Clinical outcome data for symptomatic breast cancer: the breast cancer clinical outcome measures (BCCOM) project

被引：16

作者：

Bates, T. ^{[2
]}

Kearins, O. ^{[1
]}

Monypenny, I. ^{[3
]}

Lagord, C. ^{[1
]}

Lawrence, G. ^{[1
]}

机构：

[1] Univ Birmingham, W Midlands Canc Intelligence Unit, Qual Assurance Reference Ctr, Birmingham B15 2TT, W Midlands, England

[2] William Harvey Hosp, Breast Unit, Ashford TN24 OLZ, Kent, England

[3] Univ Wales Hosp, Cardiff CF14 4XW, S Glam, Wales

来源：

BRITISH JOURNAL OF CANCER | 2009年 / 101卷 / 03期

关键词：

breast neoplasm; data collection; clinical audit; mass screening; surgery; treatment outcome; PROGNOSTIC INDEX; MANAGEMENT; SURVIVAL; SURGEON;

D O I：

10.1038/sj.bjc.6605155

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

BACKGROUND: Data collection for screen-detected breast cancer in the United Kingdom is fully funded, which has led to improvements in clinical practice. However, data on symptomatic cancer are deficient, and the aim of this project was to monitor the current practice. METHODS: A data set was designed together with surrogate outcome measures to reflect best practice. Data from cancer registries initially required the consent of clinicians, but in the third year anonymised data were available. RESULTS: The quality of data improved, but this varied by region and only a third of the cases were validated by clinicians. Regional variations in mastectomy rates were identified, and one-third of patients who underwent conservative surgery for the treatment invasive breast cancer were not recorded as receiving radiotherapy. CONCLUSION: National data are essential to ensure that all patients receive appropriate treatment for breast cancer, but variations still exist in the United Kingdom and further improvement in data capture is required. British Journal of Cancer (2009) 101, 395-402. doi:10.1038/sj.bjc.6605155 www.bjcancer.com Published online 14 July 2009 (C) 2009 Cancer Research UK

引用

页码：395 / 402

页数：8

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