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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 Baffert  5 , Séverine Alran  6 , Fabien Reyal  6   7   8 , Thuy Nguyen  9 , Alix Combes  10 , Caroline Trichot  11 , Karine Alves  12 , Hélène Berseneff  13 , Roman Rouzier  1   2
Affiliations
Multicenter Study

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

Delphine Héquet et al. Br J Cancer. .

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
Figure 1
Preoperative imaging examinations.
Figure 2
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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