Defining melanoma quality indicators: A modified Delphi approach

Purpose: To identify consensus-based quality indicators to evaluate melanoma care Methods: Melanoma quality indicators were identified from a literature review.Twenty-nine indicators in six topic domains were subsequently developed: diagnosis and diagnostic biopsy, patient experience, treatment, pathology, symptom management, survivorship.Clinical experts in melanoma from Ontario and international jurisdictions, representing the disciplines of surgery, pathology, primary care, medical oncology, radiation oncology, and palliative care, in addition to a health system leader, an epidemiologist and a patient and family advisor were invited to participate on the Delphi Panel.Panelists were asked to rate indicators on a nine-point Likert scale for appropriateness.Two iterations of electronic surveys were anonymously completed, followed by a virtual consensus meeting to prioritize quality and outcome melanoma indicators.Results: Twenty-three panel members participated in the modified-Delphi process.Twenty-three quality indicators reflecting high-quality melanoma care across the care continuum were prioritized based on a defined consensus agreement of 80% although only 4 were measurable from current administrative databases.These indicators were assessed for measurement feasibility and four of these were deemed feasible to measure from administrative databases along with eight standard indicators. Conclusion:Melanoma outcome and quality indicators were identified using a modified-Delphi process for inclusion in a provincial cancer system performance report.

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Publication Details

Journal
EJC Skin Cancer
Published
2025-01-01
DOI
https://doi.org/10.1016/j.ejcskn.2025.100757
Primary Topic
Delphi Technique in Research
Type
article
Field-Weighted Citation Impact
0.00

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article

Defining melanoma quality indicators: A modified Delphi approach

Sandy Salama, Marcus O. Butler, Myles Smith, Leta Forbes et al.
EJC Skin Cancer
Delphi Technique in Research
article

Defining melanoma quality indicators: A modified Delphi approach

Sandy Salama, Marcus O. Butler, Myles Smith, Leta Forbes, Rachael L. Morton, Frances C. Wright, Christopher R. J. Boland, An‐Wen Chan, Marc Moncrieff, Brandon S. Sheffield, Carolyn Nessim, Annette Cyr, Renee Hanrahan, Susan Blacker, Aaron Pollett, Apurva Shirodkar, Timothy P. Hanna, Kevin Higgins, Mark B. Faries, Aliya Pardhan, Anthony M. Joshua, Teresa M. Petrella, Christian Murray, W. D. Mitchell, Brian Hasegawa, Darren C. Cargill
article en

Abstract

Purpose: To identify consensus-based quality indicators to evaluate melanoma care Methods: Melanoma quality indicators were identified from a literature review.Twenty-nine indicators in six topic domains were subsequently developed: diagnosis and diagnostic biopsy, patient experience, treatment, pathology, symptom management, survivorship.Clinical experts in melanoma from Ontario and international jurisdictions, representing the disciplines of surgery, pathology, primary care, medical oncology, radiation oncology, and palliative care, in addition to a health system leader, an epidemiologist and a patient and family advisor were invited to participate on the Delphi Panel.Panelists were asked to rate indicators on a nine-point Likert scale for appropriateness.Two iterations of electronic surveys were anonymously completed, followed by a virtual consensus meeting to prioritize quality and outcome melanoma indicators.Results: Twenty-three panel members participated in the modified-Delphi process.Twenty-three quality indicators reflecting high-quality melanoma care across the care continuum were prioritized based on a defined consensus agreement of 80% although only 4 were measurable from current administrative databases.These indicators were assessed for measurement feasibility and four of these were deemed feasible to measure from administrative databases along with eight standard indicators. Conclusion:Melanoma outcome and quality indicators were identified using a modified-Delphi process for inclusion in a provincial cancer system performance report.

EJC Skin CancerVol. 3
Western University (CA), Mount Sinai Hospital (CA), Sunnybrook Health Science Centre (CA), Garvan Institute of Medical Research (AU), Institute of Cancer Research (GB), University of Ottawa (CA), University of Winchester (GB), University of Toronto (CA), Queen's University (CA), Cancer Care Ontario (CA), Lakeridge Health (CA), Norfolk and Norwich University Hospital (GB), McMaster University Medical Centre (CA), Women's College Hospital (CA), Health Sciences Centre (CA), Princess Margaret Cancer Centre (CA), Oakville Public Library (CA), Angeles Clinic and Research Institute (US), Melanoma Institute Australia (AU), Royal Marsden Hospital (GB), William Osler Health System (CA), Doug Bragg Enterprises (Canada) (CA), Winchester Medical Center (US), Winchester Hospital (US), The Kinghorn Cancer Centre (AU), McMaster University (CA)
Cancer Care Ontario, Ontario Ministry of Health and Long-Term Care
Openalex Percentile: Top 64%
Delphi Technique in Research
DOIOpen Access PDFOpenAlex
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