Using a Delphi process to determine optimal care for patients with pancreatic cancer

Elizabeth A. Burmeister*, Susan J. Jordan, Dianne L. O’Connell, Vanessa L. Beesley, David Goldstein, Helen M. Gooden, Monika Janda, Neil D. Merrett, David Wyld, Rachel E. Neale, Peter H. Cosman, Ann Bullen, Matthew Burge, Melissa Eastgate, Jennifer Powell, Mark Deuble, David Pryor, Jane Whelan, Luisa Algie, Saurabh Gupta & 27 others Stephen V. Lynch, Bryan H. Burmeister, Kellee Slater, David Fletcher, Guy Van Hazel, Spiro Raftopoulos, Nigel Spry, Meera Agar, Fabio Brecciaroli, Susan Caird, Donald Cameron, Philip Chan, Lorraine Chantrill, David Christie, Yu Jo Chua, John Croese, Michelle Cronk, Jon Gani, Peter Grimison, Saurabh Gupta, George Hruby, Michael Jefford, Neil Merrett, Jaswinder S. Samra, Kellee Slater, A. Peter Wysocki, The Pancreatic Cancer Clinical Working Group

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Aim: Overall 5-year survival for pancreatic cancer is ∼5%. Optimizing the care that pancreatic cancer patients receive may be one way of improving outcomes. The objective of this study was to establish components of care which Australian health professionals believe important to optimally manage patients with pancreatic cancer. Methods: Using a Delphi process, a multidisciplinary panel of 250 health professionals were invited to provide a list of factors they considered important for optimal care of pancreatic cancer patients. They were then asked to score and then rescore (from one [no importance/disagree] to 10 [very important/agree]) the factors. The mean and coefficient of variation scores were calculated and categorized into three levels of importance. Results: Overall, 63 (66% of those sent the final questionnaire; 25% of those initially invited) health professionals from nine disciplines completed the final scoring of 55 statements/factors encompassing themes of presentation/staging, surgery and biliary obstruction, multidisciplinary team details and oncology. Mean scores ranged from 3.7 to 9.7 with the highest related to communication and patient assessment. There was substantial intra- and interdisciplinary variation in views about MDT membership and roles. Conclusion: Overall, the opinions of Australian health professionals reflect international guideline recommended care; however, they identified a number of additional factors focusing on where patients should be treated, the importance of clear communication and the need for multidisciplinary care which were not included in current clinical practice guidelines. Differences in priorities between specialty groups were also identified.

Original languageEnglish
Pages (from-to)105-114
Number of pages10
JournalAsia-Pacific Journal of Clinical Oncology
Volume12
Issue number2
DOIs
Publication statusPublished - 1 Jun 2016
Externally publishedYes

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Keywords

  • Delivery of health care
  • Delphi technique
  • health services needs and demand
  • pancreatic neoplasm

Cite this

Burmeister, E. A., Jordan, S. J., O’Connell, D. L., Beesley, V. L., Goldstein, D., Gooden, H. M., ... The Pancreatic Cancer Clinical Working Group (2016). Using a Delphi process to determine optimal care for patients with pancreatic cancer. Asia-Pacific Journal of Clinical Oncology, 12(2), 105-114. https://doi.org/10.1111/ajco.12450