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5. Breast Cancer Care Quality Indicators in Spain: A Systematic Review

Author

Maes-Carballo, Marta, Gómez-Fandiño, Yolanda, Estrada-López, Carlos Roberto, Reinoso-Hermida, Ayla, Khan, Khalid Saeed, Martín-Díaz, Manuel, Bueno-Cavanillas, Aurora, [Maes-Carballo,M, Gómez-Fandiño,Y, Estrada-López,CR, Reinoso-Hermida,A] 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 Público de Verín, Ourense, Spain. [Khan,KS, and Bueno-Cavanillas,A] CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain. [Martín-Díaz,M] Department of General Surgery, Hospital de Motril, Granada, Spain. [Bueno-Cavanillas,A] Instituto de Investigación Biosanitaria IBS, Granada, Spain.

Subjects
Geographical Locations::Geographic Locations::Europe::Spain [Medical Subject Headings], Quality care, Health Care::Health Services Administration::Quality of Health Care [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, Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal Studies::Prospective Studies [Medical Subject Headings], España, Revisión sistemática, Health care, Quality indicators, Health Care::Health Services Administration::Organization and Administration::Public Relations::Consumer Satisfaction::Patient Satisfaction [Medical Subject Headings], Health Care::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care [Medical Subject Headings], Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings], Check Tags::Female [Medical Subject Headings], Breast cancer care, Neoplasias de la mama, Atención al paciente, Spanish quality care, Health Care::Health Services Administration::Quality of Health Care::Quality Indicators, Health Care::Standard of Care [Medical Subject Headings], Metaanálisis, Diseases::Neoplasms::Neoplasms by Site::Breast Neoplasms [Medical Subject Headings], Calidad de la atención de salud
Abstract

Breast cancer (BC) management care requires an increment in quality. An initiative to improve the BC quality care is registered, and quality indicators (QIs) are studied. We appraised the appearance of QIs and their standards systematically in Spain. A prospective systematic search (Prospero no: CRD42021228867) for clinical pathways and integrated breast cancer care processes was conducted through databases and the World Wide Web in February 2021. Duplicate data extraction was performed with 98% reviewer agreement. Seventy-four QIs (QI per document mean: 11; standard deviation: 10.59) were found in 15 documents. The Catalonian document had the highest number of QIs (n = 30). No QI appeared in all the documents. There were 9/74 QIs covering structure (12.16%), 53/74 covering process (71.62%), and 12/74 covering outcome (16.22%). A total of 22/66 (33.33%) process and outcome QIs did not set a minimum standard of care. QIs related to primary care, patient satisfaction, and shared decision making were deficient. Most of the documents established a BC QI standard for compliance, but the high variability hinders the comparison of outcomes. Establishing a consensus-based set of QIs needs urgent attention. Yes

Published
2021

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