Breast Cancer Care Quality Indicators in Spain: A Systematic Review
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: CRD...
Gespeichert in:
| Veröffentlicht in: | International journal of environmental research and public health 2021-06, Vol.18 (12), p.6411 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | |
|---|---|
| container_issue | 12 |
| container_start_page | 6411 |
| container_title | International journal of environmental research and public health |
| container_volume | 18 |
| creator | Maes-Carballo, Marta Gómez-Fandiño, Yolanda Estrada-López, Carlos Roberto Reinoso-Hermida, Ayla Khan, Khalid Saeed Martín-Díaz, Manuel Bueno-Cavanillas, Aurora |
| description | 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. |
| doi_str_mv | 10.3390/ijerph18126411 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8296231</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2544977568</sourcerecordid><originalsourceid>FETCH-LOGICAL-c395t-e26b568c9e2cb0fc12426e11bd53f982f4338c373132cc3fd3cbb787a9dfd4f13</originalsourceid><addsrcrecordid>eNpdkc1LAzEUxIMotlavnhe8eNma5KXZjQehFj8KBdHqOWSzb23Kdrcmu5X-97a0iPU0A-_H8IYh5JLRPoCiN26OfjljKeNSMHZEukxKGgtJ2fEf3yFnIcwphVRIdUo6IJhSQHmXjO49mtBEI1NZ9BvxGL22pnTNOhpXubOmqX2IXBVNl8ZVt9Ewmq5DgwvTOBu94crh9zk5KUwZ8GKvPfLx-PA-eo4nL0_j0XASW1CDJkYus4FMrUJuM1pYxgWXyFiWD6BQKS8EQGohAQbcWihysFmWpIlReZGLgkGP3O1yl222wNxi1XhT6qV3C-PXujZOH14qN9Of9UqnXEkO24DrfYCvv1oMjV64YLEsTYV1GzQfiFQwyegWvfqHzuvWV5t6W0qoJNlU2VD9HWV9HYLH4vcZRvV2H324D_wAMqCCWg</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2544977568</pqid></control><display><type>article</type><title>Breast Cancer Care Quality Indicators in Spain: A Systematic Review</title><source>PubMed Central Open Access</source><source>MDPI - Multidisciplinary Digital Publishing Institute</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Maes-Carballo, Marta ; Gómez-Fandiño, Yolanda ; Estrada-López, Carlos Roberto ; Reinoso-Hermida, Ayla ; Khan, Khalid Saeed ; Martín-Díaz, Manuel ; Bueno-Cavanillas, Aurora</creator><creatorcontrib>Maes-Carballo, Marta ; Gómez-Fandiño, Yolanda ; Estrada-López, Carlos Roberto ; Reinoso-Hermida, Ayla ; Khan, Khalid Saeed ; Martín-Díaz, Manuel ; Bueno-Cavanillas, Aurora</creatorcontrib><description>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.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph18126411</identifier><identifier>PMID: 34199302</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Breast cancer ; Counseling ; Data analysis ; Decision making ; Health care ; Indicators ; Integrated delivery systems ; Patient care planning ; Quality control ; Quality standards ; Systematic Review ; Working groups ; World Wide Web</subject><ispartof>International journal of environmental research and public health, 2021-06, Vol.18 (12), p.6411</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c395t-e26b568c9e2cb0fc12426e11bd53f982f4338c373132cc3fd3cbb787a9dfd4f13</citedby><cites>FETCH-LOGICAL-c395t-e26b568c9e2cb0fc12426e11bd53f982f4338c373132cc3fd3cbb787a9dfd4f13</cites><orcidid>0000-0002-1595-9076 ; 0000-0001-5084-7312 ; 0000-0001-8627-4202 ; 0000-0002-4852-5100 ; 0000-0002-0649-3016</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8296231/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8296231/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,53789,53791</link.rule.ids></links><search><creatorcontrib>Maes-Carballo, Marta</creatorcontrib><creatorcontrib>Gómez-Fandiño, Yolanda</creatorcontrib><creatorcontrib>Estrada-López, Carlos Roberto</creatorcontrib><creatorcontrib>Reinoso-Hermida, Ayla</creatorcontrib><creatorcontrib>Khan, Khalid Saeed</creatorcontrib><creatorcontrib>Martín-Díaz, Manuel</creatorcontrib><creatorcontrib>Bueno-Cavanillas, Aurora</creatorcontrib><title>Breast Cancer Care Quality Indicators in Spain: A Systematic Review</title><title>International journal of environmental research and public health</title><description>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.</description><subject>Breast cancer</subject><subject>Counseling</subject><subject>Data analysis</subject><subject>Decision making</subject><subject>Health care</subject><subject>Indicators</subject><subject>Integrated delivery systems</subject><subject>Patient care planning</subject><subject>Quality control</subject><subject>Quality standards</subject><subject>Systematic Review</subject><subject>Working groups</subject><subject>World Wide Web</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc1LAzEUxIMotlavnhe8eNma5KXZjQehFj8KBdHqOWSzb23Kdrcmu5X-97a0iPU0A-_H8IYh5JLRPoCiN26OfjljKeNSMHZEukxKGgtJ2fEf3yFnIcwphVRIdUo6IJhSQHmXjO49mtBEI1NZ9BvxGL22pnTNOhpXubOmqX2IXBVNl8ZVt9Ewmq5DgwvTOBu94crh9zk5KUwZ8GKvPfLx-PA-eo4nL0_j0XASW1CDJkYus4FMrUJuM1pYxgWXyFiWD6BQKS8EQGohAQbcWihysFmWpIlReZGLgkGP3O1yl222wNxi1XhT6qV3C-PXujZOH14qN9Of9UqnXEkO24DrfYCvv1oMjV64YLEsTYV1GzQfiFQwyegWvfqHzuvWV5t6W0qoJNlU2VD9HWV9HYLH4vcZRvV2H324D_wAMqCCWg</recordid><startdate>20210613</startdate><enddate>20210613</enddate><creator>Maes-Carballo, Marta</creator><creator>Gómez-Fandiño, Yolanda</creator><creator>Estrada-López, Carlos Roberto</creator><creator>Reinoso-Hermida, Ayla</creator><creator>Khan, Khalid Saeed</creator><creator>Martín-Díaz, Manuel</creator><creator>Bueno-Cavanillas, Aurora</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-1595-9076</orcidid><orcidid>https://orcid.org/0000-0001-5084-7312</orcidid><orcidid>https://orcid.org/0000-0001-8627-4202</orcidid><orcidid>https://orcid.org/0000-0002-4852-5100</orcidid><orcidid>https://orcid.org/0000-0002-0649-3016</orcidid></search><sort><creationdate>20210613</creationdate><title>Breast Cancer Care Quality Indicators in Spain: A Systematic Review</title><author>Maes-Carballo, Marta ; Gómez-Fandiño, Yolanda ; Estrada-López, Carlos Roberto ; Reinoso-Hermida, Ayla ; Khan, Khalid Saeed ; Martín-Díaz, Manuel ; Bueno-Cavanillas, Aurora</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c395t-e26b568c9e2cb0fc12426e11bd53f982f4338c373132cc3fd3cbb787a9dfd4f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Breast cancer</topic><topic>Counseling</topic><topic>Data analysis</topic><topic>Decision making</topic><topic>Health care</topic><topic>Indicators</topic><topic>Integrated delivery systems</topic><topic>Patient care planning</topic><topic>Quality control</topic><topic>Quality standards</topic><topic>Systematic Review</topic><topic>Working groups</topic><topic>World Wide Web</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maes-Carballo, Marta</creatorcontrib><creatorcontrib>Gómez-Fandiño, Yolanda</creatorcontrib><creatorcontrib>Estrada-López, Carlos Roberto</creatorcontrib><creatorcontrib>Reinoso-Hermida, Ayla</creatorcontrib><creatorcontrib>Khan, Khalid Saeed</creatorcontrib><creatorcontrib>Martín-Díaz, Manuel</creatorcontrib><creatorcontrib>Bueno-Cavanillas, Aurora</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maes-Carballo, Marta</au><au>Gómez-Fandiño, Yolanda</au><au>Estrada-López, Carlos Roberto</au><au>Reinoso-Hermida, Ayla</au><au>Khan, Khalid Saeed</au><au>Martín-Díaz, Manuel</au><au>Bueno-Cavanillas, Aurora</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Breast Cancer Care Quality Indicators in Spain: A Systematic Review</atitle><jtitle>International journal of environmental research and public health</jtitle><date>2021-06-13</date><risdate>2021</risdate><volume>18</volume><issue>12</issue><spage>6411</spage><pages>6411-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><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.</abstract><cop>Basel</cop><pub>MDPI AG</pub><pmid>34199302</pmid><doi>10.3390/ijerph18126411</doi><orcidid>https://orcid.org/0000-0002-1595-9076</orcidid><orcidid>https://orcid.org/0000-0001-5084-7312</orcidid><orcidid>https://orcid.org/0000-0001-8627-4202</orcidid><orcidid>https://orcid.org/0000-0002-4852-5100</orcidid><orcidid>https://orcid.org/0000-0002-0649-3016</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1660-4601 |
| ispartof | International journal of environmental research and public health, 2021-06, Vol.18 (12), p.6411 |
| issn | 1660-4601 1661-7827 1660-4601 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8296231 |
| source | PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Breast cancer Counseling Data analysis Decision making Health care Indicators Integrated delivery systems Patient care planning Quality control Quality standards Systematic Review Working groups World Wide Web |
| title | Breast Cancer Care Quality Indicators in Spain: A Systematic Review |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-09T16%3A05%3A35IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Breast%20Cancer%20Care%20Quality%20Indicators%20in%20Spain:%20A%20Systematic%20Review&rft.jtitle=International%20journal%20of%20environmental%20research%20and%20public%20health&rft.au=Maes-Carballo,%20Marta&rft.date=2021-06-13&rft.volume=18&rft.issue=12&rft.spage=6411&rft.pages=6411-&rft.issn=1660-4601&rft.eissn=1660-4601&rft_id=info:doi/10.3390/ijerph18126411&rft_dat=%3Cproquest_pubme%3E2544977568%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2544977568&rft_id=info:pmid/34199302&rfr_iscdi=true |