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Breast Cancer Care Quality Indicators in Spain: A Systematic Review

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  • Marta Maes-Carballo

    (Department of General Surgery, Complexo Hospitalario de Ourense, 32005 Ourense, Spain
    Department of Preventive Medicine and Public Health, University of Granada, 18016 Granada, Spain
    Department of General Surgery, Hospital Público de Verín, 32600 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
    CIBER of Epidemiology and Public Health (CIBERESP), 28029 Madrid, 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
    CIBER of Epidemiology and Public Health (CIBERESP), 28029 Madrid, Spain
    Instituto de Investigación Biosanitaria IBS, 18012 Granada, Spain)

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.

Suggested Citation

  • Marta Maes-Carballo & Yolanda Gómez-Fandiño & Carlos Roberto Estrada-López & Ayla Reinoso-Hermida & Khalid Saeed Khan & Manuel Martín-Díaz & Aurora Bueno-Cavanillas, 2021. "Breast Cancer Care Quality Indicators in Spain: A Systematic Review," IJERPH, MDPI, vol. 18(12), pages 1-14, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:12:p:6411-:d:574444
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
    3. Marta Maes-Carballo & Manuel Martín-Díaz & Luciano Mignini & Khalid Saeed Khan & Rubén Trigueros & Aurora Bueno-Cavanillas, 2021. "Evaluation of the Use of Shared Decision Making in Breast Cancer: International Survey," IJERPH, MDPI, vol. 18(4), pages 1-15, February.
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