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Open AccessArticle

Consensus-Derived Quality Performance Indicators for Neuroendocrine Tumour Care

Discipline of Oncology, Faculty of Medicine and Health Sciences, The University of Auckland, Auckland 1023, New Zealand
Department of Medicine, University of Otago, Dunedin 9016, New Zealand
Department of Medical Oncology, Monash University and Monash Health, Melbourne 3800, Australia
Department of Medical Oncology, Sunnybrook Odette Cancer Center, University of Toronto, Toronto, ON M4N 3M5, Canada
Department of Nuclear Medicine, Peter MacCallum Cancer Centre, Melbourne 3000, Australia
Department of Nuclear Medicine, Fiona Stanley Hospital, Perth 6150, Australia
Department of Medical Oncology, Royal Brisbane and Women’s Hospital, Brisbane 4029, Australia
School of Medicine, University of Queensland, Brisbane 4072, Australia
Department of General Surgery, Waikato Hospital, Hamilton 3204, New Zealand
Department of Medical Oncology, Royal North Shore Hospital, Sydney 2065, Australia
Unicorn Foundation New Zealand, Auckland, New Zealand
Department of Medical Oncology, Cancer Care Manitoba, Winnipeg, MB R3E 0V9, Canada
Department of General Surgery, North Shore Hospital, Auckland 0620, New Zealand
Department of Pathology, North Shore Hospital, Auckland 0620, New Zealand
Department of Medical Oncology, Peter MacCallum Cancer Centre, Melbourne 3000, Australia
Unicorn Foundation, Melbourne, Australia
Department of Medical Oncology, Saskatchewan Cancer Agency, Saskatoon, SK S4W 0G3, Canada
Department of Medical Oncology, St Joseph’s Health Care, Toronto, ON M6R 1B5, Canada
Department of Medical Oncology, The Queen Elizabeth Hospital, Adelaide 5011, Australia
Department of Medical Oncology, Auckland City Hospital, Auckland 1023, New Zealand
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(9), 1455;
Received: 31 July 2019 / Revised: 5 September 2019 / Accepted: 7 September 2019 / Published: 12 September 2019
(This article belongs to the Special Issue Advances in Diagnosis and Therapy of Neuroendocrine Neoplasms)
Quality performance indicators (QPIs) are used to monitor the delivery of cancer care. Neuroendocrine tumours (NETs) are a family of individually uncommon cancers that derive from neuroendocrine cells or their precursors, and can occur in most organs. There are currently no QPIs available for NETs and their heterogeneity makes QPI development difficult. CommNETs is a collaboration between NET clinicians, researchers and advocates in Canada, Australia and New Zealand. We created QPIs for NETs using a three-step consensus process. First, a multidisciplinary team used the nominal group technique to create candidates (n = 133) which were then curated into appropriateness statements (62 statements, 44 sub-statements). A two-stage modified RAND/UCLA Delphi consensus process was conducted: an online survey rated the statement appropriateness then the top-ranked statements (n = 20) were assessed in a face-to-face meeting. Finally, 10 QPIs met consensus criteria; documentation of primary site, proliferative index, differentiation, tumour board review, use of a structured pathology report, presence of distant metastasis, 5- and 10-year disease-free and overall survival. These NET QPIs will be trialed as a method to monitor and improve care for people with NETs and to facilitate international comparison. View Full-Text
Keywords: quality performance indicators; QPIs; cancer care; neuroendocrine tumour; NETs; modified Delphi; CommNETs quality performance indicators; QPIs; cancer care; neuroendocrine tumour; NETs; modified Delphi; CommNETs
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Woodhouse, B.; Pattison, S.; Segelov, E.; Singh, S.; Parker, K.; Kong, G.; Macdonald, W.; Wyld, D.; Meyer-Rochow, G.; Pavlakis, N.; Conroy, S.; Gordon, V.; Koea, J.; Kramer, N.; Michael, M.; Wakelin, K.; Asif, T.; Lo, D.; Price, T.; Lawrence, B.; on behalf of the Commonwealth Neuroendocrine Tumour Collaboration (CommNETs). Consensus-Derived Quality Performance Indicators for Neuroendocrine Tumour Care. J. Clin. Med. 2019, 8, 1455.

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