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A comparative analysis: international variation in PET-CT service provision in oncology-an International Cancer Benchmarking Partnership study.


ABSTRACT:

Objective

To explore differences in position emission tomography-computed tomography (PET-CT) service provision internationally to further understand the impact variation may have upon cancer services. To identify areas of further exploration for researchers and policymakers to optimize PET-CT services and improve the quality of cancer services.

Design

Comparative analysis using data based on pre-defined PET-CT service metrics from PET-CT stakeholders across seven countries. This was further informed via document analysis of clinical indication guidance and expert consensus through round-table discussions of relevant PET-CT stakeholders. Descriptive comparative analyses were produced on use, capacity and indication guidance for PET-CT services between jurisdictions.

Setting

PET-CT services across 21 jurisdictions in seven countries (Australia, Denmark, Canada, Ireland, New Zealand, Norway and the UK).

Participants

None.

Intervention(s)

None.

Main outcome measure(s)

None.

Results

PET-CT service provision has grown over the period 2006-2017, but scale of increase in capacity and demand is variable. Clinical indication guidance varied across countries, particularly for small-cell lung cancer staging and the specific acknowledgement of gastric cancer within oesophagogastric cancers. There is limited and inconsistent data capture, coding, accessibility and availability of PET-CT activity across countries studied.

Conclusions

Variation in PET-CT scanner quantity, acquisition over time and guidance upon use exists internationally. There is a lack of routinely captured and accessible PET-CT data across the International Cancer Benchmarking Partnership countries due to inconsistent data definitions, data linkage issues, uncertain coverage of data and lack of specific coding. This is a barrier in improving the quality of PET-CT services globally. There needs to be greater, richer data capture of diagnostic and staging tools to facilitate learning of best practice and optimize cancer services.

SUBMITTER: Lynch C 

PROVIDER: S-EPMC7896108 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature

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Publications

A comparative analysis: international variation in PET-CT service provision in oncology-an International Cancer Benchmarking Partnership study.

Lynch Charlotte C   Reguilon Irene I   Langer Deanna L DL   Lane Damon D   De Prithwish P   Wong Wai-Lup WL   Mckiddie Fergus F   Ross Andrew A   Shack Lorraine L   Win Thida T   Marshall Christopher C   Revheim Mona-Eliszabeth ME   Danckert Bolette B   Butler John J   Dizdarevic Sabina S   Louzado Cheryl C   Mcgivern Canice C   Hazlett Anne A   Chew Cindy C   O'connell Martin M   Harrison Samantha S  

International journal for quality in health care : journal of the International Society for Quality in Health Care 20210201 1


<h4>Objective</h4>To explore differences in position emission tomography-computed tomography (PET-CT) service provision internationally to further understand the impact variation may have upon cancer services. To identify areas of further exploration for researchers and policymakers to optimize PET-CT services and improve the quality of cancer services.<h4>Design</h4>Comparative analysis using data based on pre-defined PET-CT service metrics from PET-CT stakeholders across seven countries. This  ...[more]

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