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Analysis of ASCO's QOPI® data finds significant improvement in performance on metrics for quality oncology care
Date:3/11/2013

as recommended. Adjuvant therapy is proven to extend survival and often offer cures for many patients with these cancers.
  • Improved uptake of new clinical practices: Mean scores of measures related to new clinical practices (based on new guidelines or clinical evidence) improved from 5 to 69 percent overall over four years. These new clinical practices include genetic testing for tumor molecular markers that predict response to treatment in patients with metastatic colorectal cancer (KRAS gene alterations before administering anti-EGFR therapy), adequate lymph node examination after surgery in colorectal cancer, testing for, and use of the anti-nausea drug aprepitant when certain chemotherapy regimens are administered.
  • There are opportunities for improvement for certain measures: Measures that assess smoking cessation and fertility preservation counseling (for patients undergoing treatment that could render them infertile) did not improve over time. Performance on these measures ranged from a high of 34 percent for smoking cessation counseling to a low of 6 percent for discussion of fertility preservation.

    "These findings demonstrate that oncologists are consistently performing at high levels in many core areas of care and are quickly incorporating new standard tests and treatments into everyday practice," said lead author Michael N. Neuss, MD, chief medical officer at the Vanderbilt-Ingram Cancer Center and Chair of the QOPI Steering Group. "These data also show that participation in quality measurement programs, like QOPI, is correlated with substantial improvement in adherence to clinical practice standards."

    QOPI holds its two semi-annual collection rounds in the spring and fall. The current analysis included 156 practices that participated in at least two collection rounds and reported data from 30 or more patient charts per round. Performance scores (rates of adherence to quality measures) were calculated for seven ca
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  • Contact: Aaron Tallent
    Aaron.Tallent@asco.org
    571-483-1371
    American Society of Clinical Oncology
    Source:Eurekalert

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