Quality assurance in cancer. Acceptable delays in deciding the therapeutic plan in breast cancer and colorectal cancer


Por: Mira, J, Perez-Jover, V, Ibanez, J, Guilabert, M, Cuevas, D and Salas, D

Fecha de Publicación: 01/09/2012
Categoría: Medicine (miscellaneous)

Resumen:
Background. To determine recommended delays for treatment once there is well-founded clinical suspicion in care processes for breast and colorectal cancer, taking into account resources and the psychological well-being of the patients. Method. A qualitative study among professionals. The study was conducted in two phases. Firstly, during 4 sessions (N=19) we conducted a revision of the care processes of breast cancer and colorectal cancer and fixed desirable times. Secondly, through a modification of the Delphi technique (N=49), the proposed times for each care process were validated. Results. Delphi response rates of 69% and 58% for colorectal and breast processes respectively. The recommended time in the case of non-invasive breast cancer was 5 to 6 weeks. If the cancer was invasive and nuclear medicine was used for sentinel node study or axillary clearance 5 to 7 weeks were recommended. In the case of cancer of the colon and rectum 7 to 13 weeks were considered necessary. Conclusions. Breast cancer treatment should be started before six weeks. In colorectal cancer up to three months could be required. An interdisciplinary review of care processes relying on professionals is useful for establishing realistic quality standards.

Direcciones
Mira, JJ: Univ Miguel Hernandez, Alicante, Spain; Conselleria Sanitat, Dept St Joan Alacant, Valencia, Spain; Red Invest Serv Salud Enfermedades Cron REDISSEC, Malaga, Spain
Perez-Jover, V: Univ Miguel Hernandez, Alicante, Spain
Ibanez, J: Conselleria Sanitat, Direcc Gen Invest & Salud Publ, Valencia, Spain
Guilabert, M: Univ Miguel Hernandez, Alicante, Spain
Cuevas, D: Conselleria Sanitat, Direcc Gen Ordenac & Asistencia Sanitaria, Valencia, Spain; CSISP, Valencia, Spain
Salas, D: Conselleria Sanitat, Direcc Gen Invest & Salud Publ, Valencia, Spain; CSISP, Valencia, Spain
ISSN: 11376627





ANALES DEL SISTEMA SANITARIO DE NAVARRA
Editorial
GOBIERNO DE NAVARRA, NAVAS TOLOSA 21, PAMPLONA, 31002, SPAIN, España
Tipo de documento: Article
Volumen: 35 Número: 3
Páginas: 385-393s
WOS: 000208863200004
ID de PubMed: 23296219

MÉTRICAS