Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/11736
Title: Outcome of per protocol best-evidence based routine breast cancer care in a large regional hospital in Belgium: the importance of a prospective database in quality assurance.
Authors: Van De Putte, G.
Vlasselaer, J.
TESHOME AYELE, Birhanu 
GADDAH, Auguste 
BURZYKOWSKI, Tomasz 
Schobbens, J.C.
Benijts, G.
DE JONGE, Eric 
Issue Date: 2010
Publisher: Universa Press: Wetteren, Belgium
Source: Facts, Views and Vision in Obstetrics and Gynaecology, 2(2). p. 119-124
Abstract: Aim: Criteria for future accreditation of breast cancer centres in Belgium will be mainly based on the case load per surgeon or per centre. We would like to argue that the prospective collection of relevant data and the analysis of treatment related outcome derived from these data is feasible and should be the ultimate criterion for quality assessment and thus for accreditation since outcome is a more direct measurement of quality. Methods: Data were prospectively collected on 715 invasive non metastatic breast cancers between 2002 and 2007 treated according to standard, best-evidence protocols in the setting of a large district hospital. Univariate and multivariate survival analysis were performed and compared to national and international databases. Results: 5 year disease-free survival (DFS) and overall survival (OS) in our series were respectively 77 and 84%. In the multivariate analysis of DFS, only her-2-neu status (her-2-neu positivity being associated with a poor prognosis) and age (older age being a worse prognostic factor) were statistically significant prognostic factors. For OS, her-2-neu, age, and positive nodes were statistically significant prognostic factors. The outcome is comparable to other data sets. Conclusion: Centres dedicated to the care of women with breast cancer have the moral duty to produce outcome based results of their treatment. This report shows that such a collection of data is feasible and can be imposed as a prerequisite for accreditation. We also argue that outcome based data of treatment are a more solid base for quality assurance than case load.
Document URI: http://hdl.handle.net/1942/11736
Link to publication/dataset: http://www.fvvo.be/archive/volume-2/number-2/original-paper/outcome-of-per-protocol-best-evidence-based-routine-breast-cancer-care/
Category: A2
Type: Journal Contribution
Appears in Collections:Research publications

Files in This Item:
File Description SizeFormat 
07.pdf144.52 kBAdobe PDFView/Open
Show full item record

Page view(s)

22
checked on Sep 5, 2022

Download(s)

6
checked on Sep 5, 2022

Google ScholarTM

Check


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.