MUSIC: patterns of care in the radiographic staging of men with newly diagnosed low risk prostate cancer.
Identifieur interne : 000E09 ( Main/Exploration ); précédent : 000E08; suivant : 000E10MUSIC: patterns of care in the radiographic staging of men with newly diagnosed low risk prostate cancer.
Auteurs : Ishai Ross ; Paul Womble ; Jun Ye ; Susan Linsell ; James E. Montie ; David C. Miller ; Michael L. Cher [États-Unis]Source :
- The Journal of urology [ 1527-3792 ] ; 2015.
Descripteurs français
- KwdFr :
- Amélioration de la qualité (MeSH), Comportement coopératif (MeSH), Humains (MeSH), Imagerie diagnostique (statistiques et données numériques), Mâle (MeSH), Risque (MeSH), Rétroaction (MeSH), Scintigraphie (MeSH), Sociétés médicales (MeSH), Stadification tumorale (MeSH), Tomodensitométrie (MeSH), Tumeurs de la prostate (anatomopathologie), Tumeurs de la prostate (imagerie diagnostique), Types de pratiques des médecins (MeSH).
- MESH :
- anatomopathologie : Tumeurs de la prostate.
- imagerie diagnostique : Tumeurs de la prostate.
- statistiques et données numériques : Imagerie diagnostique.
- Amélioration de la qualité, Comportement coopératif, Humains, Mâle, Risque, Rétroaction, Scintigraphie, Sociétés médicales, Stadification tumorale, Tomodensitométrie, Types de pratiques des médecins.
English descriptors
- KwdEn :
- Cooperative Behavior (MeSH), Diagnostic Imaging (statistics & numerical data), Feedback (MeSH), Humans (MeSH), Male (MeSH), Neoplasm Staging (MeSH), Practice Patterns, Physicians' (MeSH), Prostatic Neoplasms (diagnostic imaging), Prostatic Neoplasms (pathology), Quality Improvement (MeSH), Radionuclide Imaging (MeSH), Risk (MeSH), Societies, Medical (MeSH), Tomography, X-Ray Computed (MeSH).
- MESH :
- diagnostic imaging : Prostatic Neoplasms.
- pathology : Prostatic Neoplasms.
- statistics & numerical data : Diagnostic Imaging.
- Cooperative Behavior, Feedback, Humans, Male, Neoplasm Staging, Practice Patterns, Physicians', Quality Improvement, Radionuclide Imaging, Risk, Societies, Medical, Tomography, X-Ray Computed.
Abstract
PURPOSE
MUSIC is a statewide consortium of 42 urology practices that aims to improve the quality of prostate cancer care in Michigan. As an initial priority, we examined patterns of care in the radiographic staging of men with newly diagnosed prostate cancer. We determined whether collaborative-wide data review and performance feedback would decrease the imaging rate in men with low risk prostate cancer.
MATERIALS AND METHODS
Practices submitted standardized data, including the use and results of staging computerized tomography and bone scan, to a web based clinical registry of all men with newly diagnosed prostate cancer. We identified all patients with low risk prostate cancer and compared imaging use patterns before and after practice level performance feedback and guideline review, which were provided at collaborative-wide meetings.
RESULTS
In MUSIC 813 patients were newly diagnosed with low risk prostate cancer during the 19-month study period. Of 410 patients diagnosed in the prefeedback period (phase I) 15 (3.7%) and 21 (5.2%) underwent bone scan and computerized tomography, respectively. Of 403 patients diagnosed after feedback (phase II) radiographic staging was done in 5 men (1.3%) with bone scan and in 13 (3.2%) with computerized tomography (p = 0.03 and 0.17, respectively).
CONCLUSIONS
The overall rate of radiographic staging in men with newly diagnosed low risk prostate cancer was appropriately low. The imaging rate decreased even further after collaborative education and performance feedback. MUSIC appears to be a successful tool for quality improvement, affecting practice patterns and increasing efficiency of care.
DOI: 10.1016/j.juro.2014.10.102
PubMed: 25444985
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Montie</name><affiliation><nlm:affiliation>Department of Urology, University of Michigan, Ann Arbor, Michigan, for the Michigan Urological Surgery Improvement Collaborative.</nlm:affiliation><wicri:noCountry code="subField">for the Michigan Urological Surgery Improvement Collaborative</wicri:noCountry></affiliation></author><author><name sortKey="Miller, David C" sort="Miller, David C" uniqKey="Miller D" first="David C" last="Miller">David C. Miller</name><affiliation><nlm:affiliation>Department of Urology, University of Michigan, Ann Arbor, Michigan, for the Michigan Urological Surgery Improvement Collaborative.</nlm:affiliation><wicri:noCountry code="subField">for the Michigan Urological Surgery Improvement Collaborative</wicri:noCountry></affiliation></author><author><name sortKey="Cher, Michael L" sort="Cher, Michael L" uniqKey="Cher M" first="Michael L" last="Cher">Michael L. Cher</name><affiliation wicri:level="1"><nlm:affiliation>Department of Urology, Wayne State University, Detroit, Michigan, for the Michigan Urological Surgery Improvement Collaborative. Electronic address: mcher@med.wayne.edu.</nlm:affiliation><country wicri:rule="url">États-Unis</country></affiliation></author></analytic><series><title level="j">The Journal of urology</title><idno type="eISSN">1527-3792</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cooperative Behavior (MeSH)</term><term>Diagnostic Imaging (statistics & numerical data)</term><term>Feedback (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Neoplasm Staging (MeSH)</term><term>Practice Patterns, Physicians' (MeSH)</term><term>Prostatic Neoplasms (diagnostic imaging)</term><term>Prostatic Neoplasms (pathology)</term><term>Quality Improvement (MeSH)</term><term>Radionuclide Imaging (MeSH)</term><term>Risk (MeSH)</term><term>Societies, Medical (MeSH)</term><term>Tomography, X-Ray Computed (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Amélioration de la qualité (MeSH)</term><term>Comportement coopératif (MeSH)</term><term>Humains (MeSH)</term><term>Imagerie diagnostique (statistiques et données numériques)</term><term>Mâle (MeSH)</term><term>Risque (MeSH)</term><term>Rétroaction (MeSH)</term><term>Scintigraphie (MeSH)</term><term>Sociétés médicales (MeSH)</term><term>Stadification tumorale (MeSH)</term><term>Tomodensitométrie (MeSH)</term><term>Tumeurs de la prostate (anatomopathologie)</term><term>Tumeurs de la prostate (imagerie diagnostique)</term><term>Types de pratiques des médecins (MeSH)</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs de la prostate</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Prostatic Neoplasms</term></keywords><keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Tumeurs de la prostate</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Prostatic Neoplasms</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Diagnostic Imaging</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Imagerie diagnostique</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Cooperative Behavior</term><term>Feedback</term><term>Humans</term><term>Male</term><term>Neoplasm Staging</term><term>Practice Patterns, Physicians'</term><term>Quality Improvement</term><term>Radionuclide Imaging</term><term>Risk</term><term>Societies, Medical</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Amélioration de la qualité</term><term>Comportement coopératif</term><term>Humains</term><term>Mâle</term><term>Risque</term><term>Rétroaction</term><term>Scintigraphie</term><term>Sociétés médicales</term><term>Stadification tumorale</term><term>Tomodensitométrie</term><term>Types de pratiques des médecins</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>PURPOSE</b></p><p>MUSIC is a statewide consortium of 42 urology practices that aims to improve the quality of prostate cancer care in Michigan. As an initial priority, we examined patterns of care in the radiographic staging of men with newly diagnosed prostate cancer. We determined whether collaborative-wide data review and performance feedback would decrease the imaging rate in men with low risk prostate cancer.</p></div><div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b></p><p>Practices submitted standardized data, including the use and results of staging computerized tomography and bone scan, to a web based clinical registry of all men with newly diagnosed prostate cancer. We identified all patients with low risk prostate cancer and compared imaging use patterns before and after practice level performance feedback and guideline review, which were provided at collaborative-wide meetings.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>In MUSIC 813 patients were newly diagnosed with low risk prostate cancer during the 19-month study period. Of 410 patients diagnosed in the prefeedback period (phase I) 15 (3.7%) and 21 (5.2%) underwent bone scan and computerized tomography, respectively. Of 403 patients diagnosed after feedback (phase II) radiographic staging was done in 5 men (1.3%) with bone scan and in 13 (3.2%) with computerized tomography (p = 0.03 and 0.17, respectively).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>The overall rate of radiographic staging in men with newly diagnosed low risk prostate cancer was appropriately low. The imaging rate decreased even further after collaborative education and performance feedback. MUSIC appears to be a successful tool for quality improvement, affecting practice patterns and increasing efficiency of care.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25444985</PMID><DateCompleted><Year>2015</Year><Month>06</Month><Day>25</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1527-3792</ISSN><JournalIssue CitedMedium="Internet"><Volume>193</Volume><Issue>4</Issue><PubDate><Year>2015</Year><Month>Apr</Month></PubDate></JournalIssue><Title>The Journal of urology</Title><ISOAbbreviation>J Urol</ISOAbbreviation></Journal><ArticleTitle>MUSIC: patterns of care in the radiographic staging of men with newly diagnosed low risk prostate cancer.</ArticleTitle><Pagination><MedlinePgn>1159-62</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.juro.2014.10.102</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S0022-5347(14)04804-6</ELocationID><Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">MUSIC is a statewide consortium of 42 urology practices that aims to improve the quality of prostate cancer care in Michigan. As an initial priority, we examined patterns of care in the radiographic staging of men with newly diagnosed prostate cancer. We determined whether collaborative-wide data review and performance feedback would decrease the imaging rate in men with low risk prostate cancer.</AbstractText><AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">Practices submitted standardized data, including the use and results of staging computerized tomography and bone scan, to a web based clinical registry of all men with newly diagnosed prostate cancer. We identified all patients with low risk prostate cancer and compared imaging use patterns before and after practice level performance feedback and guideline review, which were provided at collaborative-wide meetings.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In MUSIC 813 patients were newly diagnosed with low risk prostate cancer during the 19-month study period. Of 410 patients diagnosed in the prefeedback period (phase I) 15 (3.7%) and 21 (5.2%) underwent bone scan and computerized tomography, respectively. Of 403 patients diagnosed after feedback (phase II) radiographic staging was done in 5 men (1.3%) with bone scan and in 13 (3.2%) with computerized tomography (p = 0.03 and 0.17, respectively).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The overall rate of radiographic staging in men with newly diagnosed low risk prostate cancer was appropriately low. The imaging rate decreased even further after collaborative education and performance feedback. MUSIC appears to be a successful tool for quality improvement, affecting practice patterns and increasing efficiency of care.</AbstractText><CopyrightInformation>Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ross</LastName><ForeName>Ishai</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Urology, Wayne State University, Detroit, Michigan, for the Michigan Urological Surgery Improvement Collaborative.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Womble</LastName><ForeName>Paul</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, Ann Arbor, Michigan, for the Michigan Urological Surgery Improvement Collaborative.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ye</LastName><ForeName>Jun</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, Ann Arbor, Michigan, for the Michigan Urological Surgery Improvement Collaborative.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Linsell</LastName><ForeName>Susan</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, Ann Arbor, Michigan, for the Michigan Urological Surgery Improvement Collaborative.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Montie</LastName><ForeName>James E</ForeName><Initials>JE</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, Ann Arbor, Michigan, for the Michigan Urological Surgery Improvement Collaborative.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Miller</LastName><ForeName>David C</ForeName><Initials>DC</Initials><AffiliationInfo><Affiliation>Department of Urology, University of Michigan, Ann Arbor, Michigan, for the Michigan Urological Surgery Improvement Collaborative.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Cher</LastName><ForeName>Michael L</ForeName><Initials>ML</Initials><AffiliationInfo><Affiliation>Department of Urology, Wayne State University, Detroit, Michigan, for the Michigan Urological Surgery Improvement Collaborative. Electronic address: mcher@med.wayne.edu.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2014</Year><Month>10</Month><Day>31</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>J Urol</MedlineTA><NlmUniqueID>0376374</NlmUniqueID><ISSNLinking>0022-5347</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D003299" MajorTopicYN="N">Cooperative Behavior</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003952" MajorTopicYN="N">Diagnostic Imaging</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005246" MajorTopicYN="N">Feedback</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010818" MajorTopicYN="Y">Practice Patterns, Physicians'</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011471" MajorTopicYN="N">Prostatic Neoplasms</DescriptorName><QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D058996" MajorTopicYN="N">Quality Improvement</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011877" MajorTopicYN="N">Radionuclide Imaging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012306" MajorTopicYN="N">Risk</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012955" MajorTopicYN="N">Societies, Medical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014057" MajorTopicYN="Y">Tomography, X-Ray Computed</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">diagnostic imaging</Keyword><Keyword MajorTopicYN="N">feedback</Keyword><Keyword MajorTopicYN="N">physician's practice patterns</Keyword><Keyword MajorTopicYN="N">prostatic neoplasms</Keyword><Keyword MajorTopicYN="N">quality improvement</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>10</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>12</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>12</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2015</Year><Month>6</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25444985</ArticleId><ArticleId IdType="pii">S0022-5347(14)04804-6</ArticleId><ArticleId IdType="doi">10.1016/j.juro.2014.10.102</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Linsell, Susan" sort="Linsell, Susan" uniqKey="Linsell S" first="Susan" last="Linsell">Susan Linsell</name><name sortKey="Miller, David C" sort="Miller, David C" uniqKey="Miller D" first="David C" last="Miller">David C. Miller</name><name sortKey="Montie, James E" sort="Montie, James E" uniqKey="Montie J" first="James E" last="Montie">James E. Montie</name><name sortKey="Ross, Ishai" sort="Ross, Ishai" uniqKey="Ross I" first="Ishai" last="Ross">Ishai Ross</name><name sortKey="Womble, Paul" sort="Womble, Paul" uniqKey="Womble P" first="Paul" last="Womble">Paul Womble</name><name sortKey="Ye, Jun" sort="Ye, Jun" uniqKey="Ye J" first="Jun" last="Ye">Jun Ye</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Cher, Michael L" sort="Cher, Michael L" uniqKey="Cher M" first="Michael L" last="Cher">Michael L. Cher</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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