Quality indicators in breast cancer care: An update from the EUSOMA working group.
Identifieur interne : 000518 ( Main/Exploration ); précédent : 000517; suivant : 000519Quality indicators in breast cancer care: An update from the EUSOMA working group.
Auteurs : Laura Biganzoli [Italie] ; Lorenza Marotti [Italie] ; Christopher D. Hart [Australie] ; Luigi Cataliotti [Italie] ; Bruno Cutuli [France] ; Thorsten Kühn [Allemagne] ; Robert E. Mansel [Royaume-Uni] ; Antonio Ponti [Italie] ; Philip Poortmans [France] ; Peter Regitnig [Autriche] ; Jos A. Van Der Hage [Pays-Bas] ; Yvonne Wengström [Suède] ; Marco Rosselli Del Turco [Italie]Source :
- European journal of cancer (Oxford, England : 1990) [ 1879-0852 ] ; 2017.
Abstract
In 2010, EUSOMA published a position paper, describing a set of benchmark quality indicators (QIs) that could be adopted by breast centres to allow standardised auditing and quality assurance and to establish an agreed minimum standard of care. Towards the end of 2014, EUSOMA decided to update the paper on QIs to consider and incorporate new scientific knowledge in the field. Several new QIs have been included to address the need for improved follow-up care of patients following primary treatments. With regard to the management of elderly patients, considering the complexity, the expert group decided that, for some specific quality indicators, if centres fail to meet the minimum standard, older patients will be excluded from analysis, provided that reasons for non-adherence to the QI are specified in the clinical chart and are identified at the review of the clinical records. In this way, high standards are promoted, but centres are able to identify and account for the effect of non-standard treatment in the elderly. In the paper, there is no QI for outcome measurements, such as relapse rate or overall survival. However, it is hoped that this will be developed in time as the databases mature and user experience increases. All breast centres are required to record outcome data as accurately and comprehensively as possible to allow this to occur. In the paper, different initiatives undertaken at international and national level to audit quality of care through a set of QIs have been mentioned.
DOI: 10.1016/j.ejca.2017.08.017
PubMed: 28963914
Affiliations:
- Allemagne, Australie, Autriche, France, Italie, Pays-Bas, Royaume-Uni, Suède
- Champagne-Ardenne, Grand Est, Hollande-Septentrionale, Latium, Piémont, Svealand, Île-de-France
- Amsterdam, Paris, Reims, Rome, Stockholm, Turin
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Hart</name><affiliation wicri:level="1"><nlm:affiliation>Nuovo Ospedale di Prato, Prato, Italy; St. Vincent's Hospital, Melbourne, Victoria, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Nuovo Ospedale di Prato, Prato, Italy; St. Vincent's Hospital, Melbourne, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Cataliotti, Luigi" sort="Cataliotti, Luigi" uniqKey="Cataliotti L" first="Luigi" last="Cataliotti">Luigi Cataliotti</name><affiliation wicri:level="1"><nlm:affiliation>Bccert and Senonetwork, Florence, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Bccert and Senonetwork, Florence</wicri:regionArea><wicri:noRegion>Florence</wicri:noRegion></affiliation></author><author><name sortKey="Cutuli, Bruno" sort="Cutuli, Bruno" uniqKey="Cutuli B" first="Bruno" last="Cutuli">Bruno Cutuli</name><affiliation wicri:level="3"><nlm:affiliation>Institut du Cancer Courlancy, Reims, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut du Cancer Courlancy, Reims</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Champagne-Ardenne</region><settlement type="city">Reims</settlement></placeName></affiliation></author><author><name sortKey="Kuhn, Thorsten" sort="Kuhn, Thorsten" uniqKey="Kuhn T" first="Thorsten" last="Kühn">Thorsten Kühn</name><affiliation wicri:level="1"><nlm:affiliation>Klinikum Esslingen, Esslingen, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Klinikum Esslingen, Esslingen</wicri:regionArea><wicri:noRegion>Esslingen</wicri:noRegion><wicri:noRegion>Esslingen</wicri:noRegion><wicri:noRegion>Esslingen</wicri:noRegion></affiliation></author><author><name sortKey="Mansel, Robert E" sort="Mansel, Robert E" uniqKey="Mansel R" first="Robert E" last="Mansel">Robert E. Mansel</name><affiliation wicri:level="1"><nlm:affiliation>Cardiff University, Cardiff, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Cardiff University, Cardiff</wicri:regionArea><wicri:noRegion>Cardiff</wicri:noRegion></affiliation></author><author><name sortKey="Ponti, Antonio" sort="Ponti, Antonio" uniqKey="Ponti A" first="Antonio" last="Ponti">Antonio Ponti</name><affiliation wicri:level="3"><nlm:affiliation>CPO Piemonte, AOU Città della Salute e della Scienza, Turin, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>CPO Piemonte, AOU Città della Salute e della Scienza, Turin</wicri:regionArea><placeName><settlement type="city">Turin</settlement><region type="région" nuts="2">Piémont</region></placeName></affiliation></author><author><name sortKey="Poortmans, Philip" sort="Poortmans, Philip" uniqKey="Poortmans P" first="Philip" last="Poortmans">Philip Poortmans</name><affiliation wicri:level="3"><nlm:affiliation>Institut Curie, Paris, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Institut Curie, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName></affiliation></author><author><name sortKey="Regitnig, Peter" sort="Regitnig, Peter" uniqKey="Regitnig P" first="Peter" last="Regitnig">Peter Regitnig</name><affiliation wicri:level="1"><nlm:affiliation>Medical University of Graz, Graz, Austria.</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Medical University of Graz, Graz</wicri:regionArea><wicri:noRegion>Graz</wicri:noRegion></affiliation></author><author><name sortKey="Van Der Hage, Jos A" sort="Van Der Hage, Jos A" uniqKey="Van Der Hage J" first="Jos A" last="Van Der Hage">Jos A. Van Der Hage</name><affiliation wicri:level="3"><nlm:affiliation>Antoni van Leeuwenhoek, The Netherland Cancer Institute, Amsterdam, The Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Antoni van Leeuwenhoek, The Netherland Cancer Institute, Amsterdam</wicri:regionArea><placeName><settlement type="city">Amsterdam</settlement><region nuts="2" type="province">Hollande-Septentrionale</region></placeName></affiliation></author><author><name sortKey="Wengstrom, Yvonne" sort="Wengstrom, Yvonne" uniqKey="Wengstrom Y" first="Yvonne" last="Wengström">Yvonne Wengström</name><affiliation wicri:level="3"><nlm:affiliation>Karolinska Institutet, Stockholm, Sweden.</nlm:affiliation><country xml:lang="fr">Suède</country><wicri:regionArea>Karolinska Institutet, Stockholm</wicri:regionArea><placeName><settlement type="city">Stockholm</settlement><region nuts="2">Svealand</region></placeName></affiliation></author><author><name sortKey="Rosselli Del Turco, Marco" sort="Rosselli Del Turco, Marco" uniqKey="Rosselli Del Turco M" first="Marco" last="Rosselli Del Turco">Marco Rosselli Del Turco</name><affiliation wicri:level="3"><nlm:affiliation>Radiology, Rome, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Radiology, Rome</wicri:regionArea><placeName><settlement type="city">Rome</settlement><region nuts="2">Latium</region></placeName></affiliation></author></analytic><series><title level="j">European journal of cancer (Oxford, England : 1990)</title><idno type="eISSN">1879-0852</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In 2010, EUSOMA published a position paper, describing a set of benchmark quality indicators (QIs) that could be adopted by breast centres to allow standardised auditing and quality assurance and to establish an agreed minimum standard of care. Towards the end of 2014, EUSOMA decided to update the paper on QIs to consider and incorporate new scientific knowledge in the field. Several new QIs have been included to address the need for improved follow-up care of patients following primary treatments. With regard to the management of elderly patients, considering the complexity, the expert group decided that, for some specific quality indicators, if centres fail to meet the minimum standard, older patients will be excluded from analysis, provided that reasons for non-adherence to the QI are specified in the clinical chart and are identified at the review of the clinical records. In this way, high standards are promoted, but centres are able to identify and account for the effect of non-standard treatment in the elderly. In the paper, there is no QI for outcome measurements, such as relapse rate or overall survival. However, it is hoped that this will be developed in time as the databases mature and user experience increases. All breast centres are required to record outcome data as accurately and comprehensively as possible to allow this to occur. In the paper, different initiatives undertaken at international and national level to audit quality of care through a set of QIs have been mentioned.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Autriche</li><li>France</li><li>Italie</li><li>Pays-Bas</li><li>Royaume-Uni</li><li>Suède</li></country><region><li>Champagne-Ardenne</li><li>Grand Est</li><li>Hollande-Septentrionale</li><li>Latium</li><li>Piémont</li><li>Svealand</li><li>Île-de-France</li></region><settlement><li>Amsterdam</li><li>Paris</li><li>Reims</li><li>Rome</li><li>Stockholm</li><li>Turin</li></settlement></list><tree><country name="Italie"><noRegion><name sortKey="Biganzoli, Laura" sort="Biganzoli, Laura" uniqKey="Biganzoli L" first="Laura" last="Biganzoli">Laura Biganzoli</name></noRegion><name sortKey="Cataliotti, Luigi" sort="Cataliotti, Luigi" uniqKey="Cataliotti L" first="Luigi" last="Cataliotti">Luigi Cataliotti</name><name sortKey="Marotti, Lorenza" sort="Marotti, Lorenza" uniqKey="Marotti L" first="Lorenza" last="Marotti">Lorenza Marotti</name><name sortKey="Ponti, Antonio" sort="Ponti, Antonio" uniqKey="Ponti A" first="Antonio" last="Ponti">Antonio Ponti</name><name sortKey="Rosselli Del Turco, Marco" sort="Rosselli Del Turco, Marco" uniqKey="Rosselli Del Turco M" first="Marco" last="Rosselli Del Turco">Marco Rosselli Del Turco</name></country><country name="Australie"><noRegion><name sortKey="Hart, Christopher D" sort="Hart, Christopher D" uniqKey="Hart C" first="Christopher D" last="Hart">Christopher D. Hart</name></noRegion></country><country name="France"><region name="Grand Est"><name sortKey="Cutuli, Bruno" sort="Cutuli, Bruno" uniqKey="Cutuli B" first="Bruno" last="Cutuli">Bruno Cutuli</name></region><name sortKey="Poortmans, Philip" sort="Poortmans, Philip" uniqKey="Poortmans P" first="Philip" last="Poortmans">Philip Poortmans</name></country><country name="Allemagne"><noRegion><name sortKey="Kuhn, Thorsten" sort="Kuhn, Thorsten" uniqKey="Kuhn T" first="Thorsten" last="Kühn">Thorsten Kühn</name></noRegion></country><country name="Royaume-Uni"><noRegion><name sortKey="Mansel, Robert E" sort="Mansel, Robert E" uniqKey="Mansel R" first="Robert E" last="Mansel">Robert E. 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