Evaluation of the quality of assistance at the Mastology Teaching Unit of the University Hospital

Authors

  • Natalia Camejo Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Servicio de Oncología Clínica. Asistente
  • Cecilia Castillo Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Servicio de Oncología Clínica. Prof. Adj
  • Lucía Richter Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Servicio de Oncología Clínica. Posgrado de Oncología Médica
  • Nora Artagaveytia Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Departamento Básico de Medicina. Prof. Adj
  • Ana L. Hernández Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Departamento de Psicología Médica. Prof. Adj
  • Teresa Castro Universidad de la República, Facultad de Medicina, Clínica Quirúrgica 1. Ex Asistente
  • Andrea Castillo Universidad de la República, Facultad de Medicina, Clínica Quirúrgica 1. Ex Asistente
  • Pablo Sciuto Universidad de la República, Facultad de Medicina, Clínica Quirúrgica 2. Asistente
  • Guillermo Laviña Universidad de la República, Facultad de Medicina, Clínica Quirúrgica 1. Ex Prof. Adj
  • Julia Bernachin Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Departamento de Anatomía Patológica. Prof. Adj
  • Soledad Milans Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Departamento de Imagenología. Asistente con Orientación en Imagenología Mamaria
  • Fernando Lavista Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Departamento de Imagenología. Posgrado con Orientación en Imagenología Mamaria
  • Ana Vilas Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Departamento de Anatomía Patológica. Prof. Adj
  • Lucía Delgado Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Servicio de Oncología Clínica. Prof. Directora

Keywords:

QUALITY OF HEALTH CARE, BREAST NEOPLASMS, SCHOOL HOSPITALS

Abstract

Introduction: breast cancer is the most frequent types of cancer in Uruguayan women. Every year there are 1,840 new cases and around 660 women die from this disease. The Mastology Teaching Unit was created in 2009 to improve the quality of assistance in patients with breast cancer.
Objective: to evaluate the quality of assistance at the Mastology Teaching Unit of the University Hospital.
Method: observational, retrospective study that included women diagnosed and treated for breast cancer in a Mastology Teaching Unit from June 2009 through June, 2014. In order to evaluate the quality of assistance the indicators suggested by the European Society of Mastology in 2010 were used.
Results: 115 patients treated for breast cancer were included in the study. Average age was 63 years old, most patients had breast cancer limited in the breast or armpit, (RRHH) positive hormonal receptors, HER2 negative. The quality criteria associated to preoperative diagnosis, pathology analysis, surgical treatment, radiotherapy and oncologic treatment were met. However, in 40% of cases the time interval between diagnosis and the first oncologic treatment was over six weeks.
Conclusions: care received by patients seen at the Mastology Unit during the referred period met most indicators suggested by the European Society of Mastology. The need to improve the waiting time between diagnosis and the first oncologic treatment is emphasized.

References

(1) Muñoz MJ. Impacto del cáncer de mama en Uruguay: período 2006-2010. Tendencias Med 2013; 21(43): 133-5.
(2) Comisión Honoraria de Lucha contra el Cáncer. Informe Anual. Período 2006-2010. Disponible en: http://www.comisioncancer.org.uy/uc_357_1.html Consulta: 10 agosto 2014.
(3) Rosselli Del Turco M, Ponti A, Bick U, Biganzoli L, Cserni G, Cutuli B, et al. Quality indicators in breast cancer care. Eur J Cancer 2010; 46: 2344-56.
(4) Schachter HM, Mamaladze V, Lewin G, Graham ID, Brouwers M, Sampson M, et al. Many quality measurements, but few quality measures assessing the quality of breast cancer care in women: a systematic review. BMC Cancer 2006; 6: 291.
(5) European guidelines for quality assurance in breast cancer screening and diagnosis. 4th. ed. Luxembourg: Office for Official Publications of the European Communities, 2006. Disponible en: http://www.euref.org/european-guidelines Consulta: 10 agosto 2014.
(6) EUSOMA Consensus Group; Rutgers EJ. Quality control in the locoregional treatment of breast cancer. Eur J Cancer 2001; 37:447-53.

Published

2015-09-30

How to Cite

1.
Camejo N, Castillo C, Richter L, Artagaveytia N, Hernández AL, Castro T, et al. Evaluation of the quality of assistance at the Mastology Teaching Unit of the University Hospital. Rev. Méd. Urug. [Internet]. 2015 Sep. 30 [cited 2024 Nov. 21];31(3):165-71. Available from: https://revista.rmu.org.uy/index.php/rmu/article/view/199

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