Using a Delphi process to determine optimal care for patients with pancreatic cancer

Burmeister, Elizabeth A., Jordan, Susan J., O'Connell, Dianne L., Beesley, Vanessa L., Goldstein, David, Gooden, Helen M., Janda, Monika, Merrett, Neil D., Wyld, David, & Neale, Rachel E. (2016) Using a Delphi process to determine optimal care for patients with pancreatic cancer. Asia-Pacific Journal of Clinical Oncology, 12(2), pp. 105-114.

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Abstract

Aim

Overall 5-year survival for pancreatic cancer is ~5%. Optimising the care that pancreatic cancer patients receive may be one way of improving outcomes. The objective of this study was to establish components of care which Australian health professionals believe important to optimally manage patients with pancreatic cancer.

Methods

Using a Delphi process, a multi-disciplinary panel of 250 health professionals were invited to provide a list of factors they considered important for optimal care of pancreatic cancer patients. They were then asked to score and then rescore (from one (no importance/disagree) to 10 (very important/agree) the factors. The mean and coefficient of variation scores were calculated and categorised into three levels of importance.

Results

Overall 63 (66% of those sent the final questionnaire; 25% of those initially invited) health professionals from 9 disciplines completed the final scoring of 55 statements/factors encompassing themes of presentation/staging, surgery and biliary obstruction, multi-disciplinary team details and oncology. Mean scores ranged from 3.7 to 9.7 with the highest related to communication and patient assessment. There was substantial intra- and inter- disciplinary variation in views about MDT membership and roles.

Conclusion

Overall the opinions of Australian health professionals reflect international guideline recommended care; however they identified a number of additional factors focusing on where patients should be treated, the importance of clear communication and the need for multi-disciplinary care which were not included in current clinical practice guidelines. Differences in priorities between specialty groups were also identified.

Impact and interest:

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ID Code: 98407
Item Type: Journal Article
Refereed: Yes
Keywords: Delivery of health care, Delphi technique, health services needs and demand, pancreatic neoplasm
DOI: 10.1111/ajco.12450
ISSN: 1743-7563
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700)
Australian and New Zealand Standard Research Classification
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2016 John Wiley & Sons Australia, Ltd
Copyright Statement: This is the peer reviewed version of the following article: Burmeister, E. A., Jordan, S. J., O'Connell, D. L., Beesley, V. L., Goldstein, D., Gooden, H. M., Janda, M., Merrett, N. D., Wyld, D., Neale, R. E. and for The Pancreatic Cancer Clinical Working Group (2016), Using a Delphi process to determine optimal care for patients with pancreatic cancer. Asia-Pacific Journal of Clinical Oncology, 12: 105–114, which has been published in final form at https://doi.org/10.1111/ajco.12450. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Deposited On: 28 Aug 2016 22:15
Last Modified: 06 Sep 2016 17:14

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