Agreement between oncology guidelines and clinical practice in Italy: The 'right' program. A project of the Italian Association of Medical Oncology (AIOM)

Sandro Barni, M. Venturini, G. D. Beretta, S. Gori, A. Molino, C. Carnaghi, R. Labianca, S. Sgarbi, L. Simoni, E. Maiello

Research output: Contribution to journalArticle

Abstract

Background: RIGHT (R esearch for the I dentification of the most effective and h IG hly accepted clinical guidelines for the cancer T reatment) is a project promoted by the Italian Association of Medical Oncology (AIOM) to measure the concordance between oncology guidelines and clinical practice. The goal of this pilot phase was to develop and test a reliable process to measure this concordance nationwide. Materials and methods: Twenty Italian centers participated to the survey. Breast cancer (BC) and colorectal cancer (CRC): guidelines issued by AIOM in 2003 were selected. A total of 29 indicators linked to the process of care were abstracted. Patients who had their first visit at the oncology center between February 2004 and June 2005, with a diagnosis of invasive BC (stage 1 or 2), colon cancer (stage 3), rectal cancer (stage T3-4 or N1-2) or advanced CRC were enclosed. Results and conclusion: One hundred and sixty-one patients (80%) were analyzed. On average, 93% of BC and 80.3% of colorectal patients received recommended care. These first results indicate that the RIGHT system provides a valid measurement of oncology care to assess agreement with guidelines. A second larger phase of this nationwide monitoring program will enable results to be generalized.

Original languageEnglish
JournalAnnals of Oncology
Volume18
Issue numberSUPPL. 6
DOIs
Publication statusPublished - Jun 2007

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Keywords

  • Breast cancer
  • Colon cancer
  • Guidelines adherence
  • Italian guidelines
  • Process indicators

ASJC Scopus subject areas

  • Oncology
  • Hematology
  • Cancer Research

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