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Oral Chemotherapy Metric Performance in Quality Oncology Practice Initiative Practices: Updated Trends and Analysis.

Publication ,  Journal Article
Blinder, VS; Garrett-Mayer, E; Jacobsen, PB; Kozlik, MM; Markham, MJ; Siegel, RD; Kamal, AH; Crist, STS; Rosenthal, J; Chiang, AC
Published in: J Natl Compr Canc Netw
October 2022

BACKGROUND: Oral chemotherapy performance measures were first introduced into ASCO's Quality Oncology Practice Initiative (QOPI) in 2013. This study examined performance on these measures among QOPI-participating practices and evaluated whether it differed among practices based on meeting QOPI Certification Program standards. METHODS: A total of 192 QOPI-participating practices (certified, n=50 [26%]; not certified, n=142 [74%]) reported performance on oral chemotherapy measures in 2017 and 2018. Inclusion was limited to practices reporting on ≥3 charts for ≥1 oral chemotherapy measure. Performance was defined as the percentage of charts examined that adhered to the measure. Descriptive analyses were used to characterize performance within and across practices, and mixed-effects logistic regression models were conducted to compare performance based on certification status. RESULTS: Median performance across practices for the 9 oral chemotherapy measures examined ranged from 44% (education before the start of treatment addressing missed doses, toxicities, and clinical contact instructions [composite measure]) to 100% (documented dose, documented plan, and education about toxicities). Certified practices were more likely to provide education about clinic contact instructions than noncertified practices (odds ratio, 4.87; 95% CI, 1.00-24.0). Performance on all other measures was not significantly associated with certification status. CONCLUSIONS: There is wide variability in quality related to performance on oral chemotherapy measures across all QOPI-participating practices, and several areas were identified in which administration of oral chemotherapy could be improved. Our findings highlight the need for the development and implementation of appropriate standards that apply to oral chemotherapy and address the complexities that set it apart from parenteral treatment.

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Published In

J Natl Compr Canc Netw

DOI

EISSN

1540-1413

Publication Date

October 2022

Volume

20

Issue

10

Start / End Page

1099 / 1106.e2

Location

United States

Related Subject Headings

  • Oncology & Carcinogenesis
  • Medical Oncology
  • Humans
  • Certification
  • Administration, Oral
  • 4203 Health services and systems
  • 3211 Oncology and carcinogenesis
 

Citation

APA
Chicago
ICMJE
MLA
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Blinder, V. S., Garrett-Mayer, E., Jacobsen, P. B., Kozlik, M. M., Markham, M. J., Siegel, R. D., … Chiang, A. C. (2022). Oral Chemotherapy Metric Performance in Quality Oncology Practice Initiative Practices: Updated Trends and Analysis. J Natl Compr Canc Netw, 20(10), 1099-1106.e2. https://doi.org/10.6004/jnccn.2022.7024
Blinder, Victoria S., Elizabeth Garrett-Mayer, Paul B. Jacobsen, Mary May Kozlik, Merry Jennifer Markham, Robert D. Siegel, Arif H. Kamal, Stephanie T. S. Crist, Jon Rosenthal, and Anne C. Chiang. “Oral Chemotherapy Metric Performance in Quality Oncology Practice Initiative Practices: Updated Trends and Analysis.J Natl Compr Canc Netw 20, no. 10 (October 2022): 1099-1106.e2. https://doi.org/10.6004/jnccn.2022.7024.
Blinder VS, Garrett-Mayer E, Jacobsen PB, Kozlik MM, Markham MJ, Siegel RD, et al. Oral Chemotherapy Metric Performance in Quality Oncology Practice Initiative Practices: Updated Trends and Analysis. J Natl Compr Canc Netw. 2022 Oct;20(10):1099-1106.e2.
Blinder, Victoria S., et al. “Oral Chemotherapy Metric Performance in Quality Oncology Practice Initiative Practices: Updated Trends and Analysis.J Natl Compr Canc Netw, vol. 20, no. 10, Oct. 2022, pp. 1099-1106.e2. Pubmed, doi:10.6004/jnccn.2022.7024.
Blinder VS, Garrett-Mayer E, Jacobsen PB, Kozlik MM, Markham MJ, Siegel RD, Kamal AH, Crist STS, Rosenthal J, Chiang AC. Oral Chemotherapy Metric Performance in Quality Oncology Practice Initiative Practices: Updated Trends and Analysis. J Natl Compr Canc Netw. 2022 Oct;20(10):1099-1106.e2.

Published In

J Natl Compr Canc Netw

DOI

EISSN

1540-1413

Publication Date

October 2022

Volume

20

Issue

10

Start / End Page

1099 / 1106.e2

Location

United States

Related Subject Headings

  • Oncology & Carcinogenesis
  • Medical Oncology
  • Humans
  • Certification
  • Administration, Oral
  • 4203 Health services and systems
  • 3211 Oncology and carcinogenesis