Time trends (2006-2015) of quality indicators in EUSOMA-certified breast centres

P A van Dam, M Tomatis, L Marotti, J Heil, R E Mansel, M Rosselli Del Turco, P J van Dam, D Casella, L G Bassani, M Danei, A Denk, D Egle, G Emons, K Friedrichs, N Harbeck, M Kiechle, R Kimmig, U Koehler, S Kuemmel, N Maass & 13 others C Mayr, A Prové, C Rageth, L Regolo, F Lorenz-Salehi, D Sarlos, C Singer, C Sohn, G Staelens, C Tinterri, R Audisio, A Ponti, eusomaDB Working Group

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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 centres to establish minimum standards and ensure specialist multidisciplinary care. Prospectively collected anonymous information on primary breast cancer cases diagnosed and treated in the units is transferred annually to a central EUSOMA data warehouse for continuous monitoring of quality indicators (QIs) to improve quality of care. Units have to comply with the EUSOMA Breast Centre guidelines and are audited by peers. The database was started in 2006 and includes over 110,000 cancers from breast centres located in Germany, Switzerland, Belgium, Austria, The Netherlands, Spain, Portugal and Italy. The aim of the present study is assessing time trends of QIs in EUSOMA-certified breast centres over the decade 2006-2015.MATERIALS AND METHODS: Previously defined QIs were calculated for 22 EUSOMA-certified breast centres (46122 patients) during 2006-2015.RESULTS: On the average of all units, the minimum standard of care was achieved in 8 of 13 main EUSOMA QIs in 2006 and in all in 2015. All QIs, except removal of at least 10 lymph nodes at axillary clearance and oestrogen receptor-negative tumours (T > 1 cm or N+) receiving adjuvant chemotherapy, improved significantly in this period. The desirable target was reached for two QIs in 2006 and for 7 of 13 QIs in 2015.CONCLUSION: The EUSOMA model of audit and monitoring QIs functions well in different European health systems and results in better performance of QIs over the last decade. QIs should be evaluated and adapted on a regular basis, as guidelines change over time.
Original languageEnglish
Pages (from-to)15-22
Number of pages8
JournalEuropean Journal of Cancer
Volume85
DOIs
Publication statusPublished - Nov 2017

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Breast
Breast Neoplasms
Guidelines
Portugal
Quality of Health Care
Austria
Belgium
Certification
Adjuvant Chemotherapy
Standard of Care
Switzerland
Estrogen Receptors
Netherlands
Spain
Italy
Germany
Lymph Nodes
Databases
Health
Neoplasms

Keywords

  • Journal Article

Cite this

van Dam, P. A., Tomatis, M., Marotti, L., Heil, J., Mansel, R. E., Rosselli Del Turco, M., ... Group, EB. W. (2017). Time trends (2006-2015) of quality indicators in EUSOMA-certified breast centres. European Journal of Cancer, 85, 15-22. https://doi.org/10.1016/j.ejca.2017.07.040

Time trends (2006-2015) of quality indicators in EUSOMA-certified breast centres. / van Dam, P A; Tomatis, M; Marotti, L; Heil, J; Mansel, R E; Rosselli Del Turco, M; van Dam, P J; Casella, D; Bassani, L G; Danei, M; Denk, A; Egle, D; Emons, G; Friedrichs, K; Harbeck, N; Kiechle, M; Kimmig, R; Koehler, U; Kuemmel, S; Maass, N; Mayr, C; Prové, A; Rageth, C; Regolo, L; Lorenz-Salehi, F; Sarlos, D; Singer, C; Sohn, C; Staelens, G; Tinterri, C; Audisio, R; Ponti, A; Group, eusomaDB Working.

In: European Journal of Cancer, Vol. 85, 11.2017, p. 15-22.

Research output: Contribution to journalArticle

van Dam, PA, Tomatis, M, Marotti, L, Heil, J, Mansel, RE, Rosselli Del Turco, M, van Dam, PJ, Casella, D, Bassani, LG, Danei, M, Denk, A, Egle, D, Emons, G, Friedrichs, K, Harbeck, N, Kiechle, M, Kimmig, R, Koehler, U, Kuemmel, S, Maass, N, Mayr, C, Prové, A, Rageth, C, Regolo, L, Lorenz-Salehi, F, Sarlos, D, Singer, C, Sohn, C, Staelens, G, Tinterri, C, Audisio, R, Ponti, A & Group, EBW 2017, 'Time trends (2006-2015) of quality indicators in EUSOMA-certified breast centres', European Journal of Cancer, vol. 85, pp. 15-22. https://doi.org/10.1016/j.ejca.2017.07.040
van Dam PA, Tomatis M, Marotti L, Heil J, Mansel RE, Rosselli Del Turco M et al. Time trends (2006-2015) of quality indicators in EUSOMA-certified breast centres. European Journal of Cancer. 2017 Nov;85:15-22. https://doi.org/10.1016/j.ejca.2017.07.040
van Dam, P A ; Tomatis, M ; Marotti, L ; Heil, J ; Mansel, R E ; Rosselli Del Turco, M ; van Dam, P J ; Casella, D ; Bassani, L G ; Danei, M ; Denk, A ; Egle, D ; Emons, G ; Friedrichs, K ; Harbeck, N ; Kiechle, M ; Kimmig, R ; Koehler, U ; Kuemmel, S ; Maass, N ; Mayr, C ; Prové, A ; Rageth, C ; Regolo, L ; Lorenz-Salehi, F ; Sarlos, D ; Singer, C ; Sohn, C ; Staelens, G ; Tinterri, C ; Audisio, R ; Ponti, A ; Group, eusomaDB Working. / Time trends (2006-2015) of quality indicators in EUSOMA-certified breast centres. In: European Journal of Cancer. 2017 ; Vol. 85. pp. 15-22.
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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 centres to establish minimum standards and ensure specialist multidisciplinary care. Prospectively collected anonymous information on primary breast cancer cases diagnosed and treated in the units is transferred annually to a central EUSOMA data warehouse for continuous monitoring of quality indicators (QIs) to improve quality of care. Units have to comply with the EUSOMA Breast Centre guidelines and are audited by peers. The database was started in 2006 and includes over 110,000 cancers from breast centres located in Germany, Switzerland, Belgium, Austria, The Netherlands, Spain, Portugal and Italy. The aim of the present study is assessing time trends of QIs in EUSOMA-certified breast centres over the decade 2006-2015.MATERIALS AND METHODS: Previously defined QIs were calculated for 22 EUSOMA-certified breast centres (46122 patients) during 2006-2015.RESULTS: On the average of all units, the minimum standard of care was achieved in 8 of 13 main EUSOMA QIs in 2006 and in all in 2015. All QIs, except removal of at least 10 lymph nodes at axillary clearance and oestrogen receptor-negative tumours (T > 1 cm or N+) receiving adjuvant chemotherapy, improved significantly in this period. The desirable target was reached for two QIs in 2006 and for 7 of 13 QIs in 2015.CONCLUSION: The EUSOMA model of audit and monitoring QIs functions well in different European health systems and results in better performance of QIs over the last decade. QIs should be evaluated and adapted on a regular basis, as guidelines change over time.",
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T1 - Time trends (2006-2015) of quality indicators in EUSOMA-certified breast centres

AU - van Dam, P A

AU - Tomatis, M

AU - Marotti, L

AU - Heil, J

AU - Mansel, R E

AU - Rosselli Del Turco, M

AU - van Dam, P J

AU - Casella, D

AU - Bassani, L G

AU - Danei, M

AU - Denk, A

AU - Egle, D

AU - Emons, G

AU - Friedrichs, K

AU - Harbeck, N

AU - Kiechle, M

AU - Kimmig, R

AU - Koehler, U

AU - Kuemmel, S

AU - Maass, N

AU - Mayr, C

AU - Prové, A

AU - Rageth, C

AU - Regolo, L

AU - Lorenz-Salehi, F

AU - Sarlos, D

AU - Singer, C

AU - Sohn, C

AU - Staelens, G

AU - Tinterri, C

AU - Audisio, R

AU - Ponti, A

AU - Group, eusomaDB Working

N1 - Copyright © 2017 Elsevier Ltd. All rights reserved.

PY - 2017/11

Y1 - 2017/11

N2 - AIM OF THE STUDY: The European Society of Breast Cancer Specialists (EUSOMA) has fostered a voluntary certification process for breast centres to establish minimum standards and ensure specialist multidisciplinary care. Prospectively collected anonymous information on primary breast cancer cases diagnosed and treated in the units is transferred annually to a central EUSOMA data warehouse for continuous monitoring of quality indicators (QIs) to improve quality of care. Units have to comply with the EUSOMA Breast Centre guidelines and are audited by peers. The database was started in 2006 and includes over 110,000 cancers from breast centres located in Germany, Switzerland, Belgium, Austria, The Netherlands, Spain, Portugal and Italy. The aim of the present study is assessing time trends of QIs in EUSOMA-certified breast centres over the decade 2006-2015.MATERIALS AND METHODS: Previously defined QIs were calculated for 22 EUSOMA-certified breast centres (46122 patients) during 2006-2015.RESULTS: On the average of all units, the minimum standard of care was achieved in 8 of 13 main EUSOMA QIs in 2006 and in all in 2015. All QIs, except removal of at least 10 lymph nodes at axillary clearance and oestrogen receptor-negative tumours (T > 1 cm or N+) receiving adjuvant chemotherapy, improved significantly in this period. The desirable target was reached for two QIs in 2006 and for 7 of 13 QIs in 2015.CONCLUSION: The EUSOMA model of audit and monitoring QIs functions well in different European health systems and results in better performance of QIs over the last decade. QIs should be evaluated and adapted on a regular basis, as guidelines change over time.

AB - AIM OF THE STUDY: The European Society of Breast Cancer Specialists (EUSOMA) has fostered a voluntary certification process for breast centres to establish minimum standards and ensure specialist multidisciplinary care. Prospectively collected anonymous information on primary breast cancer cases diagnosed and treated in the units is transferred annually to a central EUSOMA data warehouse for continuous monitoring of quality indicators (QIs) to improve quality of care. Units have to comply with the EUSOMA Breast Centre guidelines and are audited by peers. The database was started in 2006 and includes over 110,000 cancers from breast centres located in Germany, Switzerland, Belgium, Austria, The Netherlands, Spain, Portugal and Italy. The aim of the present study is assessing time trends of QIs in EUSOMA-certified breast centres over the decade 2006-2015.MATERIALS AND METHODS: Previously defined QIs were calculated for 22 EUSOMA-certified breast centres (46122 patients) during 2006-2015.RESULTS: On the average of all units, the minimum standard of care was achieved in 8 of 13 main EUSOMA QIs in 2006 and in all in 2015. All QIs, except removal of at least 10 lymph nodes at axillary clearance and oestrogen receptor-negative tumours (T > 1 cm or N+) receiving adjuvant chemotherapy, improved significantly in this period. The desirable target was reached for two QIs in 2006 and for 7 of 13 QIs in 2015.CONCLUSION: The EUSOMA model of audit and monitoring QIs functions well in different European health systems and results in better performance of QIs over the last decade. QIs should be evaluated and adapted on a regular basis, as guidelines change over time.

KW - Journal Article

U2 - 10.1016/j.ejca.2017.07.040

DO - 10.1016/j.ejca.2017.07.040

M3 - Article

VL - 85

SP - 15

EP - 22

JO - European Journal of Cancer

JF - European Journal of Cancer

SN - 0959-8049

ER -