{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T10:09:12Z","timestamp":1789207752157,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T00:00:00Z","timestamp":1789171200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001171","name":"Cancer Institute NSW","doi-asserted-by":"publisher","award":["2022\/INN1253"],"award-info":[{"award-number":["2022\/INN1253"]}],"id":[{"id":"10.13039\/501100001171","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asia-Pac J Clncl Oncology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In Australia, clinical quality registries (CQRs) for cancer care are becoming increasingly common, requiring integration across multiple sectors of the health system. This study sought to identify the means to successful implementation of CQRs in Australia by identifying barriers and facilitators of implementation and sustainability, and drivers of acceptability and feasibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Online semi\u2010structured interviews were conducted between May and June 2023 with directors, program leads, data managers, clinical champions, and other staff involved in implementation or management of CQRs across Australia. Barriers to and facilitators of implementing and delivering CQRs were mapped to themes of the Consolidated Framework for Implementation Research (CFIR) V.2.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty stakeholders were interviewed. Participants identified a wide range of feasibility and implementation challenges for CQRs, with some questioning the ability of a CQR to facilitate clinical change. Participants strongly advocated for streamlined ethics and governance processes, appropriate technology infrastructure, sustainable funding, and workforce allocation. Stakeholders identified that the ongoing success of a CQR is influenced by lack of funding, low data quality, poor stakeholder motivation, and lack of training. Practical strategies to address challenges included developing a community of practice, clear training and guidelines, instating clinical champions, and appropriate pre\u2010planning.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Strong guidance to better support organizational oversight, training, management, and CQR operations will further strengthen and support successful future implementation. Practical strategies to address implementation challenges and to provide ongoing support for CQRs included developing a community of practice, clear training and guidelines, instating clinical champions, and appropriate pre\u2010planning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajco.70182","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T09:41:39Z","timestamp":1789206099000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Implementation and Management of Cancer Clinical Quality Registries in Australia: A Qualitative Study"],"prefix":"10.1111","author":[{"given":"Ashleigh R.","family":"Sharman","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan R.","family":"Clark","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Camperdown New South Wales Australia"},{"name":"Central Clinical School Faculty of Medicine and Health The University of Sydney  Camperdown New South Wales Australia"},{"name":"Royal Prince Alfred Institute of Academic Surgery Sydney Local Health District  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca L.","family":"Venchiarutti","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery Chris O'Brien Lifehouse  Camperdown New South Wales Australia"},{"name":"Sydney School of Public Health The University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,12]]},"reference":[{"issue":"1","key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.colegn.2017.02.005","article-title":"Patient\u2010Centred Care as an Approach to Improving Health Care in Australia","volume":"25","author":"Jo Delaney L.","year":"2018","journal-title":"Collegian"},{"key":"e_1_2_12_3_1","unstructured":"\u201cAustralian Framework for National Clinical Quality Registries 2024 \u201dAustralian Commission on Safety and Quality in Health Care Sydney Australia. published August 2024 https:\/\/www.safetyandquality.gov.au\/publications\u2010and\u2010resources\/resource\u2010library\/australian\u2010framework\u2010national\u2010clinical\u2010quality\u2010registries\u20102024."},{"issue":"2","key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1007\/s43441-019-00058-6","article-title":"Assessing Real\u2010World Data Quality: The Application of Patient Registry Quality Criteria to Real\u2010World Data and Real\u2010World Evidence","volume":"54","author":"Gliklich R. 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M.","year":"2011","journal-title":"Internal Medicine Journal"},{"issue":"4","key":"e_1_2_12_8_1","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1093\/jamia\/ocab293","article-title":"Barriers and Facilitators for the Implementation of Health Condition and Outcome Registry Systems: A Systematic Literature Review","volume":"29","author":"Lazem M.","year":"2022","journal-title":"Journal of the American Medical Informatics Association"},{"key":"e_1_2_12_9_1","unstructured":"Department of Health Disability and Ageing \u201cNational Clinical Quality Registry Program; \u201dAustralian Government last updated October 31 2025 https:\/\/www.health.gov.au\/our\u2010work\/national\u2010clinical\u2010quality\u2010registry\u2010program."},{"key":"e_1_2_12_10_1","unstructured":"Department of Health Disability and Ageing \u201cClinical Quality Registries\u2014Four Key Benefits for Your Health \u201dAustralian Government last updated July 23 2023 https:\/\/www.health.gov.au\/resources\/publications\/clinical\u2010quality\u2010registries\u2010four\u2010key\u2010benefits\u2010for\u2010your\u2010health?language=en%22AusGov %202023)."},{"issue":"12","key":"e_1_2_12_11_1","doi-asserted-by":"crossref","first-page":"537.e19","DOI":"10.1016\/j.urolonc.2022.08.012","article-title":"A Decade of Declining Prostatectomy Margin Positivity Within a Prostate Cancer Clinical Quality Registry","volume":"40","author":"Papa N.","year":"2022","journal-title":"Urologic Oncology: Seminars and Original Investigations"},{"issue":"2","key":"e_1_2_12_12_1","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/j.surg.2014.08.097","article-title":"Clinical Registries and Quality Measurement in Surgery: A\u00a0Systematic\u00a0Review","volume":"157","author":"Stey A. 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