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360 Health Analysis (H360) — a comparison of key performance indicators in breast cancer management across health institution settings in Portugal

2023-07-23Journal article Open access
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dc.contributor.authorRego, Inês Brandão
dc.contributor.authorCoelho, Sara
dc.contributor.authorSemedo, Patrícia Miguel
dc.contributor.authorCavaco-Silva, Joana
dc.contributor.authorTeixeira, Laetitia
dc.contributor.authorSousa, Susana
dc.contributor.authorReis, Joana
dc.contributor.authorDinis, Rui
dc.contributor.authorSchmitt, Fernando
dc.contributor.authorAfonso, Noémia
dc.contributor.authorFougo, José Luís
dc.contributor.authorPavão, Francisco
dc.contributor.authorBaptista Leite, Ricardo
dc.contributor.authorCosta, Luís
dc.date.accessioned2023-09-13T14:38:02Z
dc.date.available2023-09-13T14:38:02Z
dc.date.issued2023-07-23
dc.description.abstractBackground: The increased focus on quality indicators (QIs) and the use of clinical registries in real-world cancer studies have increased compliance with therapeutic standards and patient survival. The European Society of Breast Cancer Specialists (EUSOMA) established QIs to assess compliance with current standards in breast cancer care. Methods: This retrospective study is part of H360 Health Analysis and aims to describe compliance with EUSOMA QIs in breast cancer management in different hospital settings (public vs. private; general hospitals vs. oncology centers). A set of key performance indicators (KPIs) was selected based on EUSOMA and previously identified QIs. Secondary data were retrieved from patients’ clinical records. Compliance with target KPIs in different disease stages was compared with minimum and target EUSOMA standards. Results: A total of 259 patient records were assessed. In stages I, II, and III, 18 KPIs met target EUSOMA standards, 5 met minimum standards, and 8 failed to meet minimum standards. Compliance with KPIs varied according to the type of hospital (particularly regarding diagnosis) and disease stage. Although small differences were found in KPI compliance among institutions, several statistical differences were found among treatment KPIs according to disease stage, particularly in stage III. Conclusions: This study represents the first assessment of the quality of breast cancer care in different hospital settings in Portugal and shows that, although most QIs meet EUSOMA standards, there is room for improvement. Differences have been found across institutions, particularly between oncology centers and general hospitals, in diagnosis and compliance with KPIs among disease stages. Stage III showed the greatest variability in compliance with treatment KPIs, probably related to the lower specificity of the guidelines in this disease stage.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.doi10.3390/curroncol30070451pt_PT
dc.identifier.eid85165919397
dc.identifier.issn1198-0052
dc.identifier.pmcPMC10378695
dc.identifier.pmid37504311
dc.identifier.urihttp://hdl.handle.net/10400.14/42334
dc.identifier.wos001035132000001
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectBreast cancerpt_PT
dc.subjectCompliancept_PT
dc.subjectEUSOMApt_PT
dc.subjectHealth systempt_PT
dc.subjectKey performance indicatorpt_PT
dc.subjectManagementpt_PT
dc.title360 Health Analysis (H360) — a comparison of key performance indicators in breast cancer management across health institution settings in Portugalpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage6065pt_PT
oaire.citation.issue7pt_PT
oaire.citation.startPage6041pt_PT
oaire.citation.titleCurrent Oncologypt_PT
oaire.citation.volume30pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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