A Quality Review of the Timeliness of Breast Cancer Diagnosis and Treatment in an Integrated Breast Center

Landercasper, Jeffrey; Linebarger, Jared H.; Ellis, Richard L.; Mathiason, Michelle A.; Johnson, James C.; Marcou, Kristen A.; Maiffe, Brooke M. De; Jago, Gayle S.

doi:10.1016/j.jamcollsurg.2010.01.015

Cited by 49 publications

(33 citation statements)

References 22 publications

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“…The National Initiative on Cancer Care Quality (NICCQ) set a clinical target of less than 5 days for this specific interval, 20 a goal this institution can work toward by continuing to use the navigation program to identify and address barriers in specific populations. Although factors influencing time intervals in breast cancer care are complex, empirically measuring internal processes, such as timeliness and completeness of care, is important for identifying potential delays in access to care and creating a more targeted intervention in the future.…”

Section: Discussionmentioning

confidence: 99%

“…This time interval is significant because this time can be very stressful for patients with the overwhelming amount of education that is required to make an informed decision. 20 After diagnosis, the patient may need several different tests or diagnostic imaging before initial consultation, which a navigator can also help to facilitate. When this step is completed more quickly, the subsequent intervals, such as time to treatment, are also improved.…”

Section: Introductionmentioning

confidence: 99%

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The effect of nurse navigation on timeliness of breast cancer care at an academic comprehensive cancer center

Basu

Linebarger

Gabram

et al. 2013

Cancer

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BACKGROUND: A patient navigation process is required for accreditation by the National Accreditation Program for Breast Centers (NAPBC). Patient navigation has previously been shown to improve timely diagnosis in patients with breast cancer. This study sought to assess the effect of nurse navigation on timeliness of care following the diagnosis of breast cancer by comparing patients who were treated in a comprehensive cancer center with and without the assistance of nurse navigation. METHODS: Navigation services were initiated at an NAPBC-accredited comprehensive breast center in July 2010. Two 9-month study intervals were chosen for comparison of timeliness of care:

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effect of nurse navigation on timeliness of breast cancer care at an academic comprehensive cancer center

Basu

Linebarger

Gabram

et al. 2013

Cancer

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“…Un retard de la prise en charge de trois à six mois diminue le taux de survie à cinq ans [24]. Par ailleurs, l'anxiété de la patiente diminue lorsque ses résultats lui sont communiqués rapidement [2,15,23,25], et le temps d'attente est un facteur à prendre en compte lorsque l'on s'intéresse aux retours d'expérience des patientes [6,12]. L'objectif de ce travail a été la création d'un ensemble d'indicateurs permettant d'évaluer la qualité de la prise en charge organisationnelle du cancer du sein dans les établissements de santé français, à des fins de comparaison interétablissements.…”

Section: Discussionunclassified

“…Or, les recommandations concernant les délais sont ne sont pas uniformes : elles sont toutes basées sur des accords professionnels, chaque pays possédant ses propres délais de référence [15]. Par exemple, le guide de bonnes pratiques [20] développé par la National Collaborating Centre for Cancer pour le NICE (National Institute for Health and Clinical Excellence) en Grande-Bretagne recommande de débuter le traitement complémen-taire par chimiothérapie ou radiothérapie, dès que cela est cliniquement possible, dans les 31 jours après la chirurgie.…”

Section: Discussionunclassified

Development of an indicator set measuring the qualilty of the process of care in breast cancer patients

et al. 2011

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Développement d'un ensemble d'indicateurs relatifs à la prise en charge organisationnelle du cancer du sein Development of an indicator set measuring the qualilty of the process of care in breast cancer patients Abstract: Aims: The objective of the study is to develop a set of quality indicators (QIs) measuring the process of care in breast cancer patients and allowing hospitals comparison. parcours du patient, ce qui rend difficile leur généralisation à l'ensemble des établissements. L'ouverture des IQ sur la filière de soins permettrait d'intégrer d'autres éléments de la prise en charge et d'évaluer leur coordination. Pour citer cette revue : Oncologie 13 (2011). Mots clés : Indicateur -Cancer du sein -Délai Le dispositif d'annonce, une des mesures phares du Plan cancer Correspondance : Marie.ferrua@igr.fr Mise au point Update ■Oncologie (2011) 13: 175-180

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“…Timely care is a core dimension of quality according to organizations such as the Institute of Medicine, the American Society of Clinical Oncology (ASCO), and the National Comprehensive Center Network (NCCN) [3,4]. Despite the focus on improving efficiency and timeliness of care, researchers continue to demonstrate patient and health system factors that delay definitive care, putting women at risk of inferior outcomes [5][6][7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Understanding process-of-care delays in surgical treatment of breast cancer at a comprehensive cancer center

Golshan

Losk

Kadish

et al. 2014

Breast Cancer Res Treat

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Few studies have examined care processes within providers' and institutions' control that expedite or delay care. The authors investigated the timeliness of breast cancer care at a comprehensive cancer center, focusing on factors influencing the time from initial consultation to first definitive surgery (FDS). The care of 1,461 women with breast cancer who underwent surgery at Dana-Farber/Brigham and Women's Cancer Center from 2011 to 2013 was studied. The interval between consultation and FDS was calculated to identify variation in timeliness of care based on procedure, provider, and patients' sociodemographic characteristics. Targets of 14 days for lumpectomy and mastectomy and 28 days from mastectomy with immediate reconstruction were set and used to define delay. Mean days between consultation and FDS was 21.6 (range 1-175, sd 15.8) for lumpectomy, 36.7 (5-230, 29.1) for mastectomy, and 37.5 (7-111, 16) for mastectomy with reconstruction. Patients under 40 were less likely to be delayed (OR = 0.56, 95 % CI = 0.33-0.94, p = 0.03). Patients undergoing mastectomy alone (OR = 2.64, 95 % CI = 1.80-3.89, p < 0.0001) and mastectomy with immediate reconstruction (OR = 1.34 95 % CI = 1.00-1.79, p = 0.05) were more likely to be delayed when compared to lumpectomy. Substantial variation in surgical timeliness was identified. This study provides insight into targets for improvement including better coordination with plastic surgery and streamlining pre-operative testing. Cancer centers may consider investing in efforts to measure and improve the timeliness of cancer care.

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A Quality Review of the Timeliness of Breast Cancer Diagnosis and Treatment in an Integrated Breast Center

Cited by 49 publications

References 22 publications

The effect of nurse navigation on timeliness of breast cancer care at an academic comprehensive cancer center

The effect of nurse navigation on timeliness of breast cancer care at an academic comprehensive cancer center

Development of an indicator set measuring the qualilty of the process of care in breast cancer patients

Understanding process-of-care delays in surgical treatment of breast cancer at a comprehensive cancer center

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