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ORIGINAL RESEARCH article
Front. Public Health
Sec. Health Economics
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1491226
Developing and Validating Key Performance Indicators for Breast, Cervical, and Colorectal Cancer Screening Programs: A Literature Review and Delphi survey
Provisionally accepted- Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Khuzestan, Iran
Early detection of cancer significantly impacts disease management and contributes to a reduction in cancer mortality rates. This study aims to identify, extract, systematize, and validate a set of indicators for breast, cervical, and colorectal cancer screening programs that are applicable and easily understood within any healthcare system.Methods: This study is conducted in two phases: a literature review and an expert panel evaluation. In the first phase, electronic databases-PubMed, Web of Science, and Scopus-were searched for articles published from January 2000 to November 2023. Two reviewers critically appraised the articles based on predefined inclusion and exclusion criteria. Indicators were extracted from the selected articles through content analysis. In the second phase, the extracted indicators were reviewed by ten experts. Consensus on the indicators was achieved through two consecutive rounds of review. Results: The final list comprises 30 indicators categorized into three dimensions: two for input, sixteen for process, and twelve for outcome. The overall content validity index (CVI) and content validity ratio (CVR) determined using the expert panel agreement approach, were high (≥ 0.9).
Keywords: cancer screening program, Key performance indicator, Systematic review, Content validation, delphi
Received: 05 Sep 2024; Accepted: 21 Mar 2025.
Copyright: © 2025 Jabbari, Najafpour, ourang and cheraghi. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Zhila Najafpour, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, 56131-56491, Khuzestan, Iran
Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.