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American Society of Breast Surgeons Presidential Address: Could Quality Measures Impede Quality Care?

  • Breast Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

Abstract

Transparency and accountability are becoming more important, and publically reported quality measures will be used increasingly to determine how surgeons are viewed and reimbursed. That is a good thing if it is done correctly, but poorly designed quality measures might actually interfere with patient care. It will be necessary for ASBrS to remain involved in the development of relevant, true data-based measures of quality that have appropriate benchmarks and no unintended consequences. Importantly, the quality measures need to include all reasonable treatment options so that quality care is enhanced and not impeded.

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References

  1. Fyles AW, McCready DR, Manchul LA et al (2004) Tamoxifen with or without breast irradiation in women 50 years of age or older with early breast cancer. N Engl J Med. 351:963–970.

    Article  PubMed  CAS  Google Scholar 

  2. Sams F (1988) The passing: perspectives of rural America. Marietta: Longstreet Press, pp 61–64.

    Google Scholar 

  3. Fisher B, Montague E, Redmond C (1977) Comparison of radical mastectomy with alternative treatments for primary breast cancer: a first report of results from a prospective randomized clinical trial. Cancer. 39:2827–2839.

    Article  PubMed  CAS  Google Scholar 

  4. Bruce J (1971) Operable cancer of the breast: a controlled clinical trial. Cancer. 28:1443–1451.

    Article  PubMed  CAS  Google Scholar 

  5. Deutsch M, Land S, Begovic M et al (2008) The incidence of arm edema in women with breast cancer randomized on the National Surgical Adjuvant Breast and Bowel Project study B-04 to radical mastectomy versus total mastectomy and radiotherapy versus total mastectomy alone. Int J Radiat Oncol Biol Phys. 70:1020–1024.

    Article  PubMed  Google Scholar 

  6. Bonadonna G, Brusamolino E, Valagussa P et al (1975) Adjuvant study with combination chemotherapy in operable breast cancer. Proc Am Assoc Cancer Res Am Soc Clin Oncol. 16:254(abstr 1135).

    Google Scholar 

  7. Haffty BG, Fischer D, Fischer J (1990) Regional nodal irradiation in the conservative treatment of breast cancer. Int J Radiol Oncol Biol Phys. 19:859–865.

    Article  CAS  Google Scholar 

  8. Recht A, Houlihan MJ (1995) Axillary lymph nodes and breast cancer. Cancer. 76:1491–1512.

    Article  PubMed  CAS  Google Scholar 

  9. Galper S, Recht A, Silver B et al (2000) Is radiation alone adequate treatment to the axilla for patients with limited axillary surgery? Implications for treatment after a positive sentinel node biopsy. Int J Radiol Oncol Biol Phys. 48:125–132.

    CAS  Google Scholar 

  10. Chua B, Ung O, Boyages J (2001) Treatment of the axilla in early breast cancer: past, present and future. ANZ J Surg. 71:729–736.

    Article  PubMed  CAS  Google Scholar 

  11. Veronesi U, Orecchia R, Zurrida S et al (2005) Avoiding axillary dissection in breast cancer surgery: a randomized trial to assess the role of axillary radiotherapy. Ann Oncol. 16:383–388.

    Article  PubMed  CAS  Google Scholar 

  12. Pejavar S, Wilson LD, Haffty BG (2006) Regional nodal recurrence in breast cancer patients treated with conservative surgery and radiation therapy (BCS + RT). Int J Radiol Oncol Biol Phys. 66:1320–1327.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Baptist Medical Center, Montgomery, AL, USA

    Howard Snider MD, FACS

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  1. Howard Snider MD, FACS
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Correspondence to Howard Snider MD, FACS.

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Snider, H. American Society of Breast Surgeons Presidential Address: Could Quality Measures Impede Quality Care?. Ann Surg Oncol 19, 3125–3130 (2012). https://doi.org/10.1245/s10434-012-2481-5

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  • DOI: https://doi.org/10.1245/s10434-012-2481-5

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