Expanding the Scope of Evidence-Based Cancer Care

Victoria Rendell; Ryan Schmocker; Daniel E Abbott

doi:10.1016/j.soc.2018.05.012

Expanding the Scope of Evidence-Based Cancer Care

Surg Oncol Clin N Am. 2018 Oct;27(4):727-743. doi: 10.1016/j.soc.2018.05.012. Epub 2018 Jul 21.

Authors

Victoria Rendell¹, Ryan Schmocker¹, Daniel E Abbott²

Affiliations

¹ Division of General Surgery, Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI 53792, USA.
² Division of Surgical Oncology, Department of Surgery, Clinical Science Center, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Box 7375, Madison, WI 53792, USA; Division of General Surgery, Department of Surgery, Clinical Science Center, University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Box 7375, Madison, WI 53792, USA. Electronic address: abbott@surgery.wisc.edu.

PMID: 30213416
DOI: 10.1016/j.soc.2018.05.012

Abstract

This article explores how oncology research can be expanded to ensure that research spending results in maximum benefit. The focus has shifted to the value and quality of care, which view cancer care with the perspective of the patient at the center and cover the spectrum of care. Because there is no agreed-upon definition for value in cancer care, we overview various contributions to defining value and quality in oncology. We outline how cancer care costs are measured in the United States and explore outcome measures that have been proposed and implemented to enable us to assess value in oncology.

Keywords: Cancer costs; Health care disparities; Patient-centered outcomes; Quality; Value framework; Value-based cancer care.

Publication types

Review

MeSH terms

Evidence-Based Practice / standards*
Humans
Neoplasms / therapy*
Patient-Centered Care / standards*
Precision Medicine*
Quality Improvement*