Development of a Novel Statewide Learning Collaborative to Increase Lung Cancer Guideline Adherence and Improve Cancer Care Delivery
开发新型全州学习协作,以提高肺癌指南的遵守率并改善癌症护理服务
基本信息
- 批准号:10221631
- 负责人:
- 金额:$ 16.74万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2017
- 资助国家:美国
- 起止时间:2017-09-15 至 2022-08-31
- 项目状态:已结题
- 来源:
- 关键词:AccountingAddressAdherenceAmericanAnnual ReportsAreaAwardCancer EtiologyCancer PatientCaringCessation of lifeClinicalClinical ResearchClinical TrialsColon CarcinomaComplexConsensusDataDevelopmentDiagnostic testsDisciplineDissemination and ImplementationEnvironmentEvaluationEvaluation MethodologyFundingFutureGoalsGuideline AdherenceGuidelinesHealth Care CostsHospitalsIllinoisImageInfrastructureInterventionKnowledgeLearningMalignant NeoplasmsMalignant neoplasm of lungMalignant neoplasm of prostateMeasurableMeasurementMeasuresMedical OncologyMentorshipMethodsModelingMonitorOncologyOperative Surgical ProceduresOutcome MeasurePatientsPerformancePositioning AttributePostoperative PeriodPrevalenceProcessProviderPublishingQualitative MethodsQualitative ResearchQuality IndicatorQuality of CareQuantitative EvaluationsRadiation OncologyRecommendationResearchResearch MethodologyResearch PersonnelScienceSocietiesSpecialistStagingTechniquesTestingThoracic SurgeonThoracic Surgical ProceduresTrainingUnited StatesVariantWorkbasecancer carecancer therapycancer typecare deliverycare systemscareercareer developmentcomorbiditycomparativecosteffectiveness evaluationevidence baseevidence based guidelinesexperiencehospital performanceimplementation interventionimplementation scienceimplementation studyimprovedinnovationmalignant breast neoplasmmedical specialtiesmolecular markermortalitynovelpreferenceprogramsskillssuccesstherapy developmenttooluptake
项目摘要
Project Summary / Abstract
Lung cancer is the leading cause of cancer-related mortality in the United States, accounting for 221,200
new cases and 158,040 deaths annually (more than colon, breast and prostate cancers combined). Despite
the presence of well-developed guidelines for care, adherence to these recommendations is variable and often
poor. To help hospitals achieve optimal adherence to guidelines, meaningful comparative data on adherence
to measurable quality indicators in lung cancer care must first be gathered in order to identify areas for
improvement. Once such preliminary adherence data are available, assessing specific barriers to evidence-
based care will guide the development of interventions to address the barriers. Once the interventions are
combined into a quality improvement tool, systematic testing of implementation in a range of hospitals will be
needed to assess efficacy, feasibility, sustainability, and generalizability. This project proposes to use a
learning collaborative model to assess barriers to guideline adherence in lung cancer care and identify
solutions. The ultimate goal of the proposal is to improve guideline adherence and decrease unwanted
variation in lung cancer care. Lessons learned through evaluation of hospital adaptation and implementation of
interventions will lead to identification of common principles that can guide diverse types of hospitals in
providing effective, guideline adherent lung cancer care. This work will lead to a generalizable model to assess
cancer care quality, understand the underlying reasons for variability, improve adherence to national guidelines
and disseminate evidence-based best practices.
The candidate, Dr. Odell, is a board-certified general thoracic surgeon with both a clinical and research
focus on the treatment of lung cancer. His clinical training and prior research experience measuring outcomes
and assessing interventions to optimize lung cancer treatment and working within the Illinois Surgical Quality
Improvement Collaborative (ISQIC) has uniquely prepared him for this proposal. Dr. Odell's career goal is to
become an independently funded investigator who combines advanced quantitative and qualitative analytics
with expertise in implementation and dissemination science to facilitate effective, evidence-based cancer care
though hospital-based programs. To fulfill this goal, he will need specific additional training during this award
period to gain expertise in 3 areas: (1) quantitative evaluation methodology, (2) qualitative research methods,
and (3) implementation and dissemination science. The mentorship team, experienced collaborators,
institutional environment and robust quality improvement infrastructure of ISQIC are ideally suited to these
educational goals. Finally, the project serves as an ideal vehicle for my career development objectives and will
afford Dr. Odell the opportunity to directly apply the skills and techniques learned in qualitative methods,
quantitative improvement principles, and implementation science and will position him to perform ongoing,
innovate, independent research in cancer care delivery.
项目摘要/摘要
肺癌是美国癌症相关死亡的主要原因,占221,200人
每年新增病例和158,040例死亡(超过结肠癌、乳腺癌和前列腺癌的总和)。尽管
是否有完善的护理指南,遵守这些建议的情况是不同的,而且往往
可怜。帮助医院实现对指南的最佳遵守,关于遵守的有意义的比较数据
必须首先收集肺癌护理中可衡量的质量指标,以便确定
进步。一旦有了这样的初步遵守数据,评估证据的具体障碍-
以护理为基础的护理将指导制定干预措施,以解决障碍。一旦干预措施
结合成质量改进工具,将在一系列医院对实施情况进行系统测试
需要评估有效性、可行性、可持续性和普适性。该项目建议使用一个
评估肺癌治疗中遵守指南障碍的学习协作模式并确定
解决办法。该提案的最终目标是改善指导方针的遵从性并减少不必要的情况
肺癌护理的多样性。从医院适应和实施评估中吸取的教训
干预措施将导致确定共同原则,以指导不同类型的医院
提供有效的、遵守指南的肺癌护理。这项工作将导致一个可推广的模型来评估
癌症护理质量,了解变化的潜在原因,提高对国家指南的遵守
并传播基于证据的最佳做法。
候选人奥德尔博士是一名拥有临床和研究资格的普通胸外科医生。
着力抓好肺癌的治疗。他的临床培训和先前的研究经验衡量结果
和评估干预措施,以优化肺癌治疗和在伊利诺伊州外科质量范围内工作
改进合作组织(ISQIC)为他的这项提议做了独特的准备。奥德尔博士的职业目标是
成为一名独立出资的调查员,将先进的定量和定性分析结合在一起
具有实施和传播科学的专业知识,以促进有效的、以证据为基础的癌症护理
虽然以医院为基础的项目。为了实现这一目标,他需要在颁奖期间接受专门的额外培训。
在3个领域获得专门知识的时间:(1)定量评估方法,(2)定性研究方法,
(3)实施与传播学。导师团队,经验丰富的合作者,
ISQIC的制度环境和强大的质量改进基础设施非常适合这些
教育目标。最后,该项目是实现我的职业发展目标和意愿的理想工具
让奥德尔博士有机会直接应用在定性方法中学到的技能和技巧,
量化改进原则和实施科学,并将使他能够执行持续的、
在癌症护理服务方面创新、独立研究。
项目成果
期刊论文数量(21)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Venous Thromboembolism Chemoprophylaxis Adherence Rates After Major Cancer Surgery.
- DOI:10.1001/jamanetworkopen.2023.35311
- 发表时间:2023-09-05
- 期刊:
- 影响因子:13.8
- 作者:Logan CD;Hudnall MT;Schlick CJR;French DD;Bartle B;Vitello D;Patel HD;Woldanski LM;Abbott DE;Merkow RP;Odell DD;Bentrem DJ
- 通讯作者:Bentrem DJ
Pre-Intubation Veno-Venous Extracorporeal Membrane Oxygenation in Patients at Risk for Respiratory Decompensation.
- DOI:10.1182/ject-1900035
- 发表时间:2020-03-01
- 期刊:
- 影响因子:0
- 作者:Karim, Azad S;Son, Andre Y;Bharat, Ankit
- 通讯作者:Bharat, Ankit
The Unfulfilled Need for Technical Skill Assessments Among Academic Cardiothoracic Surgeons.
- DOI:10.1053/j.semtcvs.2021.05.016
- 发表时间:2022
- 期刊:
- 影响因子:2.5
- 作者:Bharadwaj SN;Luc JGY;Love R;Antonoff MB;Odell DD
- 通讯作者:Odell DD
Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot?
- DOI:10.1136/bmjqs-2019-009742
- 发表时间:2020-02-01
- 期刊:
- 影响因子:5.4
- 作者:Ellis, Ryan J.;Schlick, Cary Jo R.;Merkow, Ryan P.
- 通讯作者:Merkow, Ryan P.
Adherence to quality measures improves survival in esophageal cancer in a retrospective cohort study of the national cancer database from 2004 to 2016.
- DOI:10.21037/jtd-20-1347
- 发表时间:2020-10
- 期刊:
- 影响因子:2.5
- 作者:Adhia A;Feinglass J;Schlick CJ;Odell D
- 通讯作者:Odell D
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David D. Odell其他文献
Ex-vivo lung perfusion: National trends and post-transplant outcomes
离体肺灌注:全国性趋势及移植后结局
- DOI:
10.1016/j.healun.2024.09.020 - 发表时间:
2025-02-01 - 期刊:
- 影响因子:6.000
- 作者:
Jonathan E. Williams;Sara L. Schaefer;Ryan C. Jacobs;David D. Odell;Kiran H. Lagisetty;Aaron M. Williams - 通讯作者:
Aaron M. Williams
Pulmonary Artery Sling: A Rare Presentation With Tracheobronchial Malacia in an Adult
- DOI:
10.1378/chest.10290 - 发表时间:
2010-10-01 - 期刊:
- 影响因子:
- 作者:
David D. Odell;Adnan Majid;Charles T. Bakhos;Sidharta P. Gangadharan;Armin Ernst - 通讯作者:
Armin Ernst
Postoperative outcomes following lung resection performed at private equity–acquired hospitals
在私募股权收购的医院进行肺切除术后的结果
- DOI:
10.1016/j.jtcvs.2024.12.032 - 发表时间:
2025-06-01 - 期刊:
- 影响因子:4.400
- 作者:
Jonathan E. Williams;Sara L. Schaefer;Ryan C. Jacobs;Faelan Jacobson-Davies;Andrew M. Ibrahim;David D. Odell - 通讯作者:
David D. Odell
PP01.17 Neoadjuvant Therapy Before Resection of Primary Pulmonary Lymphoepithelial Carcinoma
原发性肺淋巴上皮癌切除术前的新辅助治疗
- DOI:
10.1016/j.jtho.2024.05.263 - 发表时间:
2024-07-01 - 期刊:
- 影响因子:20.800
- 作者:
Erik Wu;Joseph Reznicek;Anjana V. Yeldandi;Jyoti D. Patel;David D. Odell - 通讯作者:
David D. Odell
The Society of Thoracic Surgeons Looking to the Future Scholarship Program: A 15-Year Review
- DOI:
10.1016/j.athoracsur.2023.09.016 - 发表时间:
2024-04-01 - 期刊:
- 影响因子:
- 作者:
Dianela Perdomo;Rachel Pebworth;Jennifer S. Lawton;Ahmet Kilic;Rishindra M. Reddy;Elizabeth A. David;David D. Odell;Stephen C. Yang - 通讯作者:
Stephen C. Yang
David D. Odell的其他文献
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{{ truncateString('David D. Odell', 18)}}的其他基金
Development and Implementation of the REmote Telehealth User-Reported caNcer Surveillance (RETURNS) Program for Lung Cancer
肺癌远程医疗用户报告癌症监测 (RETURNS) 计划的开发和实施
- 批准号:
10802764 - 财政年份:2023
- 资助金额:
$ 16.74万 - 项目类别:
Development of a Novel Statewide Learning Collaborative to Increase Lung Cancer Guideline Adherence and Improve Cancer Care Delivery
开发新型全州学习协作,以提高肺癌指南的遵守率并改善癌症护理服务
- 批准号:
10017909 - 财政年份:2017
- 资助金额:
$ 16.74万 - 项目类别:
Development of a Novel Statewide Learning Collaborative to Increase Lung Cancer Guideline Adherence and Improve Cancer Care Delivery
开发新型全州学习协作,以提高肺癌指南的遵守率并改善癌症护理服务
- 批准号:
9763344 - 财政年份:2017
- 资助金额:
$ 16.74万 - 项目类别:
Full Project 2: Supporting High Risk African American Men in Research, Engagement & Decision Making (SHARED)
完整项目 2:支持高风险非裔美国男性进行研究和参与
- 批准号:
10082865 - 财政年份:2015
- 资助金额:
$ 16.74万 - 项目类别:
Full Project 2: Supporting High Risk African American Men in Research, Engagement & Decision Making (SHARED)
完整项目 2:支持高风险非裔美国男性进行研究和参与
- 批准号:
10266785 - 财政年份:2015
- 资助金额:
$ 16.74万 - 项目类别:
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