title: Development of indicators of the quality of radiotherapy for localized prostate cancer.
abstract: OBJECTIVE
  To develop a set of indicators of the quality of radiotherapy (RT) for localized prostate cancer.
  
  
  METHODS
  Following a comprehensive review of the literature to identify candidate quality indicators, we utilized a modified Delphi technique to develop a set of indicators of the quality of RT for localized prostate cancer. The first Delphi round consisted of an online survey in which radiation oncologists were asked to rate the importance of the candidate quality indicators. The second round was a face-to-face meeting of a smaller group of radiation oncologists to discuss, rate, and rank a final set of quality indicators.
  
  
  RESULTS
  The literature review identified 57 candidate quality indicators. After the two rounds of the Delphi process, a final set of 25 indicators was agreed upon. The set includes quality indicators covering all aspects of prostate cancer radical RT management: pre-treatment assessment, external beam RT, brachytherapy, androgen deprivation therapy, and follow-up.
  
  
  CONCLUSIONS
  This new set of quality indicators is more comprehensive than others described in the literature, and can be applied to patterns of care studies that assess the quality of RT for prostate cancer. The process used to develop this set of indicators can be readily adapted for use in other contexts.
authors: Department of Oncology, University of Alberta, Edmonton, Canada. brita.danielson@albertahealthservices.ca
authors: Brita
authors: B
authors: Danielson
authors: Michael
authors: M
authors: Brundage
authors: Robert
authors: R
authors: Pearcey
authors: Brenda
authors: B
authors: Bass
authors: Tom
authors: T
authors: Pickles
authors: Jean-Paul
authors: JP
authors: Bahary
authors: Kimberley
authors: K
authors: Foley
authors: William
authors: W
authors: Mackillop
mesh_terms: D003697:Delphi Technique; D017144:Focus Groups; D006801:Humans; D008297:Male; D010818:Practice Patterns, Physicians' / Q000592:standards*; D011471:Prostatic Neoplasms / Q000532:radiotherapy* / Q000628:therapy; D019984:Quality Indicators, Health Care; D011795:Surveys and Questionnaires