An international collaborative standardizing a comprehensive patient-centered outcomes measurement set for colorectal cancer

Colorectal Cancer Working Group of the International Consortium for Health Outcomes Measurement (ICHOM)

Research output: Contribution to journalReview article

19 Citations (Scopus)

Abstract

IMPORTANCE: Global health systems are shifting toward value-based care in an effort to drive better outcomes in the setting of rising health care costs. This shift requires a common definition of value, starting with the outcomes that matter most to patients. OBJECTIVE: The International Consortium for Health Outcomes Measurement (ICHOM), a nonprofit initiative, was formed to define standard sets of outcomes by medical condition. In this article, we report the efforts of ICHOM's working group in colorectal cancer. EVIDENCE REVIEW: The working group was composed of multidisciplinary oncology specialists in medicine, surgery, radiation therapy, palliative care, nursing, and pathology, along with patient representatives. Through a modified Delphi process during 8 months (July 8, 2015 to February 29, 2016), ICHOM led the working group to a consensus on a final recommended standard set. The process was supported by a systematic PubMed literature review (1042 randomized clinical trials and guidelines from June 3, 2005, to June 3, 2015), a patient focus group (11 patients with early and metastatic colorectal cancer convened during a teleconference in August 2015), and a patient validation survey (among 276 patients with and survivors of colorectal cancer between October 15, 2015, and November 4, 2015). FINDINGS: After consolidating findings of the literature review and focus group meeting, a list of 40 outcomes was presented to the WG and underwent voting. The final recommendation includes outcomes in the following categories: survival and disease control, disutility of care, degree of health, and quality of death. Selected case-mix factors were recommended to be collected at baseline to facilitate comparison of results across treatments and health care professionals. CONCLUSIONS: A standardized set of patient-centered outcome measures to inform value-based health care in colorectal cancer was developed. Pilot efforts are under way to measure the standard set among members of the working group.

Original languageEnglish (US)
Pages (from-to)686-694
Number of pages9
JournalJAMA oncology
Volume3
Issue number5
DOIs
StatePublished - 2017

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Colorectal Neoplasms
Focus Groups
Hospice and Palliative Care Nursing
Delivery of Health Care
Patient Advocacy
Telecommunications
Group Processes
Quality of Health Care
Diagnosis-Related Groups
Health
Politics
PubMed
Health Care Costs
Survivors
Consensus
Radiotherapy
Randomized Controlled Trials
Medicine
Outcome Assessment (Health Care)
Guidelines

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Colorectal Cancer Working Group of the International Consortium for Health Outcomes Measurement (ICHOM) (2017). An international collaborative standardizing a comprehensive patient-centered outcomes measurement set for colorectal cancer. JAMA oncology, 3(5), 686-694. https://doi.org/10.1001/jamaoncol.2017.0417

An international collaborative standardizing a comprehensive patient-centered outcomes measurement set for colorectal cancer. / Colorectal Cancer Working Group of the International Consortium for Health Outcomes Measurement (ICHOM).

In: JAMA oncology, Vol. 3, No. 5, 2017, p. 686-694.

Research output: Contribution to journalReview article

Colorectal Cancer Working Group of the International Consortium for Health Outcomes Measurement (ICHOM) 2017, 'An international collaborative standardizing a comprehensive patient-centered outcomes measurement set for colorectal cancer', JAMA oncology, vol. 3, no. 5, pp. 686-694. https://doi.org/10.1001/jamaoncol.2017.0417
Colorectal Cancer Working Group of the International Consortium for Health Outcomes Measurement (ICHOM). An international collaborative standardizing a comprehensive patient-centered outcomes measurement set for colorectal cancer. JAMA oncology. 2017;3(5):686-694. https://doi.org/10.1001/jamaoncol.2017.0417
Colorectal Cancer Working Group of the International Consortium for Health Outcomes Measurement (ICHOM). / An international collaborative standardizing a comprehensive patient-centered outcomes measurement set for colorectal cancer. In: JAMA oncology. 2017 ; Vol. 3, No. 5. pp. 686-694.
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abstract = "IMPORTANCE: Global health systems are shifting toward value-based care in an effort to drive better outcomes in the setting of rising health care costs. This shift requires a common definition of value, starting with the outcomes that matter most to patients. OBJECTIVE: The International Consortium for Health Outcomes Measurement (ICHOM), a nonprofit initiative, was formed to define standard sets of outcomes by medical condition. In this article, we report the efforts of ICHOM's working group in colorectal cancer. EVIDENCE REVIEW: The working group was composed of multidisciplinary oncology specialists in medicine, surgery, radiation therapy, palliative care, nursing, and pathology, along with patient representatives. Through a modified Delphi process during 8 months (July 8, 2015 to February 29, 2016), ICHOM led the working group to a consensus on a final recommended standard set. The process was supported by a systematic PubMed literature review (1042 randomized clinical trials and guidelines from June 3, 2005, to June 3, 2015), a patient focus group (11 patients with early and metastatic colorectal cancer convened during a teleconference in August 2015), and a patient validation survey (among 276 patients with and survivors of colorectal cancer between October 15, 2015, and November 4, 2015). FINDINGS: After consolidating findings of the literature review and focus group meeting, a list of 40 outcomes was presented to the WG and underwent voting. The final recommendation includes outcomes in the following categories: survival and disease control, disutility of care, degree of health, and quality of death. Selected case-mix factors were recommended to be collected at baseline to facilitate comparison of results across treatments and health care professionals. CONCLUSIONS: A standardized set of patient-centered outcome measures to inform value-based health care in colorectal cancer was developed. Pilot efforts are under way to measure the standard set among members of the working group.",
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AU - Van Bommel, Annelotte C.M.

AU - Stowell, Caleb

AU - Lippa, Jacob

AU - Bauer, Donna

AU - Berger, Ann Malone

AU - Boland, Gilles

AU - Borras, Josep M.

AU - Buss, Mary K.

AU - Cima, Robert

AU - Van Cutsem, Eric

AU - Van Duyn, Eino B.

AU - Finlayson, Samuel R.G.

AU - Cheng, Skye Hung Chun

AU - Langelotz, Corinna

AU - Lloyd, John

AU - Lynch, Andrew C.

AU - Mamon, Harvey J.

AU - McAllister, Pamela K.

AU - Minsky, Bruce D.

AU - Ngeow, Joanne

AU - Abu Hassan, Muhammad R.

AU - Ryan, Kim

AU - Shankaran, Veena

AU - Upton, Melissa P.

AU - Zalcberg, John

AU - Van De Velde, Cornelis J.

AU - Tollenaar, Rob

PY - 2017

Y1 - 2017

N2 - IMPORTANCE: Global health systems are shifting toward value-based care in an effort to drive better outcomes in the setting of rising health care costs. This shift requires a common definition of value, starting with the outcomes that matter most to patients. OBJECTIVE: The International Consortium for Health Outcomes Measurement (ICHOM), a nonprofit initiative, was formed to define standard sets of outcomes by medical condition. In this article, we report the efforts of ICHOM's working group in colorectal cancer. EVIDENCE REVIEW: The working group was composed of multidisciplinary oncology specialists in medicine, surgery, radiation therapy, palliative care, nursing, and pathology, along with patient representatives. Through a modified Delphi process during 8 months (July 8, 2015 to February 29, 2016), ICHOM led the working group to a consensus on a final recommended standard set. The process was supported by a systematic PubMed literature review (1042 randomized clinical trials and guidelines from June 3, 2005, to June 3, 2015), a patient focus group (11 patients with early and metastatic colorectal cancer convened during a teleconference in August 2015), and a patient validation survey (among 276 patients with and survivors of colorectal cancer between October 15, 2015, and November 4, 2015). FINDINGS: After consolidating findings of the literature review and focus group meeting, a list of 40 outcomes was presented to the WG and underwent voting. The final recommendation includes outcomes in the following categories: survival and disease control, disutility of care, degree of health, and quality of death. Selected case-mix factors were recommended to be collected at baseline to facilitate comparison of results across treatments and health care professionals. CONCLUSIONS: A standardized set of patient-centered outcome measures to inform value-based health care in colorectal cancer was developed. Pilot efforts are under way to measure the standard set among members of the working group.

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