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  • Measure Summary
  • NQMC:011183
  • Sep 2015

Lymphoma: proportion of patients with lymphoma undergoing treatment with curative intent who undergo CT of chest, abdomen and pelvis or PET CT scanning prior to treatment and within 2 weeks of radiology request.

NHS Scotland, Scottish Cancer Taskforce. Lymphoma clinical quality performance indicators. Edinburgh (Scotland): Healthcare Improvement Scotland; 2015 Sep. 29 p. [16 references]

View the original measure documentation External Web Site Policy

This is the current release of the measure.

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 lymphoma undergoing treatment with curative intent who undergo computed tomography (CT) of chest, abdomen and pelvis or positron emission tomography (PET) CT scanning prior to treatment and within 2 weeks of radiology request.

This Cancer Quality Performance Indicator (QPI) is separated into two parts. Please refer to the related NQMC measure summary, Lymphoma: proportion of patients with lymphoma undergoing treatment with curative intent who undergo CT of chest, abdomen and pelvis or PET CT scanning prior to treatment.

Note from the National Quality Measures Clearinghouse: This measure is part of the 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

Accurate staging is important to ensure appropriate treatment is delivered and futile interventions avoided.

Computed tomography (CT) is recommended as the initial imaging investigation for all patients with lymphoma to detect extent of disease and guide treatment decision making. This should include CT of the chest, abdomen and pelvis. CT neck should also be undertaken where clinically appropriate. Intravenous contrast should be utilised unless contraindicated (McNamara et al., 2012).

Evidence for Rationale

McNamara C, Davies J, Dyer M, Hoskin P, Illidge T, Lyttelton M, Marcus R, Montoto S, Ramsay A, Wong WL, Ardeshna K, Haemato-oncology Task Force of the British Committee for Standards in Haematology (BCSH), British Society for Haematology Committee. Guidelines on the investigation and management of follicular lymphoma. Br J Haematol. 2012 Feb;156(4):446-67. PubMed External Web Site Policy

NHS Scotland, Scottish Cancer Taskforce. Lymphoma clinical quality performance indicators. Edinburgh (Scotland): Healthcare Improvement Scotland; 2015 Sep. 29 p. [16 references]

Primary Health Components

Lymphoma; curative intent; computed tomography (CT); positron emission tomography (PET) CT

Denominator Description

All patients with lymphoma undergoing treatment with curative intent (see the related "Denominator Inclusions/Exclusions" field)

Numerator Description

Number of patients with lymphoma undergoing treatment with curative intent who undergo computed tomography (CT) of chest, abdomen and pelvis or positron emission tomography (PET) CT scanning prior to treatment and within 2 weeks of radiology request (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 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 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

Timeliness

Case Finding Period

Unspecified

Denominator Sampling Frame

Patients associated with provider

Denominator (Index) Event or Characteristic

Clinical Condition

Therapeutic Intervention

Denominator Time Window

Does not apply to this measure

Denominator Inclusions/Exclusions

Inclusions
All patients with lymphoma undergoing treatment with curative intent

Exclusions

  • Patients who refuse investigation
  • Patients with primary cutaneous lymphoma

Exclusions/Exceptions

Medical factors addressed

Patient factors addressed

Numerator Inclusions/Exclusions

Inclusions
Number of patients with lymphoma undergoing treatment with curative intent who undergo computed tomography (CT) of chest, abdomen and pelvis or positron emission tomography (PET) CT scanning prior to treatment and within 2 weeks of radiology request

Exclusions

  • Patients who refuse investigation
  • Patients with primary cutaneous lymphoma

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%

The tolerance within this target is designed to account for patients with B-cell lymphoproliferative disorders which do not necessarily require extensive imaging.

Evidence for Prescriptive Standard

NHS Scotland, Scottish Cancer Taskforce. Lymphoma clinical quality performance indicators. Edinburgh (Scotland): Healthcare Improvement Scotland; 2015 Sep. 29 p. [16 references]

Original Title

QPI 1 (ii) – radiological staging.

Measure Collection Name

Cancer Quality Performance Indicators (QPIs)

Measure Set Name

Lymphoma

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

Lymphoma 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 Sep

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. Lymphoma clinical quality performance indicators. Edinburgh (Scotland): Healthcare Improvement Scotland; 2015 Sep. 29 p. [16 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 June 13, 2017.

Copyright Statement

No copyright restrictions apply.

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