Annals of Surgical Oncology

, Volume 18, Issue 3, pp 611–618 | Cite as

Quality Measurement in Cancer Care Delivery

  • Nabil Wasif
  • Janice N. Cormier
  • Clifford Y. Ko
  • Laurence E. McCahill
  • Stephen B. Edge
  • Sandra L. Wong
  • Thomas Anthony
  • Daniel Kollmorgen
  • Stuart G. Marcus
  • Aaron Bleznak
  • Stanley P. L. Leong
Healthcare Policy and Outcomes


During the past decade, increasing emphasis has been placed on defining and measuring the quality of health care delivery. The Outcomes Committee of the Society of Surgical Oncology (SSO) was established in 2008 to explore and promote emerging outcomes-related topics that are most relevant to society membership. In recognition of the importance of health care quality, a mini-symposium was held at the SSO’s 63rd Annual Cancer Symposium in St. Louis, Missouri, in March 2010. The primary objective of the symposium was to define what constitutes quality measurement in cancer care. This article presents an overview of the symposium proceedings.


Cancer Care Quality Improvement Initiative National Quality Forum Quality Oncology Practice Initiative Breast Care Center 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



We appreciate the secretarial assistance of Sue Louiseau, California Pacific Medical Center, San Francisco, CA. The authors listed in this article (except Dr. Clifford Ko) represent current and outgoing members of the Society of Surgical Oncology Outcomes Research Committee, who contributed to the design and preparation of the mini-symposium held in March 2010 at the 63rd Annual Cancer Symposium in St. Louis, Missouri. We also acknowledge the incoming members, Drs. Robert S. Krouse, Steve K. Libutti, Carol J. Swallow, and Jeffrey D. Wayne for critical review of the manuscript.

Conflict of interest

No financial disclosures or conflicts of interest for any of the authors.


  1. 1.
    Hewitt MSJ. Ensuring quality cancer care. Washington DC: National Academy Press; 1999.Google Scholar
  2. 2.
    Wennberg JE. The surgical treatment of common diseases. The Darthmouth Atlas of Health Care. Chicago, IL: American Hospital Publishing, Inc.; 1998.Google Scholar
  3. 3.
    Ayanian JZ, Chrischilles EA, Fletcher RH, et al. Understanding cancer treatment and outcomes: the Cancer Care Outcomes Research and Surveillance Consortium. J Clin Oncol. 2004;22(15):2992–6.PubMedCrossRefGoogle Scholar
  4. 4.
    Cancer Care Outcomes Research and Surveillance (CanCORS) Consortium., Vol. 2010: National Cancer Institute.
  5. 5.
    Oliver A, Greenberg CC. Measuring outcomes in oncology treatment: the importance of patient-centered outcomes. Surg Clin North Am. 2009;89(1):17–25, vii.PubMedCrossRefGoogle Scholar
  6. 6.
    Quality of care. Council on Medical Service. JAMA. 1986;256(8):1032–4.CrossRefGoogle Scholar
  7. 7.
    Lohr KN, Donaldson MS, Harris-Wehling J. Medicare: a strategy for quality assurance, V: quality of care in a changing health care environment. QRB Qual Rev Bull. 1992;18(4):120–6.PubMedGoogle Scholar
  8. 8.
    Birkmeyer JD, Dimick JB, Birkmeyer NJ. Measuring the quality of surgical care: structure, process, or outcomes? J Am Coll Surg. 2004;198(4):626–32.PubMedCrossRefGoogle Scholar
  9. 9.
    Birkmeyer JD, Sun Y, Wong SL, Stukel TA. Hospital volume and late survival after cancer surgery. Ann Surg. 2007;245(5):777–83.PubMedCrossRefGoogle Scholar
  10. 10.
    Birkmeyer JD, Stukel TA, Siewers AE, et al. Surgeon volume and operative mortality in the United States. N Engl J Med. 2003;349(22):2117–27.PubMedCrossRefGoogle Scholar
  11. 11.
    Khuri SF. The NSQIP: a new frontier in surgery. Surgery 2005;138(5):837–43.PubMedCrossRefGoogle Scholar
  12. 12.
    Wilke LG, Ballman KV, McCall LM, et al. Adherence to the National Quality Forum (NQF) breast cancer measures within cancer clinical trials: a review from ACOSOG Z0010. Ann Surg Oncol. 17(8):1989–94.Google Scholar
  13. 13.
  14. 14.
    McCahill LE, Privette A, James T, et al. Quality measures for breast cancer surgery: initial validation of feasibility and assessment of variation among surgeons. Arch Surg. 2009;144(5):455–62; discussion 462–3.PubMedCrossRefGoogle Scholar
  15. 15.
  16. 16.
    Neuss MN, Desch CE, McNiff KK, et al. A process for measuring the quality of cancer care: the Quality Oncology Practice Initiative. J Clin Oncol. 2005;23(25):6233–9.PubMedCrossRefGoogle Scholar
  17. 17.
    Bilimoria KY, Bentrem DJ, Lillemoe KD, et al. Assessment of pancreatic cancer care in the United States based on formally developed quality indicators. J Natl Cancer Inst. 2009;101(12):848–59.PubMedCrossRefGoogle Scholar
  18. 18.
    Bilimoria KY, Raval MV, Bentrem DJ, et al. National assessment of melanoma care using formally developed quality indicators. J Clin Oncol. 2009;27(32):5445–51.PubMedCrossRefGoogle Scholar
  19. 19.
  20. 20.
    Bilimoria KY, Stewart AK, Winchester DP, Ko CY. The National Cancer Data Base: a powerful initiative to improve cancer care in the United States. Ann Surg Oncol. 2008;15(3):683–90.PubMedCrossRefGoogle Scholar
  21. 21.
    Carter A, Chiappetta V, Delev A, et al. Grasping the essentials of CP3R. J Registry Manag. 2009;36(3):92–4.PubMedGoogle Scholar
  22. 22.
    Aiello Bowles EJ, Tuzzio L, Wiese CJ, et al. Understanding high-quality cancer care: a summary of expert perspectives. Cancer. 2008;112(4):934–42.PubMedCrossRefGoogle Scholar
  23. 23.
    Wong SL, McCahill LE, Edge SB, et al. Getting to better cancer care: results of a society of surgical oncology survey. Ann Surg Oncol. 2008;15(9):2363–71.PubMedCrossRefGoogle Scholar

Copyright information

© Society of Surgical Oncology 2011

Authors and Affiliations

  • Nabil Wasif
    • 1
  • Janice N. Cormier
    • 2
  • Clifford Y. Ko
    • 3
  • Laurence E. McCahill
    • 4
  • Stephen B. Edge
    • 5
  • Sandra L. Wong
    • 6
  • Thomas Anthony
    • 7
  • Daniel Kollmorgen
    • 8
  • Stuart G. Marcus
    • 9
  • Aaron Bleznak
    • 10
  • Stanley P. L. Leong
    • 11
  1. 1.Mayo Clinic ArizonaPhoenixUSA
  2. 2.University of Texas MD Anderson Medical CenterHoustonUSA
  3. 3.David Geffen School of Medicine at UCLALos AngelesUSA
  4. 4.Lacks Cancer CenterGrand RapidsUSA
  5. 5.Roswell Park Cancer InstituteBuffaloUSA
  6. 6.University of Michigan Health SystemAnn ArborUSA
  7. 7.UT Southwestern Medical CenterDallasUSA
  8. 8.The Iowa Clinic/John Stoddard Cancer CenterWest Des MoinesUSA
  9. 9.Elizabeth Pfriem SWIM Center for Cancer CareSt. Vincent’s Medical CenterBridgeportUSA
  10. 10.John and Dorothy Morgan Cancer CenterLeigh Valley Health NetworkAllentownUSA
  11. 11.Center for Melanoma Research and TreatmentCalifornia Pacific Medical Center Research InstituteSan FranciscoUSA

Personalised recommendations