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Table 2 Summarized ratings of indicators retained from the rating round

From: Development of quality indicators for non-small cell lung cancer care: a first step toward assessing and improving quality of cancer care in China

Title.

Rating criteria and overall assessment (mean, coefficient of variation (%) and selectivity (%))

I-1

I-2

I-3

I-4

I-5

I-6

OVERALL

Structure indicators

 Availability of multidisciplinary lung cancer team

4.88

7.01

100.00

4.88

7.01100.00

4.81

8.38100.00

4.88

10.26 93.75

4.81

8.38100.00

4.56

13.79 93.75

4.75

9.42100.00

Process indicators

 Proportion of clinical stage III NSCLC patients for which a skeletal scintigraphy and a CT or MRI of the brain is done before the initiation of combination therapy

4.69

10.21

100.00

4.56

11.23100.00

4.44

14.18 93.75

4.50

18.14 93.75

4.44

14.18 93.75

4.56

13.79 93.75

4.50

14.05 93.75

 Proportion of NSCLC patients in advanced stages who receive performance status assessment

4.81

11.30

93.75

4.50

19.88 87.50

4.62

15.54 87.50

4.38

21.88 81.25

4.69

12.84 93.75

4.44

16.39 87.50

4.50

16.23 87.50

 Proportion of NSCLC patients who receive EGFR test before combination therapy

4.81

8.38100.00

4.62

13.39 93.75

4.56

11.23100.00

4.62

10.81100.00

4.06

26.16 75.00

4.38

24.86 87.50

4.56

13.79 93.75

 Proportion of pathology report available in the chart for NSCLC patients who have surgical resection

4.81

11.30

93.75

4.81

8.38100.00

4.75

12.15 93.75

4.56

17.84 81.25

4.50

19.88 87.50

4.69

12.84 93.75

4.75

14.38 87.50

 Proportion of NSCLC patients who obtain FEV1 and DLCO within 2 weeks before lung resection

4.75

9.42

100.00

4.62

13.39 93.75

4.69

10.21100.00

4.56

13.79 93.75

4.56

13.79 93.75

4.69

12.84 93.75

4.62

10.81100.00

 Proportion of NSCLC patients who receive ECG within 2 weeks before lung resection

4.56

13.79

93.75

4.56

13.79 93.75

4.62

10.81100.00

4.44

16.39 87.50

4.44

20.10 87.50

4.56

15.94 87.50

4.50

16.23 87.50

 Proportion of NSCLC patients staging I or II without contraindications who undergo curative resection

4.75

12.15

93.75

4.69

10.21100.00

4.75

12.15 93.75

4.75

9.42100.00

4.62

15.54 87.50

4.50

19.88 87.50

4.69

12.84 93.75

 Proportion of NSCLC patients staging IA without contraindications who receive lobectomy

4.56

15.94

87.50

4.50

14.05 93.75

4.88

7.01100.00

4.69

10.21100.00

4.19

21.74 81.25

4.50

14.05 93.75

4.50

14.05 93.75

 Proportion of NSCLC patients staging IB to II who receive lobectomy with adjuvant chemotherapy or lobectomy only

4.44

21.72

81.25

4.50

11.48100.00

4.56

11.23100.00

4.50

14.05 93.75

4.38

21.88 81.25

4.50

16.23 87.50

4.50

14.05 93.75

 Proportion of NSCLC patients with stage IIA, IIB or ΙΙΙA who receive adjuvant chemotherapy after curative resection

4.62

13.39

93.75

4.56

13.79 93.75

4.56

11.23100.00

4.62

10.81100.00

4.38

18.43 81.25

4.56

13.79 93.75

4.44

14.18 93.75

 Proportion of NSCLC patients with stage IIA, IIB or ΙΙΙA who receive cisplatin-based adjuvant chemotherapy within 3 to 4 weeks after undergoing curative resection

4.69

10.21

100.00

4.56

11.23100.00

4.50

14.05 93.75

4.44

14.18 93.75

4.31

18.39 81.25

4.75

9.42100.00

4.62

10.81100.00

 Proportion of NSCLC patients staging ΙΙΙB with malignant effusion or Ις who receive first-line chemotherapy

4.88

7.01

100.00

4.81

11.30 93.75

4.75

9.42100.00

4.81

8.38100.00

4.56

15.94 87.50

4.81

8.38100.00

4.75

9.42100.00

 Proportion of NSCLC patients staging ΙΙΙB or Ις who receive imaging study to assess response of chemotherapy at least once before the completion of four cycles

4.88

7.01

100.00

4.75

9.42100.00

4.81

8.38100.00

4.75

9.42100.00

4.50

18.14 81.25

4.56

17.84 93.75

4.81

8.38100.00

 Proportion of NSCLC patients staging I or II pathologically who receive postoperative radiation therapy after incomplete surgical resection

4.69

12.84

93.75

4.62

13.39 93.75

4.56

13.79 93.75

4.56

13.79 93.75

4.50

16.23 87.50

4.69

12.84 93.75

4.56

13.79 93.75

 Proportion of locally advanced NSCLC patients who receive neo-adjuvant chemotherapy

4.50

16.23

87.50

4.56

13.79 93.75

4.50

14.05 93.75

4.56

11.23100.00

4.38

18.43 81.25

4.56

15.94 87.50

4.44

16.39 87.50

 Proportion of locally advanced NSCLC patients with performance status 0 or 1 who receive combination therapy

4.88

7.01

100.00

4.88

7.01100.00

4.81

8.38100.00

4.75

12.15 93.75

4.75

12.15 93.75

4.56

13.79 93.75

4.88

7.01100.00

Communication indicators

 Proportion of NSCLC patients who are informed of a follow-up plan at the time of discharge from hospital

4.88

10.26

93.75

4.88

7.01100.00

4.94

5.06100.00

4.88

7.01100.00

4.88

7.01100.00

4.69

15.02 87.50

4.88

10.26 93.75

 Proportions of active smokers with NSCLC who have had smoking cessation counseling documented

4.75

21.05

93.75

4.44

24.64 87.50

4.56

22.59 93.75

4.62

13.39 93.75

4.38

21.88 81.25

4.50

16.23 87.50

4.56

17.84 93.75

 Proportion of NSCLC patients staging IA who are recommend adjuvant chemotherapy after curative resection (lower score: better)

4.69

12.84

93.75

4.56

15.94 87.50

4.62

13.39 93.75

4.44

16.39 87.50

4.38

18.43 81.25

4.44

20.10 87.50

4.50

16.23 87.50

Outcome indicators

 Post-operative complications

4.00

28.87

68.75

4.31

18.39 81.25

4.38

18.43 81.25

4.12

23.21 75.00

4.00

27.39 68.75

4.31

20.25 75.00

4.00

24.15 68.75

  1. I-1 scientific evidence, I-2 utility, I-3 interpretability, I-4 validity, I-5 preventability, I-6 data availability, CT computed tomography, MRI magnetic resonance imaging, EGFR epidermal growth factor receptor, FEV1 forced expiratory volume in one second, DLCO diffusing capacity of the lungs for carbon monoxide, ECG electrocardiogram. For each indicator, the first row listed mean ratings of each criteria, the second row listed coefficient of variation (%) and the third row listed selectivity for ratings of each criteria (%)