Quality indicators for the diagnosis and management of chronic rhinosinusitis

被引：17

作者：

Cottrell, Justin ^{[1
]}

Yip, Jonathan ^{[1
]}

Chan, Yvonne ^{[1
]}

Chin, Christopher J. ^{[2
]}

Damji, Ali ^{[3
]}

de Almeida, John R. ^{[1
]}

Desrosiers, Martin ^{[4
]}

Janjua, Arif ^{[5
]}

Kilty, Shaun ^{[6
,7
]}

Lee, John M. ^{[1
]}

Macdonald, Kristian, I ^{[6
,7
]}

Meen, Eric K. ^{[8
]}

Rudmik, Luke ^{[9
]}

Sommer, Doron D. ^{[10
]}

Sowerby, Leigh ^{[11
]}

Tewfik, Marc A. ^{[12
]}

Vescan, Allan D. ^{[1
]}

Witterick, Ian J. ^{[1
]}

Wright, Erin ^{[13
]}

Monteiro, Eric ^{[1
]}

机构：

[1] Univ Toronto, Dept Otolaryngol Head & Neck Surg, Div Rhinol, Toronto, ON, Canada

[2] Dalhousie Univ, Div Otolaryngol Head & Neck Surg, Dept Surg, Halifax, NS, Canada

[3] Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada

[4] Ctr Hosp Univ Montreal, Div Otolaryngol Head & Neck Surg, Montreal, PQ, Canada

[5] Univ British Columbia, Dept Surg, Div Otolaryngol Head & Neck Surg, Vancouver, BC, Canada

[6] Univ Ottawa, Dept Otolaryngol Head & Neck Surg, Ottawa, ON, Canada

[7] Ottawa Hosp, Ottawa, ON, Canada

[8] Univ Manitoba, Dept Otolaryngol Head & Neck Surg, Winnipeg, MB, Canada

[9] Univ Calgary, Dept Surg, Div Otolaryngol Head & Neck Surg, Calgary, AB, Canada

[10] McMaster Univ, Dept Surg, Div Otolaryngol Head & Neck Surg, Hamilton, ON, Canada

[11] Western Univ, Dept Otolaryngol Head & Neck Surg, London, ON, Canada

[12] McGill Univ, Dept Otolaryngol Head & Neck Surg, Montreal, PQ, Canada

[13] Univ Alberta, Dept Surg, Div Otolaryngol Head & Neck Surg, Edmonton, AB, Canada

来源：

INTERNATIONAL FORUM OF ALLERGY & RHINOLOGY | 2018年 / 8卷 / 12期

关键词：

quality; quality indicators; candidate indicators; chronic rhinosinusitis; diagnosis; management; quality improvement; ENDOSCOPIC SINUS SURGERY; SMALL-AREA VARIATION; IMPROVEMENT COMMITTEE; GEOGRAPHIC-VARIATION; DELPHI PANEL; CARE; POPULATION; PREVALENCE; PATTERNS; THERAPY;

D O I：

10.1002/alr.22161

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Background: Chronic rhinosinusitis (CRS) has been identified as a high-priority disease category for quality improvement. To this end, this study aimed to develop CRS-specific quality indicators (Qls) to evaluate diagnosis and management that relieves patient discomfort, improves quality of life, and prevents complications. Methods: A guideline-based approach, proposed in 2012 by Kotter et al. was used to develop Qls for CRS. Candidate indicators (Cls) were extracted from 3 practice guidelines and 1 international consensus statement on the diagnosis and management of CRS. Guidelines were evaluated using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) tool. Each CI and its supporting evidence was summarized and reviewed by an expert panel based on validity, reliability, and feasibility of measurement. Final Qls were selected from CIs utilizing the modified RAND Corporation-University of California, Los Angeles (RAND/UCLA) appropriateness methodology. Results: Thirty-nine CIs were identified after literature review and evaluated by our panel. Of these, 9 Cls reached consensus as being appropriate Qls, with 4 requiring additional discussion. After a second round of evaluations, the panel selected 9 Qls as appropriate measures of high-quality care. Conclusion: This study proposes 9 Qls for the diagnosis and management of patients with CRS. These Qls can serve multiple purposes, including documenting the quality of care ; comparing institutions and providers ; prioritizing quality improvement initiatives ; supporting accountability, regulation, and accreditation; and determining pay-for-performance initiatives. (C) 2018 ARS-AAOA, LLC.

引用

页码：1369 / 1379

页数：11

共 35 条

[1]

Agency for Healthcare Research and Quality, 2011, QUAL IND MEAS DEV IM

[2]

American Academy of Otolaryngology-Head and Neck Surgery, REG 2017 MIPS MEAS

[3]

[Anonymous], CROSSING QUALITY CHA

[4] Patterns of Care Before and After the Adult Sinusitis Clinical Practice Guideline [J].

Bhattacharyya, Neil ;

Kepnes, Lynn J. .

LARYNGOSCOPE, 2013, 123 (07) :1588-1591

[5] AGREE II: Advancing guideline development, reporting and evaluation in health care [J].

Brouwers, Melissa C. ;

Kho, Michelle E. ;

Browman, George P. ;

Burgers, Jako S. ;

Cluzeau, Francoise ;

Feder, Gene ;

Fervers, Beatrice ;

Graham, Ian D. ;

Grimshaw, Jeremy ;

Hanna, Steven E. ;

Littlejohns, Peter ;

Makarski, Julie ;

Zitzelsberger, Louise .

JOURNAL OF CLINICAL EPIDEMIOLOGY, 2010, 63 (12) :1308-1311

[6] Direct costs of adult chronic rhinosinusitis by using 4 methods of estimation: Results of the US Medical Expenditure Panel Survey [J].

Caulley, Lisa ;

Thavorn, Kednapa ;

Rudmik, Luke ;

Cameron, Chris ;

Kilty, Shaun J. .

JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2015, 136 (06) :1517-1522

[7]

Dennis RJ, 2010, BMJ CLIN EVID, V2010, P1501

[8] Canadian clinical practice guidelines for acute and chronic rhinosinusitis [J].

Desrosiers, Martin ;

Evans, Gerald A. ;

Keith, Paul K. ;

Wright, Erin D. ;

Kaplan, Alan ;

Bouchard, Jacques ;

Ciavarella, Anthony ;

Doyle, Patrick W. ;

Javer, Amin R. ;

Leith, Eric S. ;

Mukherji, Atreyi ;

Schellenberg, R. Robert ;

Small, Peter ;

Witterick, Ian J. .

ALLERGY ASTHMA AND CLINICAL IMMUNOLOGY, 2011, 7

[9] EVALUATING QUALITY OF MEDICAL CARE [J].

DONABEDIAN, A .

MILBANK MEMORIAL FUND QUARTERLY-HEALTH AND SOCIETY, 1966, 44 (03) :166-206

[10]

Fitch KBSJ., 2001, The RAND/UCLA appropriateness method user's manual. RAND

← 1 2 3 4 →