TY - JOUR
T1 - Improving the quality of care for patients with advanced epithelial ovarian cancer
T2 - Program components, implementation barriers, and recommendations
AU - Temkin, Sarah M.
AU - Smeltzer, Matthew P.
AU - Dawkins, Monique D.
AU - Boehmer, Leigh M.
AU - Senter, Leigha
AU - Black, Destin R.
AU - Blank, Stephanie V.
AU - Yemelyanova, Anna
AU - Magliocco, Anthony M.
AU - Finkel, Mollie A.
AU - Moore, Tracy E.
AU - Thaker, Premal H.
N1 - Funding Information:
Sarah M. Temkin reports consulting fees from Cancer Expert Now and payment or honoraria from Clovis Oncology outside the submitted work. Leigh M. Boehmer reports personal fees from Pfizer outside the submitted work. Leigha Senter reports personal fees and honoraria from AstraZeneca outside the submitted work. Destin R. Black reports payment or honoraria for the Ovarian Cancer Workshop to Willis-Knighton Medical Center and participation on the Gynecologic Oncology Group Investigator Council outside the submitted work. Stephanie V. Blank reports research collaboration and institutional contracts with Glaxo Smith Kline, Roche, AstraZeneca, Seattle Genetics, Merck, AkesoBio, and NRG Oncology; participation on an Aravive data safety and monitoring board; and a leadership or fiduciary role with the Society of Gynecologic Oncology (unpaid), the American Board of Obstetrics and Gynecology, SHARE (unpaid), and the National Ovarian Cancer Coalition (unpaid) all outside the submitted work. Anna Yemelyanova reports personal fees and honoraria from Roche Diagnostics and meeting/travel support from AstraZeneca outside the submitted work. Anthony M. Magliocco reports honoraria from AstraZeneca, Roche, Merck, Bristol Myers Squibb, and Lilly; payment from the Department of Justice Office of the Inspector General for expert testimony; meeting/travel support from AstraZeneca; and is an employee of Protean BioDiagnostics and owns equity in the company all outside the submitted work. Mollie A. Finkel reports personal fees from AstraZeneca outside the submitted work. Premal H. Thaker reports institutional grants or contracts from AstraZeneca, Merck, Glaxo Smith Kline, Novocure, Aravive, and Clovis; personal fees from AstraZeneca, Glaxo Smith Kline, Stryker, Seagen, Celsion, Immunogen, and Aravive; honoraria from AstraZeneca, Merck, and Glaxo Smith Kline; payment for expert testimony; payment for participation on a data safety monitoring board or advisory board from Novocure, Glaxo Smith Kline, AstraZeneca, Celsion, Novocure, and Iovance; and owns stock options in Celsion all outside the submitted work. Matthew P. Smeltzer, Monique D. Dawkins, Tracy E. Moore made no disclosures. Funding support from AstraZeneca and Merck was provided to the Association of Community Cancer Centers, and funding for medical writing support paid to Cactus Communications was contracted and compensated by AstraZeneca.
Funding Information:
Funding support from AstraZeneca and Merck was provided to the Association of Community Cancer Centers, and funding for medical writing support paid to Cactus Communications was contracted and compensated by AstraZeneca.
Publisher Copyright:
© 2022 The Authors. Cancer published by Wiley Periodicals LLC on behalf of American Cancer Society.
PY - 2022/2/15
Y1 - 2022/2/15
N2 - The high lethality of ovarian cancer in the United States and associated complexities of the patient journey across the cancer care continuum warrant an assessment of current practices and barriers to quality care in the United States. The objectives of this study were to identify and assess key components in the provision of high-quality care delivery for patients with ovarian cancer, identify challenges in the implementation of best practices, and develop corresponding quality-related recommendations to guide multidisciplinary ovarian cancer programs and practices. This multiphase ovarian cancer quality-care initiative was guided by a multidisciplinary expert steering committee, including gynecologic oncologists, pathologists, a genetic counselor, a nurse navigator, social workers, and cancer center administrators. Key partnerships were also established. A collaborative approach was adopted to develop comprehensive recommendations by identifying ideal quality-of-care program components in advanced epithelial ovarian cancer management. The core program components included: care coordination and patient education, prevention and screening, diagnosis and initial management, treatment planning, disease surveillance, equity in care, and quality of life. Quality-directed recommendations were developed across 7 core program components, with a focus on ensuring high-quality ovarian cancer care delivery for patients through improved patient education and engagement by addressing unmet medical and supportive care needs. Implementation challenges were described, and key recommendations to overcome barriers were provided. The recommendations emerging from this initiative can serve as a comprehensive resource guide for multidisciplinary cancer practices, providers, and other stakeholders working to provide quality-directed cancer care for patients diagnosed with ovarian cancer and their families.
AB - The high lethality of ovarian cancer in the United States and associated complexities of the patient journey across the cancer care continuum warrant an assessment of current practices and barriers to quality care in the United States. The objectives of this study were to identify and assess key components in the provision of high-quality care delivery for patients with ovarian cancer, identify challenges in the implementation of best practices, and develop corresponding quality-related recommendations to guide multidisciplinary ovarian cancer programs and practices. This multiphase ovarian cancer quality-care initiative was guided by a multidisciplinary expert steering committee, including gynecologic oncologists, pathologists, a genetic counselor, a nurse navigator, social workers, and cancer center administrators. Key partnerships were also established. A collaborative approach was adopted to develop comprehensive recommendations by identifying ideal quality-of-care program components in advanced epithelial ovarian cancer management. The core program components included: care coordination and patient education, prevention and screening, diagnosis and initial management, treatment planning, disease surveillance, equity in care, and quality of life. Quality-directed recommendations were developed across 7 core program components, with a focus on ensuring high-quality ovarian cancer care delivery for patients through improved patient education and engagement by addressing unmet medical and supportive care needs. Implementation challenges were described, and key recommendations to overcome barriers were provided. The recommendations emerging from this initiative can serve as a comprehensive resource guide for multidisciplinary cancer practices, providers, and other stakeholders working to provide quality-directed cancer care for patients diagnosed with ovarian cancer and their families.
UR - http://www.scopus.com/inward/record.url?scp=85119126431&partnerID=8YFLogxK
U2 - 10.1002/cncr.34023
DO - 10.1002/cncr.34023
M3 - Review article
C2 - 34787913
AN - SCOPUS:85119126431
SN - 0008-543X
VL - 128
SP - 654
EP - 664
JO - Cancer
JF - Cancer
IS - 4
ER -