Multidisciplinary team meeting and EUSOMA quality indicators in breast cancer care: A French regional multicenter study.
In: Breast, Jg. 46 (2019-08-01), S. 170-177
Online
academicJournal
Zugriff:
We evaluate breast cancer (BC) pathway at a regional level including public, private and university institutions. We assessed the quality of multidisciplinary team meetings (MTM) and compliance with a panel of European high-quality indicators (EUSOMA QIs). We conducted a retrospective multicenter (n = 20) study in the largest health care region in France. Between January and April 2015, we included all patients discussed at an MTM after a diagnosis of BC (n = 619). We analyzed quality of MTM by assessing the quorum, the reliability of data transcription and the exhaustivity of pre-therapeutic MTM. We then analyzed the compliance with a selected panel of 16 EUSOMA QIs. During MTM discussion, data were more than 95% consistent with medical records for 9/11 items. Pre-operative tumor histology (90.6%) and post-operative resection margins (84.3%) were the least concordant between medical records and MTM. Minimum standards as defined by EUSOMA were reached for 11/16 QIs, but not reached for pathology reports in non-invasive BC (78.2%), proportion of exclusive sentinel lymph node biopsies in patients with clinically negative axilla (85.2%), performing adjuvant chemotherapy (76.6%), and proportion of patients discussed in pre-therapeutic and post-operative MTM (63.5%). In this multicentric study evaluating the quality of BC care with a representative sample of institutions, compliance with EUSOMA indicators was satisfactory for all type of institutions. However, too few patients were discussed in pre-therapeutic MTM (especially in non-university hospitals 43.7% [39.4–48.1]) versus 88.7% for others [82.2–95.1]) and data transcription was likely responsible for up to 15% of discordance. • Real-life breast cancer care access includes private, public and universitary institutions. • Compliance with EUSOMA Quality indicators was satisfactory in real-life conditions. • Improvements need to be made regarding discussion in pre-therapeutic MTMs. • Reliability of the data transcription for pathology reports exceeded 95%. • Up to 15% of pathology data regarding post-operative resection margins were missing. [ABSTRACT FROM AUTHOR]
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Multidisciplinary team meeting and EUSOMA quality indicators in breast cancer care: A French regional multicenter study.
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Autor/in / Beteiligte Person: | Pons-Tostivint, E. ; Daubisse-Marliac, L. ; Grosclaude, P. ; Oum sack, E. ; Goddard, J. ; Morel, C. ; Dunet, C. ; Sibrac, L. ; Lagadic, C. ; Bauvin, E. ; Bergé, Y. ; Bernard-Marty, C. ; Vaysse, C. ; Lacaze, J.L.L. |
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Zeitschrift: | Breast, Jg. 46 (2019-08-01), S. 170-177 |
Veröffentlichung: | 2019 |
Medientyp: | academicJournal |
ISSN: | 0960-9776 (print) |
DOI: | 10.1016/j.breast.2019.06.001 |
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