Maes-Carballo, MartaGómez-Fandiño, YolandaEstrada-López, Carlos RobertoReinoso-Hermida, AylaKhan, Khalid SaeedMartín-Díaz, ManuelBueno-Cavanillas, Aurora2022-10-262022-10-262021-06-13Maes-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):64111661-7827http://hdl.handle.net/10668/4286Breast 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.enAtribución 4.0 Internacionalhttp://creativecommons.org/licenses/by/4.0/Breast cancer careQuality indicatorsQuality careHealth careSpanish quality careNeoplasias de la mamaAtención al pacienteIndicadores de calidad de la atención de saludCalidad de la atención de saludEspañaRevisión sistemáticaMetaanálisisMedical Subject Headings::Check Tags::FemaleMedical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::HumansMedical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Epidemiologic Studies::Cohort Studies::Longitudinal Studies::Prospective StudiesMedical Subject Headings::Health Care::Health Services Administration::Quality of Health CareMedical Subject Headings::Geographical Locations::Geographic Locations::Europe::SpainMedical Subject Headings::Diseases::Neoplasms::Neoplasms by Site::Breast NeoplasmsMedical Subject Headings::Health Care::Health Services Administration::Quality of Health Care::Quality Indicators, Health CareMedical Subject Headings::Health Care::Health Services Administration::Organization and Administration::Public Relations::Consumer Satisfaction::Patient SatisfactionMedical Subject Headings::Health Care::Health Services Administration::Quality of Health Care::Quality Indicators, Health Care::Standard of CareMedical Subject Headings::Health Care::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Carereview article34199302open access10.3390/ijerph181264111660-4601PMC8296231