Key performance indicators for monitoring the integrated care pathway in breast cancer: the E.Pic.A. project

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Field Value
 
Title Key performance indicators for monitoring the integrated care pathway in breast cancer: the E.Pic.A. project
 
Creator Altini, Mattia
Balzi, William
Maltoni, Roberta
Falcini, Fabio
Foca, Flavia
Messori Ioli, Giovanni
Ricotti, Andrea
Bertetto, Oscar
Mistrangelo, Marinella
Amunni, Gianni
Gemmi, Fabrizio
Bachini, Letizia
Silenzi, Andrea
Pastorino, Roberta
Barbara, Andrea
Pierini, Andrea
Massa, Ilaria
 
Description Background: Due to its high incidence, evaluating performance of care delivered to breast cancer patients is a crucial issue. The multidisciplinary panel E.Pic.A. (Economic Appropriateness of an Integrated Care Pathway) defined a set of key performance indicators (KPIs) to evaluate economic waste in breast cancer healthcare interventions. Methods: The E.Pic.A. panel identified the principal KPIs that are crucial within the breast cancer care pathway to evaluate the performance of care. KPIs were defined taking into account their reliability, validity, usability and feasibility of measurement through the linkage between multiple routine healthcare data sources. Results: Seven KPIs were identified: three on instrumental diagnostics, two on surgery and two on treatment. The three KPIs regarding instrumental diagnostics are aimed at assessing the inappropriateness of diagnostic tests performed before and after the index surgery. The two KPIs regarding surgery measure the inappropriateness of possible repeated interventions considering the time elapsed from the index surgery. The two KPIs regarding oncologic therapy measure the inappropriateness about the administration time of adjuvant therapy and radiotherapy considering the time elapsed from the index surgery. Conclusion: E.Pic.A methodology could help to evaluate economic waste in healthcare interventions with the objective of redirecting resources to interventions with greater value. (HTA & Market Access)
 
Publisher Aboutscience Srl
 
Date 2019-06-05
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Original Research Article
 
Format application/pdf
text/html
application/epub+zip
 
Identifier https://journals.aboutscience.eu/index.php/aboutopen/article/view/291
10.33393/abtpn.2019.291
 
Source AboutOpen; V. 6 N. 1 (2019): January - December 2019; 31-38
AboutOpen; Vol 6 No 1 (2019): January - December 2019; 31-38
2465-2628
 
Language eng
 
Relation https://journals.aboutscience.eu/index.php/aboutopen/article/view/291/248
https://journals.aboutscience.eu/index.php/aboutopen/article/view/291/247
https://journals.aboutscience.eu/index.php/aboutopen/article/view/291/246
 
Rights Copyright (c) 2019 The Authors
http://creativecommons.org/licenses/by-nc-nd/4.0
 

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