Evaluation of the quality of the breast cancer program of the Hospital de San Juan de Dios in Cali - Consultorio Rosado
DOI:
https://doi.org/10.18041/2665-427X/ijeph.2.5692Keywords:
Breast cancer, indicators, program evaluation, quality, opportunity, lethalityAbstract
Introduction: In Colombia, breast cancer is considered a public health problem, it is the most frequent in women. To address this problem, WHO proposed to develop promotion and prevention programs, guaranteeing detection Early and timely treatment. These programs require continuous evaluation and improvement in their different stages of development, with the aim of guaranteeing quality in health care.
Objective: Evaluate the quality in terms of process and results indicators of the "Pink Office" program of the Hospital of San Juan de Dios, in the care of patients with breast cancer in Cali Colombia, 2017-2018
Methods: An observational, descriptive, longitudinal and retrospective study was conducted in patients diagnosed with breast cancer. Information from 329 clinical records and data reported by the Hospital of San Juan de Dios de Cali to the Epidemiological Surveillance System (SIVIGILA) by breast cancer diagnosis was analyzed. The indicators defined by the Cuenta de Alto Costo were calculated.
Results: The evaluation showed compliance in six of the twelve indicators of the CAC, and percentage of performance of conservative surgery (cuadrantectomy) in patients with in situ and infiltrating stage, cancer detection in state in situ, biopsy prior to surgical procedure, palliative care assessment.
Conclusion: It is considered imperative to improve the clinical record and reduce barriers to access diagnostic and treatment services to ensure timely care and improve the prognosis of patients with this pathology.
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References
IARC. Latest global cancer data: Cancer burden rises to 18.1 million new cases and 9.6 million cancer deaths in 2018. IARC; 2018. https://www.iarc.fr/wp-content/uploads/2018/09/pr263_E.pdf
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;;68 (6): 394-424.Doi: 10.3322/caac.21492.
OMS. Cáncer de mama: prevención y control. OMS; 2014. Cited: 2019 Apr 21. Available from: https://www.who.int/topics/cancer/breastcancer/es/.
Ministerio de Salud y Protección Social, Instituto Nacional de Cancerología, ESE. Plan decenal para el control del cáncer en Colombia, 2012-2021. Bogota: Ministerio de Salud y Protección Social y el Instituto Nacional de Cancerología, ESE; 2012. Disponible en: https://www.minsalud.gov.co/Documents/Plan-Decenal-Cancer/PlanDecenal_ControlCancer_2012-2021.pdf
Cuenta de alto Costo. Indicadores prioritarios para la medición, evaluación y monitoreo de la gestión de riesgo por parte de aseguradores y prestadores en pacientes con Cáncer de mama y cuello uterino en Colombia. Consenso basado en la evidencia. Fondo Colombiano de Enfermedades de Alto Costo; 2016. Disponible en: https://cuentadealtocosto.org/site/publicaciones/indicadores-prioritarios-para-la-medicion-evaluacion-y-monitoreo-de-la-gestion-de-riesgo-por-parte-de-aseguradores-y-prestadores-en-pacientes-con-cancer-de-mama-y-cuello-uterino-en-colombia/?1609606802890.
Ministerio de Salud y Protección Social. Rutas integrales de atención en salud (RIAS); 2016. Cited: 2019 Sep 24. Available from: https://www.minsalud.gov.co/Paginas/rutas-integrales-de-atencion-en-salud.aspx.
Castillo C del SM, Cabrera MEC, Derio P. L, Gaete V. F, Cavada CH. G. Resultados del tratamiento del cáncer de mama, programa nacional de cáncer del adulto. Rev Med Chil. 2017; 145(12): 1507–13.
Cuenta de Alto Costo. Situación del cáncer en la población adulta atendida en el SGSSS de Colombia. Bogotá: Fondo Colombiano de Enfermedades de Alto Costo; 2018. https://cuentadealtocosto.org/site/publicaciones/situacion-del-cancer-en-la-poblacion-adulta-atendida-en-el-sgsss-de-colombia/. Cited: 2019 Oct 9.
Abriata MG, Macías GR. Patients with breast cancer: report from a national hospital-based cancer registry in Argentina, 2012 to 2016. J Glob Oncol. 2019; 5: 1-10. doi: 10.1200/JGO.2016.009050.
American Joint Committee on Cancer (AJCC). Cancer Staging Manual. 8va edition. Chicago, USA: American Joint Committee on Cancer; 2018.
Piñeros M, Sánchez R, Perry F, Armando GO, Ocampo R, Cendales R. Demoras en el diagnóstico y tratamiento de mujeres con cáncer de mama en Bogotá, Colombia. Salud Pública México. 2011; 53(6): 478-485.
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