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360 Health Analysis (H360) - a proposal for an integrated vision of breast cancer in Portugal

2020-04-01Review article Open access
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datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorCoelho, Sara
dc.contributor.authorRego, Inês Brandão
dc.contributor.authorDionísio, Maria Rita
dc.contributor.authorCavaco-Silva, Joana
dc.contributor.authorSemedo, Patrícia Miguel
dc.contributor.authorPavão, Francisco
dc.contributor.authorLeite, Ricardo Baptista
dc.contributor.authorCosta, Luís
dc.date.accessioned2025-09-15T07:11:59Z
dc.date.available2025-09-15T07:11:59Z
dc.date.issued2020-04-01
dc.description.abstractH360 aims to provide a comprehensive picture of breast cancer management in Portugal by retrieving real-world data from 10 Portuguese hospitals and deriving a snapshot from the medical interpretation of evidence-based data to patient perspective on the quality and effectiveness of medical care provided. This article reviews evidence on breast cancer clinical practice and quality of care and disease management in Portugal. A review of evidence on breast cancer clinical practice and quality of care over the last 10 years was performed in PubMed using the query “Organization and Administration"[Mesh] AND "breast cancer"[All Fields] NOT “Review” [ptyp]. National cancer initiatives relevant for quality of care and national and international guidelines and consensus were analyzed. Retrieved results showed that breast cancer incidence is still increasing, including in Portugal. Studies investigating disease outcomes seek to derive improvements to clinical practice and better financial resource allocation. Setting performance measures (KPIs) in institutions treating cancer is not a reality in Portugal yet, but has potential to leverage the quality of clinical performance. A multidisciplinary approach within one health structure is also desirable. More investment in clinical (including academic) research is key to optimize the quality of care. Implementation of clinical practice guidelines (largely based on ESMO guidelines in Portugal) is crucial to improve patient outcomes. Not less importantly, quality of life is a treatment goal on its own in breast cancer care. Breast cancer remains a health challenge and a multidimensional, 360-degree appraisal, beyond the exclusively clinical perspective, may provide new insights towards an optimal patient-centered approach.eng
dc.identifier.citationCoelho, S., Rego, I. B., Dionísio, M. R., & Cavaco-Silva, J. et al. (2020). 360 Health Analysis (H360) - a proposal for an integrated vision of breast cancer in Portugal. European Journal of Breast Health, 16(2), 91-98. https://doi.org/10.5152/ejbh.2020.5144
dc.identifier.doi10.5152/ejbh.2020.5144
dc.identifier.eid85145217408
dc.identifier.issn2587-0831
dc.identifier.othera5519dc4-bc1c-40f1-995d-d4ae646e43eb
dc.identifier.pmcPMC7138355
dc.identifier.pmid32285029
dc.identifier.urihttp://hdl.handle.net/10400.14/54862
dc.identifier.wos000524026100004
dc.language.isoeng
dc.peerreviewedyes
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectBreast cancer
dc.subjectMultidimensional
dc.subjectPortugal
dc.subjectReal-world
dc.subjectReview
dc.title360 Health Analysis (H360) - a proposal for an integrated vision of breast cancer in Portugaleng
dc.typereview article
dspace.entity.typePublication
oaire.citation.endPage98
oaire.citation.issue2
oaire.citation.startPage91
oaire.citation.titleEuropean Journal of Breast Health
oaire.citation.volume16
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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