caa a22 4500 445332697 CHVBK 20180317142742.0 cr unu---uuuuu 170323e20110101xx s 000 0 eng 10.1245/s10434-010-1204-z doi (NATIONALLICENCE)springer-10.1245/s10434-010-1204-z Improving on National Quality Indicators of Breast Cancer Care in a Large Public Hospital as a Means to Decrease Disparities for African American Women [Elektronische Daten] [Monica Rizzo, Harvey Bumpers, Joel Okoli, Diana Senior-Crosby, Ruth O'Regan, Amelia Zelnak, Lin Pan, Marina Mosunjac, Sharla Patterson, Sheryl Gabram] Background: In April 2007, the National Quality Forum (NQF) endorsed the first nationally recognized hospital-based performance measures for stage I, II, and III breast cancer. The purpose of this study was to document compliance with the 3 NQF breast quality indicators during 2 time intervals in a metropolitan public hospital. Materials and Methods: Tumor registry and medical records were used to identify patient demographics and treatments before (2005-2006) and after (2008) implementations in 2007 as a result of the NQF audit. Program changes included: hiring a dedicated medical oncology nurse practitioner, requiring the radiation oncology case manager to attend weekly multidisciplinary conferences, educating Patient Navigators of the importance of multimodal care, and providing support groups for patients addressing importance of completion of all treatment options. Results: A total of 213 female patients were diagnosed with and treated for stage I, II, or III breast cancer in 2005-2006 and 2008. Of these, 189 (89%) were African American (AA) women. Also, 70 patients of 86 (81.3%) received radiation therapy, 60 of 77 (77.9%) received or were considered for adjuvant chemotherapy, and 124 of 144 (86.1%) for hormonal therapy according to NQF indicators. After 2007, patients receiving radiation therapy increased from 75.8 to 95.8%. Patients receiving or considered for adjuvant chemotherapy or hormonal therapy increased from 73.7 to 93.7% and from 84.1 to 90.0%, respectively. Conclusions: NQF breast cancer indicators provided a mechanism to improve compliance of multimodal treatment in our center. Raising awareness of these indicators in the multidisciplinary conference, hiring dedicated personnel, and educating patients has led to major improvements in breast cancer care. Society of Surgical Oncology, 2010 Rizzo Monica Department of Surgery, Emory University, Atlanta, GA, USA aut Bumpers Harvey Avon Comprehensive Breast Center at Grady, Atlanta, GA, USA aut Okoli Joel Avon Comprehensive Breast Center at Grady, Atlanta, GA, USA aut Senior-Crosby Diana Avon Comprehensive Breast Center at Grady, Atlanta, GA, USA aut O'Regan Ruth Avon Comprehensive Breast Center at Grady, Atlanta, GA, USA aut Zelnak Amelia Avon Comprehensive Breast Center at Grady, Atlanta, GA, USA aut Pan Lin Department of Biostatistics, Emory University, Atlanta, GA, USA aut Mosunjac Marina Department of Pathology and Laboratory Medicine, Emory University, Atlanta, GA, USA aut Patterson Sharla Department of Surgery, Emory University, Atlanta, GA, USA aut Gabram Sheryl Department of Surgery, Emory University, Atlanta, GA, USA aut Annals of Surgical Oncology Springer-Verlag 18/1(2011-01-01), 34-39 1068-9265 18:1<34 2011 18 10434 https://doi.org/10.1245/s10434-010-1204-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1245/s10434-010-1204-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rizzo Monica Department of Surgery, Emory University, Atlanta, GA, USA aut NATIONALLICENCE 700 1- Bumpers Harvey Avon Comprehensive Breast Center at Grady, Atlanta, GA, USA aut NATIONALLICENCE 700 1- Okoli Joel Avon Comprehensive Breast Center at Grady, Atlanta, GA, USA aut NATIONALLICENCE 700 1- Senior-Crosby Diana Avon Comprehensive Breast Center at Grady, Atlanta, GA, USA aut NATIONALLICENCE 700 1- O'Regan Ruth Avon Comprehensive Breast Center at Grady, Atlanta, GA, USA aut NATIONALLICENCE 700 1- Zelnak Amelia Avon Comprehensive Breast Center at Grady, Atlanta, GA, USA aut NATIONALLICENCE 700 1- Pan Lin Department of Biostatistics, Emory University, Atlanta, GA, USA aut NATIONALLICENCE 700 1- Mosunjac Marina Department of Pathology and Laboratory Medicine, Emory University, Atlanta, GA, USA aut NATIONALLICENCE 700 1- Patterson Sharla Department of Surgery, Emory University, Atlanta, GA, USA aut NATIONALLICENCE 700 1- Gabram Sheryl Department of Surgery, Emory University, Atlanta, GA, USA aut NATIONALLICENCE 773 0- Annals of Surgical Oncology Springer-Verlag 18/1(2011-01-01), 34-39 1068-9265 18:1<34 2011 18 10434 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer