@misc{10481/71074,
year = {2021},
month = {10},
url = {http://hdl.handle.net/10481/71074},
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.},
organization = {Spanish Government},
publisher = {Elsevier},
keywords = {Breast cancer care},
keywords = {Quality indicators},
keywords = {Quality care},
keywords = {Health care},
title = {Quality indicators for breast cancer care: A systematic review},
doi = {10.1016/j.breast.2021.06.013},
author = {Maes Carballo, Marta and Gómez Fandiño, Yolanda and Estrada López, Carlos Roberto and Reinoso Hermida, Ayla and Saeed Khan, Khalid and Martín Díaz, Manuel and Bueno Cavanillas, Aurora},
}