[Development of indicators to assess prevention programs for colorectal cancer in high risk populations]

Serra-Sutton V, Barrionuevo L, Herdman M, Alomar S, Sanz L, Espallargues M
Record ID 32010000685
English, Spanish
Authors' objectives:

In Spain, several specific strategies for the screening and surveillance of colorectal cancer have been defined for high risk populations, in which early treatment is recommended to avoid the development of cancer and associated mortality. In 2006, a new preventive program was introduced in the form of a High Risk Colorectal Cancer Clinic (HRCRCC) operating in the Hospital Clinic de Barcelona. The aim of this new program was to improve healthcare and outcomes in patients with high risk of colorectal cancer and their relatives. We were unable to identify any previous quality assessments of this type of preventive program. In order to carry out such an assessment, it was considered necessary to define a theoretical background and to develop quality indicators which took into account the whole care process and which embraced a multidisciplinary perspective. Indicators should, furthermore, be suitable for the external assessment of programs and to define strategies of quality improvement. The aim of this study was to develop quality indicators to assess preventive colorectal cancer programs in high risk populations.

Authors' recomendations: The theoretical approach and indicators proposed in this study were defined using the available scientific evidence in the literature, and incorporated expert consensus and user opinion which helps to ensure content validity. The inclusion of experts with different professional profiles, and from different disciplines and regions of Spain should help to ensure the indicators' acceptability and usefulness. The fact that the new preventive program only began operations in 2006 means that there has been a relatively short time for follow- up and therefore the indicators developed here tend to focus on shortand medium-term outcomes but none measuring survival. The next phase of the project will assess the implementation, reliability and construct validity of the indicators and evaluate compliance with defined quality standards using retrospective and prospective data.
Project Status: Completed
Year Published: 2010
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Spain
MeSH Terms
  • Models, Economic
Organisation Name: Agencia de Qualitat i Avaluacio Sanitries de Catalunya
Contact Address: Antoni Parada, CAHTA, Roc Boronat, 81-95 (2nd floor), 08005 Barcelona, Spain, Tel. +34 935 513 928, Fax: +34 935 517 510
Contact Name: direccio@aatrm.catsalut.net / aparada@aatrm.catsalut.net
Contact Email: direccio@aatrm.catsalut.net / aparada@aatrm.catsalut.net
Copyright: Catalan Agency for Health Technology Assessment and Research (CAHTA)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.