360 Health Analysis (H360)—A Comparison of Key Performance Indicators in Breast Cancer Management across Health Institution Settings in Portugal
Background: 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...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-06-01
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| Series: | Current Oncology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1718-7729/30/7/451 |
| _version_ | 1827733401418858496 |
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| author | Inês Brandão Rego Sara Coelho Patrícia Miguel Semedo Joana Cavaco-Silva Laetitia Teixeira Susana Sousa Joana Reis Rui Dinis Fernando Schmitt Noémia Afonso José Luís Fougo Francisco Pavão Ricardo Baptista Leite Luís Costa |
| author_facet | Inês Brandão Rego Sara Coelho Patrícia Miguel Semedo Joana Cavaco-Silva Laetitia Teixeira Susana Sousa Joana Reis Rui Dinis Fernando Schmitt Noémia Afonso José Luís Fougo Francisco Pavão Ricardo Baptista Leite Luís Costa |
| author_sort | Inês Brandão Rego |
| collection | DOAJ |
| description | Background: 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. |
| first_indexed | 2024-03-11T01:10:51Z |
| format | Article |
| id | doaj.art-933b8e5a89ac45d7b855787822bd6e07 |
| institution | Directory Open Access Journal |
| issn | 1198-0052 1718-7729 |
| language | English |
| last_indexed | 2024-03-11T01:10:51Z |
| publishDate | 2023-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj.art-933b8e5a89ac45d7b855787822bd6e072023-11-18T18:55:23ZengMDPI AGCurrent Oncology1198-00521718-77292023-06-013076041606510.3390/curroncol30070451360 Health Analysis (H360)—A Comparison of Key Performance Indicators in Breast Cancer Management across Health Institution Settings in PortugalInês Brandão Rego0Sara Coelho1Patrícia Miguel Semedo2Joana Cavaco-Silva3Laetitia Teixeira4Susana Sousa5Joana Reis6Rui Dinis7Fernando Schmitt8Noémia Afonso9José Luís Fougo10Francisco Pavão11Ricardo Baptista Leite12Luís Costa13Institute of Health Sciences, Universidade Católica Portuguesa, Palma de Cima, 1649-023 Lisboa, PortugalInstitute of Health Sciences, Universidade Católica Portuguesa, Palma de Cima, 1649-023 Lisboa, PortugalInstitute of Health Sciences, Universidade Católica Portuguesa, Palma de Cima, 1649-023 Lisboa, PortugalInstitute of Health Sciences, Universidade Católica Portuguesa, Palma de Cima, 1649-023 Lisboa, PortugalInstitute of Health Sciences, Universidade Católica Portuguesa, Palma de Cima, 1649-023 Lisboa, PortugalInstitute of Health Sciences, Universidade Católica Portuguesa, Palma de Cima, 1649-023 Lisboa, PortugalHospital de São João, Centro Hospitalar Universitário de São João, 4200-319 Porto, PortugalHospital do Espírito Santo de Évora, 7000-811 Évora, PortugalFaculdade de Medicina da Universidade do Porto, 4200-319 Porto, PortugalCentro Hospitalar de Vila Nova de Gaia e Espinho, 4400-129 Vila Nova de Gaia, PortugalFaculdade de Medicina da Universidade do Porto, 4200-319 Porto, PortugalInstitute of Health Sciences, Universidade Católica Portuguesa, Palma de Cima, 1649-023 Lisboa, PortugalInstitute of Health Sciences, Universidade Católica Portuguesa, Palma de Cima, 1649-023 Lisboa, PortugalInstitute of Health Sciences, Universidade Católica Portuguesa, Palma de Cima, 1649-023 Lisboa, PortugalBackground: 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.https://www.mdpi.com/1718-7729/30/7/451breast cancercomplianceEUSOMAhealth systemkey performance indicatormanagement |
| spellingShingle | Inês Brandão Rego Sara Coelho Patrícia Miguel Semedo Joana Cavaco-Silva Laetitia Teixeira Susana Sousa Joana Reis Rui Dinis Fernando Schmitt Noémia Afonso José Luís Fougo Francisco Pavão Ricardo Baptista Leite Luís Costa 360 Health Analysis (H360)—A Comparison of Key Performance Indicators in Breast Cancer Management across Health Institution Settings in Portugal Current Oncology breast cancer compliance EUSOMA health system key performance indicator management |
| title | 360 Health Analysis (H360)—A Comparison of Key Performance Indicators in Breast Cancer Management across Health Institution Settings in Portugal |
| title_full | 360 Health Analysis (H360)—A Comparison of Key Performance Indicators in Breast Cancer Management across Health Institution Settings in Portugal |
| title_fullStr | 360 Health Analysis (H360)—A Comparison of Key Performance Indicators in Breast Cancer Management across Health Institution Settings in Portugal |
| title_full_unstemmed | 360 Health Analysis (H360)—A Comparison of Key Performance Indicators in Breast Cancer Management across Health Institution Settings in Portugal |
| title_short | 360 Health Analysis (H360)—A Comparison of Key Performance Indicators in Breast Cancer Management across Health Institution Settings in Portugal |
| title_sort | 360 health analysis h360 a comparison of key performance indicators in breast cancer management across health institution settings in portugal |
| topic | breast cancer compliance EUSOMA health system key performance indicator management |
| url | https://www.mdpi.com/1718-7729/30/7/451 |
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