The authors have reported to CHEST that no funding was received for this study.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2014;146(3):659-669. doi:10.1378/chest.13-2900
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BACKGROUND:  Ideally, quality indicators are developed with the input of professional groups involved in the care of patients. This project, led by the Thoracic Oncology Network and Quality Improvement Committee of the American College of Chest Physicians (CHEST), had the goal of developing quality indicators related to the evaluation and staging of patients with lung cancer.

METHODS:  Evidence-based guidelines were used to generate a list of process-of-care quality indicators, and project members revised the content and wording of this list. A survey of the Steering Committee of the Thoracic Oncology Network was performed to rate the validity, feasibility, and relevance of the indicators. Predefined thresholds were used to select indicators from the list. This process was repeated for the selected indicators through a survey available to all members of the Thoracic Oncology Network. Three academic medical centers determined if the surviving indicators were feasible and relevant within their practices.

RESULTS:  Eighteen quality indicators were drafted. Eleven survived the first round of voting, and seven survived the second round of voting. One was related to tissue acquisition for molecular testing, four were related to staging and stage documentation, one was related to smoking cessation counseling, and one was related to documentation of a performance status measure. The indicators were feasible and relevant within the practices assessed.

CONCLUSIONS:  We have defined seven process-of-care quality indicators related to the evaluation and staging of patients with lung cancer, which are felt to be valid, feasible, and relevant by lung cancer specialists.


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