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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
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]