<rdf:RDF xmlns:rdf="http://www.openarchives.org/OAI/2.0/rdf/" xmlns:ow="http://www.ontoweb.org/ontology/1#" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:ds="http://dspace.org/ds/elements/1.1/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/rdf/ http://www.openarchives.org/OAI/2.0/rdf.xsd">
   <ow:Publication rdf:about="oai:digibug.ugr.es:10481/69983">
      <dc:title>Breast Cancer Care Quality Indicators in Spain: A Systematic Review</dc:title>
      <dc:creator>Maes Carballo, Marta</dc:creator>
      <dc:creator>Saeed Khan, Khalid</dc:creator>
      <dc:creator>Martín Díaz, Manuel</dc:creator>
      <dc:creator>Bueno Cavanillas, Aurora</dc:creator>
      <dc:subject>Breast cancer care</dc:subject>
      <dc:subject>Quality indicators</dc:subject>
      <dc:subject>Quality care</dc:subject>
      <dc:subject>Health care</dc:subject>
      <dc:subject>Spanish quality care</dc:subject>
      <dc:description>Khalid S. Khan is a distinguished investigator funded by a Beatriz Galindo (senior modality) grant given to the University of Granada by the Spanish Ministry of Education.</dc:description>
      <dc:description>Breast cancer (BC) management care requires an increment in quality. An initiative to&#xd;
improve the BC quality care is registered, and quality indicators (QIs) are studied. We appraised&#xd;
the appearance of QIs and their standards systematically in Spain. A prospective systematic search&#xd;
(Prospero no: CRD42021228867) for clinical pathways and integrated breast cancer care processes was&#xd;
conducted through databases and the World Wide Web in February 2021. Duplicate data extraction&#xd;
was performed with 98% reviewer agreement. Seventy-four QIs (QI per document mean: 11; standard&#xd;
deviation: 10.59) were found in 15 documents. The Catalonian document had the highest number of&#xd;
QIs (n = 30). No QI appeared in all the documents. There were 9/74 QIs covering structure (12.16%),&#xd;
53/74 covering process (71.62%), and 12/74 covering outcome (16.22%). A total of 22/66 (33.33%)&#xd;
process and outcome QIs did not set a minimum standard of care. QIs related to primary care, patient&#xd;
satisfaction, and shared decision making were deficient. Most of the documents established a BC QI&#xd;
standard for compliance, but the high variability hinders the comparison of outcomes. Establishing a&#xd;
consensus-based set of QIs needs urgent attention.</dc:description>
      <dc:date>2021-07-30T07:22:36Z</dc:date>
      <dc:date>2021-07-30T07:22:36Z</dc:date>
      <dc:date>2021-06-13</dc:date>
      <dc:type>info:eu-repo/semantics/article</dc:type>
      <dc:identifier>Maes-Carballo,M... [et al.]. Breast Cancer Care Quality Indicators in Spain: A Systematic Review. Int. J. Environ. Res. Public Health 2021, 18, 6411. [https://doi.org/10.3390/ijerph18126411]</dc:identifier>
      <dc:identifier>http://hdl.handle.net/10481/69983</dc:identifier>
      <dc:identifier>10.3390/ijerph18126411</dc:identifier>
      <dc:language>eng</dc:language>
      <dc:rights>http://creativecommons.org/licenses/by/3.0/es/</dc:rights>
      <dc:rights>info:eu-repo/semantics/openAccess</dc:rights>
      <dc:rights>Atribución 3.0 España</dc:rights>
      <dc:publisher>MDPI</dc:publisher>
   </ow:Publication>
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