Matches in SemOpenAlex for { <https://semopenalex.org/work/W2981611633> ?p ?o ?g. }
- W2981611633 endingPage "e0224275" @default.
- W2981611633 startingPage "e0224275" @default.
- W2981611633 abstract "Background The European Society of Breast Cancer Specialists (EUSOMA), which aims to standardize the quality of patient care in Europe, has defined quality indicators (QIs) for breast cancer (BC) care to assess compliance to current care standards. These QIs are a useful tool to evaluate care organizations. Only population-based studies are able to assess health system performance in “real-life” situations. This population-based study aimed to describe compliance with several EUSOMA QIs overall and according to patient and organizational factors in France. Methods 1 560 adult women with primary invasive non-metastatic BC diagnosed in 2012 were randomly selected among all incident BC from 16 French geographical areas covered by cancer registries. Twelve EUSOMA QIs were selected regarding diagnosis, treatment and staging. Results The minimum standard as proposed by EUSOMA was met for nine QIs related to pre-operative definitive diagnosis, multidisciplinary discussion and treatment (single surgery, breast conserving surgery (BCS) for small BC (<3cm), radiotherapy after BCS or mastectomy for regional BC (pN≥2a), hormonotherapy, adjuvant chemotherapy and trastuzumab). Low compliance was observed for sentinel lymph node biopsy (SLNB) and staging imaging. Adherence to guidelines was usually lower in older patients and in patients with comorbidities. Multidisciplinary discussion was positively related to adherence to guidelines for diagnosis, staging practices (SNLB, imaging) and systemic treatments. Compliance also varied by area of residence and by place of first treatment. Conclusion This study provides the first current, comprehensive overview of BC quality care at a population level in France. The guidelines were correctly applied in percentage satisfying the EUSOMA standards for the diagnosis and treatment of BC, although staging practices (SLNB, imaging) can be improved. These results highlight the need for continuous measurement of adherence to guidelines to improve BC care." @default.
- W2981611633 created "2019-11-01" @default.
- W2981611633 creator A5003833541 @default.
- W2981611633 creator A5007332438 @default.
- W2981611633 creator A5033825608 @default.
- W2981611633 creator A5044197756 @default.
- W2981611633 creator A5046690613 @default.
- W2981611633 creator A5055775084 @default.
- W2981611633 creator A5056951751 @default.
- W2981611633 creator A5057539498 @default.
- W2981611633 creator A5083603550 @default.
- W2981611633 creator A5089533620 @default.
- W2981611633 date "2019-10-23" @default.
- W2981611633 modified "2023-10-18" @default.
- W2981611633 title "Compliance with clinical guidelines for breast cancer management: A population-based study of quality-of-care indicators in France" @default.
- W2981611633 cites W101597716 @default.
- W2981611633 cites W17213031 @default.
- W2981611633 cites W1851363103 @default.
- W2981611633 cites W1860311617 @default.
- W2981611633 cites W1887518047 @default.
- W2981611633 cites W1929666457 @default.
- W2981611633 cites W1967186439 @default.
- W2981611633 cites W1970080223 @default.
- W2981611633 cites W2000445173 @default.
- W2981611633 cites W2012093498 @default.
- W2981611633 cites W2013805861 @default.
- W2981611633 cites W2022487832 @default.
- W2981611633 cites W2022764038 @default.
- W2981611633 cites W2025792232 @default.
- W2981611633 cites W2037255715 @default.
- W2981611633 cites W2038349605 @default.
- W2981611633 cites W2069103088 @default.
- W2981611633 cites W2070515788 @default.
- W2981611633 cites W2079324017 @default.
- W2981611633 cites W2081733948 @default.
- W2981611633 cites W2082502637 @default.
- W2981611633 cites W2108531622 @default.
- W2981611633 cites W2127608757 @default.
- W2981611633 cites W2128458647 @default.
- W2981611633 cites W2128514773 @default.
- W2981611633 cites W2132203811 @default.
- W2981611633 cites W2132510833 @default.
- W2981611633 cites W2145825278 @default.
- W2981611633 cites W2146582800 @default.
- W2981611633 cites W2149684475 @default.
- W2981611633 cites W2152552553 @default.
- W2981611633 cites W2152613858 @default.
- W2981611633 cites W2152845541 @default.
- W2981611633 cites W2155057743 @default.
- W2981611633 cites W2166577681 @default.
- W2981611633 cites W2313145059 @default.
- W2981611633 cites W2607585966 @default.
- W2981611633 cites W2621729604 @default.
- W2981611633 cites W2736849515 @default.
- W2981611633 cites W2741397445 @default.
- W2981611633 cites W2751921465 @default.
- W2981611633 cites W2758656522 @default.
- W2981611633 cites W2889646458 @default.
- W2981611633 cites W2911872398 @default.
- W2981611633 cites W2922177721 @default.
- W2981611633 cites W2922249558 @default.
- W2981611633 cites W4245988852 @default.
- W2981611633 cites W4246253535 @default.
- W2981611633 cites W4252714226 @default.
- W2981611633 doi "https://doi.org/10.1371/journal.pone.0224275" @default.
- W2981611633 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6808419" @default.
- W2981611633 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/31644603" @default.
- W2981611633 hasPublicationYear "2019" @default.
- W2981611633 type Work @default.
- W2981611633 sameAs 2981611633 @default.
- W2981611633 citedByCount "18" @default.
- W2981611633 countsByYear W29816116332020 @default.
- W2981611633 countsByYear W29816116332021 @default.
- W2981611633 countsByYear W29816116332022 @default.
- W2981611633 countsByYear W29816116332023 @default.
- W2981611633 crossrefType "journal-article" @default.
- W2981611633 hasAuthorship W2981611633A5003833541 @default.
- W2981611633 hasAuthorship W2981611633A5007332438 @default.
- W2981611633 hasAuthorship W2981611633A5033825608 @default.
- W2981611633 hasAuthorship W2981611633A5044197756 @default.
- W2981611633 hasAuthorship W2981611633A5046690613 @default.
- W2981611633 hasAuthorship W2981611633A5055775084 @default.
- W2981611633 hasAuthorship W2981611633A5056951751 @default.
- W2981611633 hasAuthorship W2981611633A5057539498 @default.
- W2981611633 hasAuthorship W2981611633A5083603550 @default.
- W2981611633 hasAuthorship W2981611633A5089533620 @default.
- W2981611633 hasBestOaLocation W29816116331 @default.
- W2981611633 hasConcept C121608353 @default.
- W2981611633 hasConcept C126322002 @default.
- W2981611633 hasConcept C144024400 @default.
- W2981611633 hasConcept C17744445 @default.
- W2981611633 hasConcept C199539241 @default.
- W2981611633 hasConcept C22467394 @default.
- W2981611633 hasConcept C2777757722 @default.
- W2981611633 hasConcept C2779473830 @default.
- W2981611633 hasConcept C2780212769 @default.
- W2981611633 hasConcept C2781467025 @default.
- W2981611633 hasConcept C2908647359 @default.