Keywords
Quality of Health Care
Retrospective Studies
Observational Study
Adult
Cross-Sectional Studies
Attention
Humans
How to Cite
Abstract
Context: Thyroid cancer primarily affects adults, with a higher incidence in women and generally favorable prognosis. The use of indicators to assess and improve healthcare quality is crucial to meet patient needs and positively impact clinical outcomes.
Objective: To characterize the quality of healthcare provided to thyroid cancer patients at an oncological care institution.
Methodology: Retrospective observational study with literature review to identify quality indicators, selection of relevant indicators, and subsequent application in a clinical setting for patients treated between 2016 and 2017. Bivariate analysis was conducted to explore differences between sociodemographic factors and quality indicators.
Results: Literature review and expert consensus led to the compilation of ten indicators. Data from 300 patients were collected, with a median age at diagnosis of 51 years and 87.0% female. Most patients belonged to the subsidized healthcare regime, were residents of Bogotá, from socioeconomic stratum 2, and had up to high school education. Surgery was performed within 46.0 days, and iodine therapy within 64.4 days. Central/mediastinal lymph node dissection was optimal for 56.1% of patients, and 93.5% of intermediate-high risk patients received iodine therapy, with high percentages considered good quality. Bivariate analysis showed no significant differences between categories.
Conclusions: The timing of treatment and follow-up for patients aligned with literature expectations, and no significant differences in care quality were found across sociodemographic variables.
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