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  • Measure Summary
  • NQMC:011198
  • Jul 2016

Prostate cancer: proportion of patients with prostate adenocarcinoma who undergo prostate needle biopsy where the pathology report contains a full set of data items.

NHS Scotland, Scottish Cancer Taskforce, National Cancer Quality Steering Group. Prostate cancer clinical quality performance indicators. Edinburgh (Scotland): Healthcare Improvement Scotland; 2016 Jul. 38 p. [21 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 prostate adenocarcinoma who undergo prostate needle biopsy where the pathology report contains a full set of data items.

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

To help plan treatment for men diagnosed with prostate cancer, prognostic information from the needle biopsy is necessary. The use of datasets improves the completeness of data in pathology reports and a minimum prostate cancer dataset has been agreed for Scotland based on the Royal College of Pathologists (2009) most recent standard and guideline for prostate cancer (Chin et al., 2008).

Evidence for Rationale

Chin J, Srigley J, Mayhew LA, Rumble RB, Crossley C, Hunter A, Fleshner N, Bora B, McLeod R, McNair S, Langer B, Evans A, Expert Panel on Prostate Cancer Surgery and Pathology. Guideline for optimization of surgical and pathological quality performance for radical prostatectomy in prostate cancer management: surgical and pathological guidelines. Toronto (ON): Cancer Care Ontario (CCO); 2008 Sep 11. 81 p. (Evidence-based series; no. 17-3).  [129 references]

NHS Scotland, Scottish Cancer Taskforce, National Cancer Quality Steering Group. Prostate cancer clinical quality performance indicators. Edinburgh (Scotland): Healthcare Improvement Scotland; 2016 Jul. 38 p. [21 references]

The Royal College of Pathologists. Dataset for histopathology reports for prostatic carcinoma (2nd edition). London (UK): The Royal College of Pathologists; 2009.

Primary Health Components

Prostate adenocarcinoma; prostate needle biopsy; pathology report

Denominator Description

All patients with prostate adenocarcinoma who undergo prostate needle biopsy

Numerator Description

Number of patients with prostate adenocarcinoma who undergo prostate needle biopsy where the needle biopsy pathology report contains all data items (as defined in the Scottish Urological Pathologists dataset) (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

Male (only)

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

Diagnostic Evaluation

Denominator Time Window

Does not apply to this measure

Denominator Inclusions/Exclusions

Inclusions
All patients with prostate adenocarcinoma who undergo prostate needle biopsy

Exclusions
None

Exclusions/Exceptions

None

Numerator Inclusions/Exclusions

Inclusions
Number of patients with prostate adenocarcinoma who undergo prostate needle biopsy where the needle biopsy pathology report contains all data items (as defined in the Scottish Urological Pathologists dataset*)

*Refer to Appendix 4 of the original guideline documentation for the Scottish Prostate Needle Biopsy Dataset collection form.

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

Scottish Prostate Needle Biopsy Dataset Collection Form

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 situations where it is not possible to report all components of the dataset due to specimen size.

Evidence for Prescriptive Standard

NHS Scotland, Scottish Cancer Taskforce, National Cancer Quality Steering Group. Prostate cancer clinical quality performance indicators. Edinburgh (Scotland): Healthcare Improvement Scotland; 2016 Jul. 38 p. [21 references]

Original Title

QPI 3 – pathology reporting.

Measure Collection Name

Cancer Quality Performance Indicators (QPIs)

Measure Set Name

Prostate Cancer

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

Prostate 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

2016 Jul

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. Formal reviews are conducted every 3 years and baseline checks each year.

Date of Next Anticipated Revision

Unspecified

Measure Status

This is the current release of the measure.

Source(s)

NHS Scotland, Scottish Cancer Taskforce, National Cancer Quality Steering Group. Prostate cancer clinical quality performance indicators. Edinburgh (Scotland): Healthcare Improvement Scotland; 2016 Jul. 38 p. [21 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 31, 2017.

Copyright Statement

No copyright restrictions apply.

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