Breast Cancer Care Quality Indicators in Spain: A Systematic Review

Marta Maes-Carballo, Yolanda Gómez-Fandiño, Carlos Roberto Estrada-López, Ayla Reinoso-Hermida, Khalid Saeed Khan, Manuel Martín-Díaz and Aurora Bueno-Cavanillas
Additional contact information
Marta Maes-Carballo: Department of General Surgery, Complexo Hospitalario de Ourense, 32005 Ourense, Spain
Yolanda Gómez-Fandiño: Department of General Surgery, Complexo Hospitalario de Ourense, 32005 Ourense, Spain
Carlos Roberto Estrada-López: Department of General Surgery, Complexo Hospitalario de Ourense, 32005 Ourense, Spain
Ayla Reinoso-Hermida: Department of General Surgery, Complexo Hospitalario de Ourense, 32005 Ourense, Spain
Khalid Saeed Khan: Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain
Manuel Martín-Díaz: Department of General Surgery, Hospital de Motril, 18600 Granada, Spain
Aurora Bueno-Cavanillas: Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain

IJERPH, 2021, vol. 18, issue 12, 1-14

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.

Keywords: breast cancer care; quality indicators; quality care; health care; Spanish quality care (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/18/12/6411/pdf (application/pdf)
https://www.mdpi.com/1660-4601/18/12/6411/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:18:y:2021:i:12:p:6411-:d:574444

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().