Evaluation step | Development process framework |
Evaluation #1 | Nomination of multidisciplinary IDG members. Identification of potential QIs (n=15). Identification of scientific evidence. IDG members independently evaluate the relevance and feasibility of each QI. |
Evaluation #2 | IDG members discuss each potential QI (first meeting). Ten QIs were retained. Synthesis of scientific evidence. |
Evaluation #3 | External international panel of physicians and patients evaluates the relevance and feasibility of retained QIs (international review). IDG members discuss and integrate the comments of the international reviewers (second meeting). A scoring system is designed. |
Evaluation #4 | Internal validation of the scoring system. The workgroup members complete a self-assessment form. Definition and target of criteria not universally met by expert centers are modified (third meeting). |
IDG, interdisciplinary group; QI, quality indicator.