Skip to main content

Research Repository

Advanced Search

The development of the Cystectomy-Pathway Assessment Tool (C-PAT): a concise tool to assess the quality of care in the cystectomy pathway

Uren, Alan; Cotterill, Nikki; Abrams, Paul; Catto, James; Patel, Biral; McGrath, John; Ahmed, Iram; Rowe, Edward

The development of the Cystectomy-Pathway Assessment Tool (C-PAT): a concise tool to assess the quality of care in the cystectomy pathway Thumbnail


Authors

Alan Uren

Profile image of Nikki Cotterill

N Nikki Cotterill Nikki.Cotterill@uwe.ac.uk
Professor of Long Term Conditions (Continence Care)

Paul Abrams

James Catto

Biral Patel

John McGrath

Iram Ahmed

Edward Rowe



Abstract

Objectives: To develop and test the psychometric properties of a concise, patient-reported questionnaire, designed to assess key aspects of the radical cystectomy (RC) patient pathway that are important to both patients and clinicians. Patients and Methods: Draft items were developed by a consultation with a 13-member expert clinical panel, and the in-depth qualitative analysis of 14 semi-structured interviews with patients who had received RC within the previous 18months. A further nine cognitive interviews with patients refined the items and ensured they were easy to complete. Pilot testing in 122 patients recruited from five hospitals in England tested the properties of validity and reliability of the resulting 17-item questionnaire. Results: Patients and clinicians identified the following aspects as important for the delivery of quality patient care. These included timely referral and initial test results; an explanation of risk/benefits of treatment; access to a cancer nurse specialist; training and support in stoma management; timely surgery, surgical complications, and timely follow-up. Pilot testing showed missing data was low (≤3% for all items), and between 73% and 89% of the responses to items were the most positive about their care (indicating ceiling effects). Five items were identified using factor analysis as being statistically related (Cronbach’s α 0.76, intraclass correlation coefficient test–retest reliability of 0.95) and formed the scored part of the tool ‘care and support’, scored 0–16. There was insufficient evidence at this stage to show the tool was capable of measuring differences between cancer centres. Conclusion: We have developed a questionnaire that captures aspects of quality of care within the RC patient pathway. The results support the validity and reliability of the 17-item Cystectomy-Pathway Assessment Tool (C-PAT). We envisage the tool can be the basis for audit of the patient reported assessment of the quality of care for individual cancer centres.

Journal Article Type Article
Acceptance Date Jul 1, 2021
Online Publication Date Jul 4, 2021
Publication Date 2022-06
Deposit Date Jul 12, 2021
Publicly Available Date Jul 5, 2022
Journal BJU International
Print ISSN 1464-4096
Electronic ISSN 1464-410X
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 129
Issue 6
Pages 708-717
DOI https://doi.org/10.1111/bju.15539
Keywords Bladder cancer, cystectomy, PREM, PROM, questionnaire
Public URL https://uwe-repository.worktribe.com/output/7510502

Files

The development of the C-PAT: a concise tool to assess the quality of care in the cystectomy pathway (768 Kb)
PDF

Licence
http://www.rioxx.net/licenses/all-rights-reserved

Publisher Licence URL
http://www.rioxx.net/licenses/all-rights-reserved

Copyright Statement
This is the peer reviewed version of the following article: Uren, A., Cotterill, N., Abrams, P., Catto, J., Patel, B., McGrath, J., …Rowe, E. (2022). The development of the Cystectomy-Pathway Assessment Tool (C-PAT): a concise tool to assess the quality of care in the cystectomy pathway. BJU International, 129(6), 708-717, which has been published in final form at https://doi.org/10.1111/bju.15539. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.


The development of the C-PAT: A concise tool to assess the quality of care in the cystectomy pathway (163 Kb)
Document

Licence
http://www.rioxx.net/licenses/all-rights-reserved

Publisher Licence URL
http://www.rioxx.net/licenses/all-rights-reserved

Copyright Statement
This is the peer reviewed version of the following article: [Uren, A., Cotterill, N., Abrams, P., Catto, J., Patel, B., McGrath, J., …Rowe, E. (in press). The development of the C-PAT: A concise tool to assess the quality of care in the cystectomy pathway. BJU International], which has been published in final form at https://doi.org/10.1111/bju.15539. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.








You might also like



Downloadable Citations