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Systematic Review

Breast Cancer Care Quality Indicators in Spain: A Systematic Review

1
Department of General Surgery, Complexo Hospitalario de Ourense, 32005 Ourense, Spain
2
Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain
3
Department of General Surgery, Hospital Público de Verín, 32600 Ourense, Spain
4
CIBER of Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
5
Department of General Surgery, Hospital de Motril, 18600 Granada, Spain
6
Instituto de Investigación Biosanitaria IBS, 18012 Granada, Spain
*
Author to whom correspondence should be addressed.
Academic Editors: Milan Terzic, Antonio Simone Laganà and Antonio Sarria-Santamera
Int. J. Environ. Res. Public Health 2021, 18(12), 6411; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126411
Received: 6 May 2021 / Revised: 8 June 2021 / Accepted: 11 June 2021 / Published: 13 June 2021
(This article belongs to the Special Issue Women Health and Gynecology)
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. View Full-Text
Keywords: breast cancer care; quality indicators; quality care; health care; Spanish quality care breast cancer care; quality indicators; quality care; health care; Spanish quality care
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MDPI and ACS Style

Maes-Carballo, M.; Gómez-Fandiño, Y.; Estrada-López, C.R.; Reinoso-Hermida, A.; Khan, K.S.; Martín-Díaz, M.; Bueno-Cavanillas, A. Breast Cancer Care Quality Indicators in Spain: A Systematic Review. Int. J. Environ. Res. Public Health 2021, 18, 6411. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126411

AMA Style

Maes-Carballo M, Gómez-Fandiño Y, Estrada-López CR, Reinoso-Hermida A, Khan KS, Martín-Díaz M, Bueno-Cavanillas A. Breast Cancer Care Quality Indicators in Spain: A Systematic Review. International Journal of Environmental Research and Public Health. 2021; 18(12):6411. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126411

Chicago/Turabian Style

Maes-Carballo, Marta, Yolanda Gómez-Fandiño, Carlos R. Estrada-López, Ayla Reinoso-Hermida, Khalid S. Khan, Manuel Martín-Díaz, and Aurora Bueno-Cavanillas. 2021. "Breast Cancer Care Quality Indicators in Spain: A Systematic Review" International Journal of Environmental Research and Public Health 18, no. 12: 6411. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph18126411

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