Multicenter Study

. 2017 May 23;116(11):1394-1401.

doi: 10.1038/bjc.2017.114. Epub 2017 Apr 25.

Preoperative clinical pathway of breast cancer patients: determinants of compliance with EUSOMA quality indicators

Delphine Héquet^{1

2

3}, Cyrille Huchon^{2

4}, Sandrine Baffert⁵, Séverine Alran⁶, Fabien Reyal^{6

7

8}, Thuy Nguyen⁹, Alix Combes¹⁰, Caroline Trichot¹¹, Karine Alves¹², Hélène Berseneff¹³, Roman Rouzier^{1

2}

Affiliations

¹ Department of Surgical Oncology, Institut Curie-Centre René Huguenin, 35 Rue Dailly, 92210 Saint-Cloud, France.
² Equipe d'Accueil 7285, Risk and Safety in Clinical Medicine for Women and Perinatal Health, University Versailles-Saint-Quentin, 2 av de la source de la Bièvre, 78180 Montigny-le-Bretonneux, France.
³ School of Oncology, Paris-Sud University, ED418 Paris, France.
⁴ Department of Obstetrics and Gynecology, Hôpital de Poissy-St Germain, 10 Rue du Champ Gaillard, 78300 Poissy, France.
⁵ Center of studies and innovations in health, Fondation A. de Rothschild, 25 rue Manin, 75940 Paris, France.
⁶ Department of Surgical Oncology, Institut Curie, 26 rue d'Ulm, 75005 Paris, France.
⁷ Residual Tumor and Response to Treatment Lab, Translational Research Department, Institut Curie, 75005, Paris, France.
⁸ UMR932 Immunity and Cancer, INSERM, Institut Curie, 75005 Paris, France.
⁹ Department of Obstetrics and Gynecology, Assistance Publique-Hôpitaux de Paris, Hôpital Louis Mourier, 178 Rue des Renouillers, 92701 Colombes, France.
¹⁰ Department of Obstetrics and Gynecology, Hôpital André Mignot, 177 Rue de Versailles, 78150 Le Chesnay, France.
¹¹ Department of Obstetrics and Gynecology, Assistance Publique-Hôpitaux de Paris, Hôpital Antoine Béclère, 157 Rue de la Porte de Trivaux, 92140 Clamart, France.
¹² Department of Obstetrics and Gynecology, Hôpital Victor Dupouy, 95107 Argenteuil, France.
¹³ Department of Obstetrics and Gynecology, Hôpital René Dubos, 6 Avenue de l'Île de France, 95300, Pontoise, France.

PMID: 28441385
PMCID: PMC5520093
DOI: 10.1038/bjc.2017.114

Multicenter Study

Preoperative clinical pathway of breast cancer patients: determinants of compliance with EUSOMA quality indicators

Delphine Héquet et al. Br J Cancer. 2017.

. 2017 May 23;116(11):1394-1401.

doi: 10.1038/bjc.2017.114. Epub 2017 Apr 25.

Authors

Affiliations

¹ Department of Surgical Oncology, Institut Curie-Centre René Huguenin, 35 Rue Dailly, 92210 Saint-Cloud, France.
² Equipe d'Accueil 7285, Risk and Safety in Clinical Medicine for Women and Perinatal Health, University Versailles-Saint-Quentin, 2 av de la source de la Bièvre, 78180 Montigny-le-Bretonneux, France.
³ School of Oncology, Paris-Sud University, ED418 Paris, France.
⁴ Department of Obstetrics and Gynecology, Hôpital de Poissy-St Germain, 10 Rue du Champ Gaillard, 78300 Poissy, France.
⁵ Center of studies and innovations in health, Fondation A. de Rothschild, 25 rue Manin, 75940 Paris, France.
⁶ Department of Surgical Oncology, Institut Curie, 26 rue d'Ulm, 75005 Paris, France.
⁷ Residual Tumor and Response to Treatment Lab, Translational Research Department, Institut Curie, 75005, Paris, France.
⁸ UMR932 Immunity and Cancer, INSERM, Institut Curie, 75005 Paris, France.
⁹ Department of Obstetrics and Gynecology, Assistance Publique-Hôpitaux de Paris, Hôpital Louis Mourier, 178 Rue des Renouillers, 92701 Colombes, France.
¹⁰ Department of Obstetrics and Gynecology, Hôpital André Mignot, 177 Rue de Versailles, 78150 Le Chesnay, France.
¹¹ Department of Obstetrics and Gynecology, Assistance Publique-Hôpitaux de Paris, Hôpital Antoine Béclère, 157 Rue de la Porte de Trivaux, 92140 Clamart, France.
¹² Department of Obstetrics and Gynecology, Hôpital Victor Dupouy, 95107 Argenteuil, France.
¹³ Department of Obstetrics and Gynecology, Hôpital René Dubos, 6 Avenue de l'Île de France, 95300, Pontoise, France.

PMID: 28441385
PMCID: PMC5520093
DOI: 10.1038/bjc.2017.114

Abstract

Background: The European Society of Breast Cancer Specialists (EUSOMA) has defined quality indicators for breast cancer (BC). The aim of this study was to describe the preoperative clinical pathway of breast cancer patients and evaluate the determinants of compliance with EUSOMA quality indicators in the Optisoins01 cohort.

Methods: Optisoins01 is a prospective, multicentric study. Data from operable BC patients were collected, including results from before surgery to 1 year follow-up. Seven preoperative EUSOMA quality indicators were compared with the clinical pathways Optisoins01.

Results: Six hundred and four patients were included. European Society of Breast Cancer Specialists targets were reached for indicator 1 (completeness of clinical and imaging diagnostic work-up), 3 (preoperative definitive diagnosis) and 5 (waiting time). For indicator 8 (multidisciplinary discussion), the minimum standard of 90% of the patients was reached only in general hospitals and comprehensive cancer centres. Having more than 1 medical examination within the centre was associated with an increased waiting time for surgery, whereas it was reduced by having an outpatient breast biopsy. The comprehensive cancer centre type was the only parameter associated with the other quality indicators.

Conclusions: European Society of Breast Cancer Specialists quality indicators are a useful tool to evaluate care organisations. This study highlights the need for a standardised and coordinated preoperative clinical pathway.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

**Figure 1**
**Preoperative imaging examinations.**

**Figure 2**
**Waiting time for surgery in days**.(A) From first medical consultation within the centre. (B) From the first medical consultation in surgery within the centre.

See this image and copyright information in PMC

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Preoperative clinical pathway of breast cancer patients: determinants of compliance with EUSOMA quality indicators

Affiliations

Preoperative clinical pathway of breast cancer patients: determinants of compliance with EUSOMA quality indicators

Authors

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Conflict of interest statement

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