title: Feasibility of evaluating quality cancer care using registry data and electronic health records: a population-based study.
abstract: OBJECTIVE
  To evaluate the quality of patients care, a set of indicators of the standards of cancer care were defined.
  
  
  METHODS
  
  
  
  METHODS
  
  
  
  METHODS
  We developed a set of indicators to assess the implementation in daily practice of recommendation produced by a regional network (Istituto Toscano Tumori). This set was tested in a retrospective study in the resident population of the Tuscany Region; the regional health system is organized on 12 local health authorities which refer to three macro areas (Area Vasta). The study included incident colorectal, lung and breast cancer cases listed in 2004 for the Tuscan Cancer Registry, a population-based registry which collected tumor cases diagnosed in all residents in Tuscany. Electronic data from registry database were used to determine the compliance with each indicator for patients in 2004. To validate the results, an ad hoc clinical survey including the same geographical area for the year 2006 was performed.
  
  
  METHODS
  None.
  
  
  METHODS
  The proportion of patients who fulfilled each of the indicators.
  
  
  RESULTS
  Our study showed the feasibility of the evaluation of the quality of cancer care using cancer registry population-based data and major computerized information systems. The estimation of the selected indicators confirmed a good homogeneity among areas, and globally revealed a good intraregional performance.
  
  
  CONCLUSIONS
  Further work is needed to develop specific quality measures, particularly about structural data and to continually revise indicators of quality of care. Data from a cancer registry, however, can be useful to evaluate quality of cancer care.
authors.affiliation: Epidemiologia Clinica e Descrittiva, ISPO, Firenze, Italia. a.caldarella@ispo.toscana.it
authors.forename: Adele
authors.initials: A
authors.lastname: Caldarella
authors.forename: Gianni
authors.initials: G
authors.lastname: Amunni
authors.forename: Catia
authors.initials: C
authors.lastname: Angiolini
authors.forename: Emanuele
authors.initials: E
authors.lastname: Crocetti
authors.forename: Francesco
authors.initials: F
authors.lastname: Di Costanzo
authors.forename: Angelo
authors.initials: A
authors.lastname: Di Leo
authors.forename: Francesco
authors.initials: F
authors.lastname: Giusti
authors.forename: Andrea Lopes
authors.initials: AL
authors.lastname: Pegna
authors.forename: Paola
authors.initials: P
authors.lastname: Mantellini
authors.forename: Lucio
authors.initials: L
authors.lastname: Luzzatto
authors.forename: Eugenio
authors.initials: E
authors.lastname: Paci
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis / Q000628:therapy; D015179:Colorectal Neoplasms / Q000175:diagnosis / Q000628:therapy; D057286:Electronic Health Records / Q000706:statistics & numerical data*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D007558:Italy; D008175:Lung Neoplasms / Q000175:diagnosis / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000175:diagnosis / Q000628:therapy*; D015397:Program Evaluation / Q000379:methods*; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care / Q000458:organization & administration*; D012042:Registries / Q000706:statistics & numerical data*