, Volume 20, Issue 10, pp 3180-3183
Date: 22 Aug 2013

Should Re-excision Lumpectomy Rates Be a Quality Measure in Breast-Conserving Surgery?

This is an excerpt from the content

In response to recognition of variation in the quality of national healthcare, physicians and their professional societies have emphasized the need for quality measurement and improvement.1 Multiple organizations have now developed breast-specific quality measures (QM) to aid quality improvement (QI).26 Many of these QM have been incorporated into national quality initiatives that provide peer performance comparison and some level of transparency. In addition, during the last decade, the American Society of Breast Surgeons (ASBS), the National Accreditation Program for Breast Centers (NAPBC), and the National Consortium of Breast Centers (NCBC) have defined and endorsed multiple breast-specific quality measures.24

A QM is an attempt to quantify quality in a domain of care. The most common historical domains of care are “structure of care,” “process of care,” and outcomes. Recently, “patient centeredness (experience)” and “affordability” have been emphasized as other important domains