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  • Measure Summary
  • NQMC:011138
  • Mar 2015

Hepatopancreatobiliary (HPB) cancer: proportion of patients with hepatocellular carcinoma (HCC) undergoing either CT or MRI and with full information recorded.

NHS Scotland, Scottish Cancer Taskforce. Hepatopancreatobiliary cancer clinical quality performance indicators. Edinburgh (Scotland): Scottish Government, Healthcare Improvement Scotland; 2015 Mar. 35 p. [14 references]

View the original measure documentation External Web Site Policy

This is the current release of the measure.

Measure Hierarchy

Cancer Quality Performance Indicators (QPIs) > HepatoPancreatoBiliary Cancer > Hepatocellular Carcinoma (HCC) QPIs

Age Group

UMLS Concepts (what is this?)

Primary Measure Domain

Clinical Quality Measures: Process

Secondary Measure Domain

Does not apply to this measure

Description

This measure is used to assess the proportion of patients with hepatocellular carcinoma (HCC) undergoing either computed tomography (CT) or magnetic resonance imaging (MRI) and with full information recorded.

Note from the National Quality Measures Clearinghouse: This measure is part of the Cancer Quality Performance Indicators (QPIs) collection. For more information, including a complete list of QPI measure sets, please visit the Healthcare Improvement Scotland Web site External Web Site Policy.

Rationale

Management of hepatocellular carcinoma (HCC) is determined by both the stage of HCC and presence/severity of underlying chronic liver disease. Complete information is required to enable correct management decisions to be made by the multidisciplinary team (MDT).

Treatment options for patients with liver cancer are dependent on numerous factors, including the location, number and size of tumour(s) (National Institute for Health and Care Excellence [NICE], 2009).

Computed tomography (CT) or magnetic resonance imaging (MRI) is the recommended imaging technique for the diagnosis of hepatocellular carcinoma (Kokudo et al., 2010).

Evidence for Rationale

Kokudo N, et al. Clinical practice guidelines for hepatocellular carcinoma - The Japan Society of Hepatology 2009 update. Hepatol Res. 2010 Jun;40 Suppl 1:2-144. PubMed External Web Site Policy

National Institute for Health and Care Excellence (NICE). Ex-vivo hepatic resection and reimplantation for liver cancer. London (UK): National Institute for Health and Care Excellence (NICE); 2009 Apr 22. 6 p.  (Interventional procedures guidance; no. 298).

NHS Scotland, Scottish Cancer Taskforce. Hepatopancreatobiliary cancer clinical quality performance indicators. Edinburgh (Scotland): Scottish Government, Healthcare Improvement Scotland; 2015 Mar. 35 p. [14 references]

Primary Health Components

Hepatocellular carcinoma (HCC); computed tomography (CT); magnetic resonance imaging (MRI)

Denominator Description

All patients with hepatocellular carcinoma (HCC)

Numerator Description

Number of patients with hepatocellular carcinoma (HCC) undergoing either computed tomography (CT) or magnetic resonance imaging (MRI) and with full information recorded (see the related "Numerator Inclusions/Exclusions" field)

Type of Evidence Supporting the Criterion of Quality for the Measure

  • A clinical practice guideline or other peer-reviewed synthesis of the clinical research evidence
  • A formal consensus procedure, involving experts in relevant clinical, methodological, public health and organizational sciences

Additional Information Supporting Need for the Measure

Unspecified

Extent of Measure Testing

The collection of data is piloted on a small number of patient records using a paper data collection form produced by the Information Services Division (ISD). The aim is to identify any anomalies or difficulties with data collection prior to full implementation. At least one NHS board in each Regional Cancer Network participates in the pilot.

Evidence for Extent of Measure Testing

NHS Scotland. National cancer quality performance indicators: overview of development process. Edinburgh (Scotland): NHS Scotland; 2012 Dec. 7 p.

State of Use

Current routine use

Current Use

Internal quality improvement

National reporting

Public reporting

Measurement Setting

Ambulatory/Office-based Care

Ambulatory Procedure/Imaging Center

Hospital Inpatient

Hospital Outpatient

Professionals Involved in Delivery of Health Services

Physicians

Least Aggregated Level of Services Delivery Addressed

Single Health Care Delivery or Public Health Organizations

Statement of Acceptable Minimum Sample Size

Unspecified

Target Population Age

Unspecified

Target Population Gender

Either male or female

National Quality Strategy Aim

Better Care

National Quality Strategy Priority

Prevention and Treatment of Leading Causes of Mortality

IOM Care Need

Living with Illness

IOM Domain

Effectiveness

Case Finding Period

Unspecified

Denominator Sampling Frame

Patients associated with provider

Denominator (Index) Event or Characteristic

Clinical Condition

Denominator Time Window

Does not apply to this measure

Denominator Inclusions/Exclusions

Inclusions
All patients with hepatocellular carcinoma (HCC)

Exclusions
None

Exclusions/Exceptions

None

Numerator Inclusions/Exclusions

Inclusions
Number of patients with hepatocellular carcinoma (HCC) undergoing either computed tomography (CT) or magnetic resonance imaging (MRI) and with full information recorded*

*Full information requires the following to be recorded:

  • Number of liver lesions
  • Size of largest liver lesion
  • Presence or absence of vascular invasion
  • Presence of extrahepatic metastases
  • Presence or absence of chronic liver disease
  • Cause of chronic liver disease
  • Childs Pugh severity of chronic liver disease
  • Alpha-fetoprotein (AFP) quantification

Exclusions
None

Numerator Search Strategy

Fixed time period or point in time

Data Source

Electronic health/medical record

Paper medical record

Type of Health State

Does not apply to this measure

Instruments Used and/or Associated with the Measure

Unspecified

Measure Specifies Disaggregation

Does not apply to this measure

Scoring

Rate/Proportion

Interpretation of Score

Desired value is a higher score

Allowance for Patient or Population Factors

Unspecified

Standard of Comparison

External comparison at a point in, or interval of, time

External comparison of time trends

Internal time comparison

Prescriptive standard

Prescriptive Standard

Target: 90%

This target accounts for the fact that some patients may have significant co-morbidities or may not be fit for investigation and/or treatment.

Evidence for Prescriptive Standard

NHS Scotland, Scottish Cancer Taskforce. Hepatopancreatobiliary cancer clinical quality performance indicators. Edinburgh (Scotland): Scottish Government, Healthcare Improvement Scotland; 2015 Mar. 35 p. [14 references]

Original Title

QPI 2 – diagnosis and staging of HCC.

Measure Collection Name

Cancer Quality Performance Indicators (QPIs)

Measure Set Name

HepatoPancreatoBiliary Cancer

Measure Subset Name

Hepatocellular Carcinoma (HCC) QPIs

Submitter

NHS Scotland - National Government Agency [Non-U.S.]

Scottish Cancer Taskforce - National Government Agency [Non-U.S.]

Developer

NHS Scotland - National Government Agency [Non-U.S.]

Scottish Cancer Taskforce - National Government Agency [Non-U.S.]

Funding Source(s)

Scottish Government

Composition of the Group that Developed the Measure

HepatoPancreatoBiliary (HPB) Cancer QPI Development Group

Financial Disclosures/Other Potential Conflicts of Interest

Unspecified

Adaptation

This measure was not adapted from another source.

Date of Most Current Version in NQMC

2015 Mar

Measure Maintenance

The Cancer Quality Performance Indicators (QPIs) will be kept under regular review and be responsive to changes in clinical practice and emerging evidence.

Date of Next Anticipated Revision

Unspecified

Measure Status

This is the current release of the measure.

Source(s)

NHS Scotland, Scottish Cancer Taskforce. Hepatopancreatobiliary cancer clinical quality performance indicators. Edinburgh (Scotland): Scottish Government, Healthcare Improvement Scotland; 2015 Mar. 35 p. [14 references]

Measure Availability

Source document available from the Healthcare Improvement Scotland Web site External Web Site Policy.

For more information, contact the Healthcare Improvement Scotland at Gyle Square, 1 South Gyle Crescent, Edinburgh, Scotland EH12 9EB; Phone: 0131 623 4300; E-mail: comments.his@nhs.net; Web site: www.healthcareimprovementscotland.org/ External Web Site Policy.

Companion Documents

The following is available:

  • NHS Scotland. National cancer quality performance indicators: overview of development process. Edinburgh (Scotland): NHS Scotland; 2012 Dec. 7 p. This document is available from the Healthcare Improvement Scotland Web site External Web Site Policy.

NQMC Status

This NQMC summary was completed by ECRI Institute on May 23, 2017.

Copyright Statement

No copyright restrictions apply.

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