Improvement in Clinical TNM Staging Documentation Within a Prostate Cancer Quality Improvement Collaborative

Objective To assess the effectiveness of a feedback and educational intervention to increase documentation of clinical tumor-node-metastasis (TNM) stage among urologists in a statewide quality improvement collaborative. Methods The Michigan Urological Surgery Improvement Collaborative (MUSIC) is a c...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2014-04, Vol.83 (4), p.781-787
Main Authors: Filson, Christopher P, Boer, Brooke, Curry, Jon, Linsell, Susan, Ye, Zaojun, Montie, James E, Miller, David C
Format: Article
Language:English
Subjects:
Biological and medical sciences
Cost-Benefit Analysis
Data Collection
Gynecology. Andrology. Obstetrics
Humans
Male
Male genital diseases
Medical sciences
Michigan
Multivariate Analysis
Neoplasm Staging - methods
Neoplasm Staging - standards
Nephrology. Urinary tract diseases
Pilot Projects
Practice Patterns, Physicians' - standards
Prostatic Neoplasms - diagnosis
Prostatic Neoplasms - pathology
Quality Improvement
Quality of Health Care
Treatment Outcome
Tumors
Tumors of the urinary system
Urinary tract. Prostate gland
Urology
Urology - standards
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Summary:Objective To assess the effectiveness of a feedback and educational intervention to increase documentation of clinical tumor-node-metastasis (TNM) stage among urologists in a statewide quality improvement collaborative. Methods The Michigan Urological Surgery Improvement Collaborative (MUSIC) is a consortium of urology practices that aims to improve the quality and cost-efficiency of prostate cancer care. In pilot data collection activities, trained abstractors recorded medical record documentation of clinical TNM stage by participating urologists. We compared levels of TNM stage documentation in 12 MUSIC practices at baseline and after performance feedback and a collaborative-wide educational intervention. We examined patient and practice characteristics associated with documentation of TNM stage. Results We accrued 491 and 581 men with newly diagnosed prostate cancer during the baseline and postfeedback phases of data collection, respectively. At baseline, 58% of patients had clinical TNM staging in the medical record, ranging from 19% to 96% across 12 practices ( P  
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2013.11.040