Implementing a breast cancer registry and treatment plan/summary program in clinical practice: A pilot program

Ann H. Partridge, Virginia W. Norris, Victoria S. Blinder, Bruce A. Cutter, Michael T. Halpern, Jennifer Malin, Michael N. Neuss, Antonio C Wolff

Research output: Contribution to journalArticle

Abstract

Background: There is a need to better measure and improve the quality of oncology care and improve communication with patients and other providers. The American Society of Clinical Oncology Breast Cancer Registry (BCR) pilot evaluated the feasibility and acceptability of prospective data collection for quality assessment in daily clinical practice. Data were used to create and share treatment plans/summaries (TPSs) at the point of care. Methods: Using a web-based tool, 20 diverse practices entered clinical data on each new early-stage breast cancer patient into the BCR for 14 months (September 2009 through November 2010). The tool created individual TPSs that were shared with patients. Practices received practice-specific and aggregate BCR quality measures data, participated in a survey, and received a participation stipend. Results: Twenty practices entered 2014 patients into the BCR, collecting demographic, clinical, and treatment information. Fifty-two percent of practice participants replied to an end-of-pilot survey: 73% were satisfied with the BCR and web-based tool, 31% expressed concern regarding time and effort, and 52% reported additional practice costs during the pilot. Among those who created or shared the TPSs, 90% thought the documents improved oncologist-patient communication, and 95% favored using BCR data for practice quality improvement. Conclusions: Prospective data collection for quality assessment is feasible and allows sharing of TPSs with patients at the point of care. Future efforts should focus on decreasing implementation burden to practices, broadening participation, examining costs, and, most importantly, assessing its effects on patient outcomes.

Original languageEnglish (US)
Pages (from-to)158-163
Number of pages6
JournalCancer
Volume119
Issue number1
DOIs
StatePublished - Jan 1 2013

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Registries
Breast Neoplasms
Point-of-Care Systems
Therapeutics
Communication
Costs and Cost Analysis
Quality of Health Care
Quality Improvement
Demography
Data Accuracy

Keywords

  • breast cancer
  • quality assessment
  • quality of care
  • treatment plan
  • treatment summary

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Partridge, A. H., Norris, V. W., Blinder, V. S., Cutter, B. A., Halpern, M. T., Malin, J., ... Wolff, A. C. (2013). Implementing a breast cancer registry and treatment plan/summary program in clinical practice: A pilot program. Cancer, 119(1), 158-163. https://doi.org/10.1002/cncr.27625

Implementing a breast cancer registry and treatment plan/summary program in clinical practice : A pilot program. / Partridge, Ann H.; Norris, Virginia W.; Blinder, Victoria S.; Cutter, Bruce A.; Halpern, Michael T.; Malin, Jennifer; Neuss, Michael N.; Wolff, Antonio C.

In: Cancer, Vol. 119, No. 1, 01.01.2013, p. 158-163.

Research output: Contribution to journalArticle

Partridge, AH, Norris, VW, Blinder, VS, Cutter, BA, Halpern, MT, Malin, J, Neuss, MN & Wolff, AC 2013, 'Implementing a breast cancer registry and treatment plan/summary program in clinical practice: A pilot program', Cancer, vol. 119, no. 1, pp. 158-163. https://doi.org/10.1002/cncr.27625
Partridge AH, Norris VW, Blinder VS, Cutter BA, Halpern MT, Malin J et al. Implementing a breast cancer registry and treatment plan/summary program in clinical practice: A pilot program. Cancer. 2013 Jan 1;119(1):158-163. https://doi.org/10.1002/cncr.27625
Partridge, Ann H. ; Norris, Virginia W. ; Blinder, Victoria S. ; Cutter, Bruce A. ; Halpern, Michael T. ; Malin, Jennifer ; Neuss, Michael N. ; Wolff, Antonio C. / Implementing a breast cancer registry and treatment plan/summary program in clinical practice : A pilot program. In: Cancer. 2013 ; Vol. 119, No. 1. pp. 158-163.
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