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Annals of Oncology 2007 18(Supplement 6):vi179-vi184; doi:10.1093/annonc/mdm252
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© 2007 European Society for Medical Oncology

miscellaneous cancer

Agreement between oncology guidelines and clinical practice in Italy: the ‘right’ program. A project of the Italian Association of Medical Oncology (AIOM)

S Barni1,*, M Venturini2, GD Beretta3, S Gori4, A Molino5, C Carnaghi6, R Labianca7, S Sgarbi8, L Simoni8, E Maiello On behalf of the AIOM Guidelines Task Force9

1 Oncologia Medica, Azienda Ospedaliera, Treviglio, Milan
2 Ospedale Sacro Cuore, Negrar, Verona
3 Ospedale Sant'Orsola, Fatebenefratelli, Brescia
4 Azienda Ospedaliera, Perugia
5 Università Verona, Verona
6 Humanitas Milano, Milano
7 Ospedali Riuniti, Bergamo
8 MediData Studi e Ricerche, Modena
9 Casa Sollievo della Sofferenza, San Giovanni Rotondo, Italy

* Correspondence to: S. Barni, Oncologia Medica, Azienda Ospedaliera Caravaggio, Piazzale Ospedale, 1-24047 Treviglio, Milan, Italy. Tel: +39-036-3424223; Fax: +39-036-3424380; E-mail: sandro.barni{at}ospedale.treviglio.bg.it

Background: RIGHT (Research for the Identification of the most effective and hIGhly accepted clinical guidelines for the cancer Treatment) is a project promoted by the Italian Association of Medical Oncology (AIOM) to measure the concordance between oncology guidelines and clinical practice. The goal of this pilot phase was to develop and test a reliable process to measure this concordance nationwide.

Materials and methods: Twenty Italian centers participated to the survey. Breast cancer (BC) and colorectal cancer (CRC): guidelines issued by AIOM in 2003 were selected. A total of 29 indicators linked to the process of care were abstracted. Patients who had their first visit at the oncology center between February 2004 and June 2005, with a diagnosis of invasive BC (stage 1 or 2), colon cancer (stage 3), rectal cancer (stage T3–4 or N1–2) or advanced CRC were enclosed.

Results and conclusion: One hundred and sixty-one patients (80%) were analyzed. On average, 93% of BC and 80.3% of colorectal patients received recommended care. These first results indicate that the RIGHT system provides a valid measurement of oncology care to assess agreement with guidelines. A second larger phase of this nationwide monitoring program will enable results to be generalized.

Key words: breast cancer, colon cancer, guidelines adherence, Italian guidelines, process indicators


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