1. Quality indicators for breast cancer care: A systematic review
- Author
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Maes-Carballo, Marta, Gómez-Fandiño, Yolanda, Reinoso-Hermida, Ayla, Estrada-López, Carlos Roberto, Martín-Díaz, Manuel, Khan, Khalid Saeed, Bueno-Cavanillas, Aurora, [Maes-Carballo,M, Gómez-Fandiño,Y, Reinoso-Hermida,A, Estrada-López,CR] Department of General Surgery, Complexo Hospitalario de Ourense, Ourense, Spain. [Maes-Carballo,M, Khan,KS, Bueno-Cavanillas,A] Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain. [Maes-Carballo,M] Department of General Surgery, Hospital de Verín, Ourense, Spain. [Martín-Díaz,CR] Department of General Surgery, Hospital Santa Ana de Motril, Granada, Spain. [Khan,KS, and Bueno-Cavanillas,A] CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain. [Bueno-Cavanillas,A] Instituto de Investigacion Biosanitaria IBS, Granada, Spain
- Subjects
Information Science::Information Science::Medical Informatics::Medical Informatics Applications::Information Systems::Databases as Topic::Databases, Bibliographic::PubMed::MEDLINE [Medical Subject Headings] ,Quality care ,Geographical Locations::Geographic Locations::Americas::North America [Medical Subject Headings] ,Health Care::Health Services Administration::Quality of Health Care::Quality Indicators, Health Care [Medical Subject Headings] ,Indicadores de calidad de la atención de salud ,Health care ,Quality indicators ,Geographical Locations::Geographic Locations::Europe::Italy [Medical Subject Headings] ,Health Care::Health Care Quality, Access, and Evaluation::Delivery of Health Care [Medical Subject Headings] ,Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] ,Health Care::Health Services Administration::Patient Care Management::Critical Pathways [Medical Subject Headings] ,Check Tags::Female [Medical Subject Headings] ,Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care [Medical Subject Headings] ,Breast cancer care ,Neoplasias de la mama ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal Studies::Follow-Up Studies [Medical Subject Headings] ,Geographical Locations::Geographic Locations::Europe::Belgium [Medical Subject Headings] ,Information Science::Information Science::Computing Methodologies::Computer Systems::Computer Communication Networks::Internet [Medical Subject Headings] ,Information Science::Information Science::Communications Media::Publications::Bibliography as Topic::Bibliometrics [Medical Subject Headings] ,Calidad de la atención de Salud ,Atención a la salud ,Diseases::Neoplasms::Neoplasms by Site::Breast Neoplasms [Medical Subject Headings] ,Health Care::Health Care Quality, Access, and Evaluation::Quality of Health Care::Standard of Care [Medical Subject Headings] ,Psychiatry and Psychology::Behavioral Disciplines and Activities::Mental Health Services::Counseling [Medical Subject Headings] - Abstract
Objectives We evaluated breast cancer (BC) care quality indicators (QIs) in clinical pathways and integrated health care processes. Methods Following protocol registration (Prospero no: CRD42021228867), relevant documents were identified, without language restrictions, through a systematic search of bibliographic databases (EMBASE, Scopus, Web of Science, MEDLINE), health care valuable representatives and the World Wide Web in April 2021. Data concerning QIs, measurement tools and compliance standards were extracted from European and North American sources in duplicate with 98% reviewer agreement. Results There were 89 QIs found from 22 selected documents (QI per document mean 13.5 with standard deviation 11.9). The Belgian (38 QIs) and the EUSOMA (European Society of Breast Cancer Specialists) (34 QIs) documents were the ones that best reported the QIs. No identical QI was identified in all the documents analysed. There were 67/89 QIs covering processes (75.3%) and 11/89 (12.4%) for each structure and outcomes QIs. There were 21/89 QIs for diagnosis (30.3%), 43/89 for treatment (48.3%), and 19/89 for staging, counselling, follow-up and rehabilitation (21.4%). Of 67 process QIs and 11 outcome QIs, 20/78 (26%) did not report a minimum standard of care. Shared decision making was only included as a QI in the Italian document. Conclusion More than half of countries have not established a national clinical pathway or integrated breast cancer care process to achieve the excellence of BC care. There was heterogeneity in QIs for the evaluation of BC care quality. Over two-thirds of the clinical pathways and integrated health care processes did not provide a minimum auditable standard of care for compliance, leaving open the definition of best practice. There is a need for harmonisation of BC care QIs. Yes
- Published
- 2021