RT Journal Article
T1 Breast Cancer Care Quality Indicators in Spain: A Systematic Review
A1 Maes-Carballo, Marta
A1 Gómez-Fandiño, Yolanda
A1 Estrada-López, Carlos Roberto
A1 Reinoso-Hermida, Ayla
A1 Khan, Khalid Saeed
A1 Martín-Díaz, Manuel
A1 Bueno-Cavanillas, Aurora
K1 Breast cancer care
K1 Quality indicators
K1 Quality care
K1 Health care
K1 Spanish quality care
K1 Neoplasias de la mama
K1 Atención al paciente
K1 Indicadores de calidad de la atención de salud
K1 Calidad de la atención de salud
K1 España
K1 Revisión sistemática
K1 Metaanálisis
AB 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.
PB MDPI
SN 1661-7827
YR 2021
FD 2021-06-13
LK http://hdl.handle.net/10668/4286
UL http://hdl.handle.net/10668/4286
LA en
NO Maes-Carballo M, Gómez-Fandiño Y, Estrada-López CR, Reinoso-Hermida A, Khan KS, Martín-Díaz M, et al. Breast Cancer Care Quality Indicators in Spain: A Systematic Review. Int J Environ Res Public Health. 2021 Jun 13;18(12):6411
DS RISalud
RD Apr 10, 2025