The effect of EUSOMA certification on quality of breast cancer care

P. A. Van Dam, M. Tomatis, L. Marotti, J. Heil, R. Wilson, M. Rosselli Del Turco, C. Mayr, A. Costa, M. Danei, A. Denk, G. Emons, K. Friedrichs, N. Harbeck, M. Kiechle, U. Koheler, S. Kuemmel, N. Maass, C. Marth, A. Prové, R. KimmigC. Rageth, L. Regolo, L. Salehi, D. Sarlos, C. Singer, C. Sohn, G. Staelens, C. Tinterri, A. Ponti, E. Cretella, P. Kern, F. Stoeblen, A. Emons, K. Van Eygen, J. Ettl, V. Zanini, A. Van As, M. Daniaux, W. Gatzemeier, G. Catalano, A. Schneeweiss, R. Wuerstlein, The eusomaDB Working Group

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Aim of the study The European Society of Breast Cancer Specialists (EUSOMA) has fostered a voluntary certification process for breast units to establish minimum standards and ensure specialist multidisciplinary care. In the present study we assess the impact of EUSOMA certification for all breast units for which sufficient information was available before and after certification. Materials and methods For 22 EUSOMA certified breast units data of 30,444 patients could be extracted from the EUSOMA database on the evolution of QI's before and after certification. Results On the average of all units, the minimum standard of care was achieved for 12/13 QI's before and after EUSOMA certification (not met for DCIS receiving just one operation). There was a significant improvement of 5 QI's after certification. The proportion of patients with invasive cancer undergoing an axillary clearance containing >9 lymph nodes (91.5% vs 89.4%, p 0.003) and patients with invasive cancer having just 1 operation (83.1% vs 80.4%, p <0.001) dropped, but remained above the minimum standard. The targeted standard of breast care was reached for the same 4/13 QI's before and after EUSOMA certification. Conclusion Although the absolute effect of EUSOMA certification was modest it further increases standards of care and should be regarded as part of a process aiming for excellence. Dedicated units already provide a high level of care before certification, but continuous monitoring and audit remains of paramount importance as complete adherence to guidelines is difficult to achieve.

Original languageEnglish
Article number4090
Pages (from-to)1423-1429
Number of pages7
JournalEuropean Journal of Surgical Oncology
Volume41
Issue number10
DOIs
Publication statusPublished - Oct 1 2015

Fingerprint

Certification
Breast Neoplasms
Breast
Standard of Care
Guideline Adherence
Carcinoma, Intraductal, Noninfiltrating
Neoplasms
Lymph Nodes
Databases

Keywords

  • Audit
  • Benchmarking
  • Breast cancer
  • Chemotherapy
  • EUSOMA
  • Quality control
  • Radiotherapy

ASJC Scopus subject areas

  • Oncology
  • Surgery
  • Medicine(all)

Cite this

Van Dam, P. A., Tomatis, M., Marotti, L., Heil, J., Wilson, R., Rosselli Del Turco, M., ... The eusomaDB Working Group (2015). The effect of EUSOMA certification on quality of breast cancer care. European Journal of Surgical Oncology, 41(10), 1423-1429. [4090]. https://doi.org/10.1016/j.ejso.2015.06.006

The effect of EUSOMA certification on quality of breast cancer care. / Van Dam, P. A.; Tomatis, M.; Marotti, L.; Heil, J.; Wilson, R.; Rosselli Del Turco, M.; Mayr, C.; Costa, A.; Danei, M.; Denk, A.; Emons, G.; Friedrichs, K.; Harbeck, N.; Kiechle, M.; Koheler, U.; Kuemmel, S.; Maass, N.; Marth, C.; Prové, A.; Kimmig, R.; Rageth, C.; Regolo, L.; Salehi, L.; Sarlos, D.; Singer, C.; Sohn, C.; Staelens, G.; Tinterri, C.; Ponti, A.; Cretella, E.; Kern, P.; Stoeblen, F.; Emons, A.; Van Eygen, K.; Ettl, J.; Zanini, V.; Van As, A.; Daniaux, M.; Gatzemeier, W.; Catalano, G.; Schneeweiss, A.; Wuerstlein, R.; The eusomaDB Working Group.

In: European Journal of Surgical Oncology, Vol. 41, No. 10, 4090, 01.10.2015, p. 1423-1429.

Research output: Contribution to journalArticle

Van Dam, PA, Tomatis, M, Marotti, L, Heil, J, Wilson, R, Rosselli Del Turco, M, Mayr, C, Costa, A, Danei, M, Denk, A, Emons, G, Friedrichs, K, Harbeck, N, Kiechle, M, Koheler, U, Kuemmel, S, Maass, N, Marth, C, Prové, A, Kimmig, R, Rageth, C, Regolo, L, Salehi, L, Sarlos, D, Singer, C, Sohn, C, Staelens, G, Tinterri, C, Ponti, A, Cretella, E, Kern, P, Stoeblen, F, Emons, A, Van Eygen, K, Ettl, J, Zanini, V, Van As, A, Daniaux, M, Gatzemeier, W, Catalano, G, Schneeweiss, A, Wuerstlein, R & The eusomaDB Working Group 2015, 'The effect of EUSOMA certification on quality of breast cancer care', European Journal of Surgical Oncology, vol. 41, no. 10, 4090, pp. 1423-1429. https://doi.org/10.1016/j.ejso.2015.06.006
Van Dam PA, Tomatis M, Marotti L, Heil J, Wilson R, Rosselli Del Turco M et al. The effect of EUSOMA certification on quality of breast cancer care. European Journal of Surgical Oncology. 2015 Oct 1;41(10):1423-1429. 4090. https://doi.org/10.1016/j.ejso.2015.06.006
Van Dam, P. A. ; Tomatis, M. ; Marotti, L. ; Heil, J. ; Wilson, R. ; Rosselli Del Turco, M. ; Mayr, C. ; Costa, A. ; Danei, M. ; Denk, A. ; Emons, G. ; Friedrichs, K. ; Harbeck, N. ; Kiechle, M. ; Koheler, U. ; Kuemmel, S. ; Maass, N. ; Marth, C. ; Prové, A. ; Kimmig, R. ; Rageth, C. ; Regolo, L. ; Salehi, L. ; Sarlos, D. ; Singer, C. ; Sohn, C. ; Staelens, G. ; Tinterri, C. ; Ponti, A. ; Cretella, E. ; Kern, P. ; Stoeblen, F. ; Emons, A. ; Van Eygen, K. ; Ettl, J. ; Zanini, V. ; Van As, A. ; Daniaux, M. ; Gatzemeier, W. ; Catalano, G. ; Schneeweiss, A. ; Wuerstlein, R. ; The eusomaDB Working Group. / The effect of EUSOMA certification on quality of breast cancer care. In: European Journal of Surgical Oncology. 2015 ; Vol. 41, No. 10. pp. 1423-1429.
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abstract = "Aim of the study The European Society of Breast Cancer Specialists (EUSOMA) has fostered a voluntary certification process for breast units to establish minimum standards and ensure specialist multidisciplinary care. In the present study we assess the impact of EUSOMA certification for all breast units for which sufficient information was available before and after certification. Materials and methods For 22 EUSOMA certified breast units data of 30,444 patients could be extracted from the EUSOMA database on the evolution of QI's before and after certification. Results On the average of all units, the minimum standard of care was achieved for 12/13 QI's before and after EUSOMA certification (not met for DCIS receiving just one operation). There was a significant improvement of 5 QI's after certification. The proportion of patients with invasive cancer undergoing an axillary clearance containing >9 lymph nodes (91.5{\%} vs 89.4{\%}, p 0.003) and patients with invasive cancer having just 1 operation (83.1{\%} vs 80.4{\%}, p <0.001) dropped, but remained above the minimum standard. The targeted standard of breast care was reached for the same 4/13 QI's before and after EUSOMA certification. Conclusion Although the absolute effect of EUSOMA certification was modest it further increases standards of care and should be regarded as part of a process aiming for excellence. Dedicated units already provide a high level of care before certification, but continuous monitoring and audit remains of paramount importance as complete adherence to guidelines is difficult to achieve.",
keywords = "Audit, Benchmarking, Breast cancer, Chemotherapy, EUSOMA, Quality control, Radiotherapy",
author = "{Van Dam}, {P. A.} and M. Tomatis and L. Marotti and J. Heil and R. Wilson and {Rosselli Del Turco}, M. and C. Mayr and A. Costa and M. Danei and A. Denk and G. Emons and K. Friedrichs and N. Harbeck and M. Kiechle and U. Koheler and S. Kuemmel and N. Maass and C. Marth and A. Prov{\'e} and R. Kimmig and C. Rageth and L. Regolo and L. Salehi and D. Sarlos and C. Singer and C. Sohn and G. Staelens and C. Tinterri and A. Ponti and E. Cretella and P. Kern and F. Stoeblen and A. Emons and {Van Eygen}, K. and J. Ettl and V. Zanini and {Van As}, A. and M. Daniaux and W. Gatzemeier and G. Catalano and A. Schneeweiss and R. Wuerstlein and {The eusomaDB Working Group}",
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T1 - The effect of EUSOMA certification on quality of breast cancer care

AU - Van Dam, P. A.

AU - Tomatis, M.

AU - Marotti, L.

AU - Heil, J.

AU - Wilson, R.

AU - Rosselli Del Turco, M.

AU - Mayr, C.

AU - Costa, A.

AU - Danei, M.

AU - Denk, A.

AU - Emons, G.

AU - Friedrichs, K.

AU - Harbeck, N.

AU - Kiechle, M.

AU - Koheler, U.

AU - Kuemmel, S.

AU - Maass, N.

AU - Marth, C.

AU - Prové, A.

AU - Kimmig, R.

AU - Rageth, C.

AU - Regolo, L.

AU - Salehi, L.

AU - Sarlos, D.

AU - Singer, C.

AU - Sohn, C.

AU - Staelens, G.

AU - Tinterri, C.

AU - Ponti, A.

AU - Cretella, E.

AU - Kern, P.

AU - Stoeblen, F.

AU - Emons, A.

AU - Van Eygen, K.

AU - Ettl, J.

AU - Zanini, V.

AU - Van As, A.

AU - Daniaux, M.

AU - Gatzemeier, W.

AU - Catalano, G.

AU - Schneeweiss, A.

AU - Wuerstlein, R.

AU - The eusomaDB Working Group

PY - 2015/10/1

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N2 - Aim of the study The European Society of Breast Cancer Specialists (EUSOMA) has fostered a voluntary certification process for breast units to establish minimum standards and ensure specialist multidisciplinary care. In the present study we assess the impact of EUSOMA certification for all breast units for which sufficient information was available before and after certification. Materials and methods For 22 EUSOMA certified breast units data of 30,444 patients could be extracted from the EUSOMA database on the evolution of QI's before and after certification. Results On the average of all units, the minimum standard of care was achieved for 12/13 QI's before and after EUSOMA certification (not met for DCIS receiving just one operation). There was a significant improvement of 5 QI's after certification. The proportion of patients with invasive cancer undergoing an axillary clearance containing >9 lymph nodes (91.5% vs 89.4%, p 0.003) and patients with invasive cancer having just 1 operation (83.1% vs 80.4%, p <0.001) dropped, but remained above the minimum standard. The targeted standard of breast care was reached for the same 4/13 QI's before and after EUSOMA certification. Conclusion Although the absolute effect of EUSOMA certification was modest it further increases standards of care and should be regarded as part of a process aiming for excellence. Dedicated units already provide a high level of care before certification, but continuous monitoring and audit remains of paramount importance as complete adherence to guidelines is difficult to achieve.

AB - Aim of the study The European Society of Breast Cancer Specialists (EUSOMA) has fostered a voluntary certification process for breast units to establish minimum standards and ensure specialist multidisciplinary care. In the present study we assess the impact of EUSOMA certification for all breast units for which sufficient information was available before and after certification. Materials and methods For 22 EUSOMA certified breast units data of 30,444 patients could be extracted from the EUSOMA database on the evolution of QI's before and after certification. Results On the average of all units, the minimum standard of care was achieved for 12/13 QI's before and after EUSOMA certification (not met for DCIS receiving just one operation). There was a significant improvement of 5 QI's after certification. The proportion of patients with invasive cancer undergoing an axillary clearance containing >9 lymph nodes (91.5% vs 89.4%, p 0.003) and patients with invasive cancer having just 1 operation (83.1% vs 80.4%, p <0.001) dropped, but remained above the minimum standard. The targeted standard of breast care was reached for the same 4/13 QI's before and after EUSOMA certification. Conclusion Although the absolute effect of EUSOMA certification was modest it further increases standards of care and should be regarded as part of a process aiming for excellence. Dedicated units already provide a high level of care before certification, but continuous monitoring and audit remains of paramount importance as complete adherence to guidelines is difficult to achieve.

KW - Audit

KW - Benchmarking

KW - Breast cancer

KW - Chemotherapy

KW - EUSOMA

KW - Quality control

KW - Radiotherapy

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