RESUMO
PURPOSE: To review current measures for renal cancer care and develop a comprehensive and updated list of measures for their practical use in Spain. METHODS: The study was developed by Fundación ECO, a Spanish foundation aiming to improve oncology quality of care. A systematic literature review was carried out to identify measures and knowledge gaps. A scientific committee composed of nine experts reviewed the literature findings and added measures. A preliminary list of 42 measures was evaluated with the Delphi method to gather feedback from 47 medical oncology experts in Spain. Experts scored the appropriateness of the measures and ranked their priority in two consecutive online surveys. The scientific committee reviewed the Delphi results and developed the measures. A technical group from Universidad Francisco de Vitoria conducted and oversaw the Delphi method. RESULTS: The Delphi method led to consensus on all 42 measures. The scientific committee used a prioritisation matrix to select 25 of these measures for evaluating quality of care in renal cancer. These measures regarded structure, process, and outcome and covered general management, diagnosis, treatment, follow-up, and evaluation of health outcomes. Easy-to-use index cards were developed for all 25 measures, including their definition, formula, acceptable level of attainment, and rationale. CONCLUSIONS: This manuscript aims to provide healthcare professionals with expert- and evidence-based measures that are useful for evaluating quality of care in renal cancer in Spain and cover all aspects and stages.
Assuntos
Técnica Delphi , Neoplasias Renais/terapia , Qualidade da Assistência à Saúde , Humanos , EspanhaRESUMO
Se presentan tres (3) casos de niños (2 varones y 1 hembra), quienes presentaron clínica de tumoración intrabdominal y fueron sometidos a intervención quirúrgica con el hallazgo de Bezoares de anime (poliestireno expandido). Uno de ellos (caso 2) presentó clínica de obstrucción intestinal. Interrogados los padres sobre el antecedente de masticar anime ablandado con gasolina, confirmaron este hecho que se ha tornado muy frecuentemente en los niños llaneros venezolanos. Finalmente se realiza una breve exposición de generalizaciones sobre los bezoares mas frecuentes, su diagnóstico y conducta