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• W3137647578 abstract "Value in healthcare can be defined as the degree of quality of care received as a function of the cost of delivering care. Value of care has never been formally measured for lung cancer. To our knowledge, there are no publications defining value in lung cancer from either the point of view of consumer, health service, government or funder. Any definition of value must however incorporate quality, service and cost. Lung cancer is the leading cancer burden in Australia, and the leading cause of cancer-related death. Population health efforts target prevention, screening and detection of early, potentially curable lung cancer, delivery of curative and palliative treatments to optimally manage lung cancer. Recently, targeted biologic and immunotherapeutics have demonstrated substantial benefit but also attach substantial economic implications. With each initiative to improve lung cancer outcomes, there is an urgent need to understand the cost, quality and value returned to patients and funding bodies to inform patients, providers and governments. This study was designed to address this universal problem. A cohort of 200 people diagnosed with non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC) over 4 months from 1 November 2020 will be identified at Lung Multidisciplinary meetings (MDMs) at 5 participating Victorian health services and data collected from the Victorian Lung Cancer Registry: 1.Quality indicators and clinical outcome measures stratified by stage, including proportions i) referred for smoking cessation; ii) receiving MDM discussion prior to definitive treatment; iii) stage I-III receiving treatment with curative intent (surgery/radical radiotherapy, multimodality treatment); iv) NSCLC receiving molecular testing, v) early palliative care referral, vi) emergency admissions, vii) screened for supportive care needs, viii) 1 year overall survival, ix) hospital readmissions for treatment related complications. 2.Patient Reported Measures collected at multiple timepoints including EORTC QLQ-C30, QLQ-LC29, QLU-C10D, a patient experience survey at diagnosis and at 12 months incorporating value-based priorities. 3.Consumer Focus Groupscto explore patient perceptions of quality and value with regard to care; utility and acceptability of study methods and consumer value rankings for treatments and outcomes by stage of disease. 4.Health service costs for diagnostic procedures and treatments to establish cost and cost variation for stage specific treatment, based on optimal treatment guidelines. A Value scorecard will be derived establishing a baseline VBHC model for lung cancer treatment in Victoria, aiming to identify stage-specific interventions to increase relative value for lung cancer care." @default.
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• W3137647578 date "2021-03-01" @default.
• W3137647578 modified "2023-09-27" @default.
• W3137647578 title "FP02.05 Value-Based Healthcare Study (VBHC) for Treating Lung Cancer in Victoria, Australia" @default.
• W3137647578 doi "https://doi.org/10.1016/j.jtho.2021.01.077" @default.
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