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QIs for advanced ovarian cancer surgery were developed using a four-step evaluation process Figure 1. The
strengths of the process include creation of a multidisciplinary international development group, use of scientific
evidence and/or international expert consensus to support the QIs, use of an international external review process
physicians and patients , use of a structured format to present the QIs, and management of potential conflicts of
interests.
It is inspired by published development processes and initiatives6-117 identified from a literature search carried
out 1 using a list of selected websites see Appendix 2, a nd 2 in Medline without any restriction in the search
period indexing terms: consensus, development process, e vidence-based medicine, method, methodology,
methodology research, program development, quality assurance, quality improvement, quality indicators, quality
management). This development process involved 3 face to face meetings of the international experts panel,
chaired by Professor Denis Querleu Institut Bergonié, Bordeaux, France convened in May 19, 2015 , in
September 4, 2015, and January 25, 2016.
Nomination of multidisciplinary international development group
Identification of potential QIs N = 15
Evaluation#1 Identification of scientific evidence 1st meeting
Evaluation#2
International experts independently evaluate the relevance and
feasibility of each QI
International experts panel discussion of each potential QI
10 quality indicators were retained
Synthesis of scientific evidence
Evaluation#3 External panel of physicians and patients international reviewers) 2nd meeting
Evaluation#4 evaluates the relevance and feasibility of retained QIs 3rd meeting
International experts panel discussion and integration of external panel
comments
Final decision on definition of QIs, specifications, targets, and scoring
system
Figure 1. Development process - A four-step evaluation process
OVARIAN CANCER SURGERY - QUALITY INDICATORS
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