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FreeObjects: 1 IncrementalUpdates: 1 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: false CenterWindow: false DisplayDocTitle: false NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseOutlines Language: EN Outlines: Item: Title: Healthcare providers’ adherence to breast cancer guidelines in Europe: a systematic literature review Children: Item: Title: Abstract Children: Item: Title: Purpose Item: Title: Methods Item: Title: Results Item: Title: Conclusions Item: Title: Registration: Item: Title: Background Item: Title: Methods Children: Item: Title: Information sources and search strategy Item: Title: Eligibility criteria and selection of studies Item: Title: Data extraction and risk of bias assessment Item: Title: Data synthesis and analysis Item: Title: Results Children: Item: Title: Study selection Item: Title: Study characteristics Item: Title: Risk of bias Item: Title: Adherence to breast cancer CGs recommendations for healthcare processes Children: Item: Title: Overall breast cancer care Item: Title: Overall treatment process Item: Title: Systemic therapy Item: Title: Adherence to breast cancer CGs—procedures or therapies (assessed separately) Children: Item: Title: Pre-treatment procedures Item: Title: Surgical procedures Item: Title: Chemotherapy Item: Title: Endocrine therapy Item: Title: Targeted anti-HER2 therapy Item: Title: Radiotherapy Item: Title: Supportive measures during therapies Item: Title: Follow-up Item: Title: Primary prevention strategies Item: Title: Barriers for healthcare providers’ adherence to breast cancer CGs Item: Title: Discussion Children: Item: Title: Main findings Item: Title: Our results in the context of previous research Item: Title: Strengths and limitations Item: Title: Implications for practice and research Item: Title: Conclusions Item: Title: References Info: Title: Healthcare providers’ adherence to breast cancer guidelines in Europe: a systematic literature review Author: Ena Niño de Guzmán Subject: Breast Cancer Research and Treatment, https://doi.org/10.1007/s10549-020-05657-8 Keywords: Breast neoplasms,Guidelines as topic,Evidence-based medicine,Guideline adherence,Systematic review Creator: Springer Producer: Acrobat Distiller 10.1.8 (Windows) CreationDate: Wed May 06 11:13:18 CEST 2020 ModDate: Sat May 09 10:02:06 CEST 2020 ID: 0x217e8047093cda45a0ab78395caf927a, 0x0049491a9fdad0428ef7cc7d07a02281 Filters: FilterPipeline: FlateDecode FilterPipeline: DCTDecode Images: Image: NisoImageMetadata: FormatName: image/png ImageWidth: 1772 ImageHeight: 1268 ColorSpace: RGB BitsPerSample: 8 BitsPerSampleUnit: integer Filter: FlateDecode Intent: RelativeColorimetric Name: X Image: NisoImageMetadata: FormatName: image/jpg CompressionScheme: JPEG ImageWidth: 2032 ImageHeight: 1135 ColorSpace: RGB BitsPerSample: 8 BitsPerSampleUnit: integer 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AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 341, 550, 349, 537 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 353, 550, 362, 537 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 315, 537, 324, 524 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 328, 537, 336, 524 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 341, 537, 349, 524 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 315, 525, 324, 512 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 328, 525, 336, 512 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 315, 512, 324, 499 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 315, 487, 324, 474 Flags: Print AppearanceDictionary: true 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Subtype: Link Rect: 443, 487, 451, 474 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 315, 475, 324, 462 Flags: Print AppearanceDictionary: true Destination: 616 Annotation: Subtype: Link Rect: 328, 475, 336, 462 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 341, 475, 349, 462 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 353, 475, 362, 462 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 366, 475, 375, 462 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 379, 475, 387, 462 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 392, 475, 400, 462 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 404, 475, 413, 462 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 417, 475, 426, 462 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 430, 475, 438, 462 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 443, 475, 451, 462 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 315, 462, 324, 449 Flags: Print AppearanceDictionary: true Destination: 616 Annotation: Subtype: Link Rect: 328, 462, 336, 449 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 341, 462, 349, 449 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 353, 462, 362, 449 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 366, 462, 375, 449 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 379, 462, 387, 449 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 392, 462, 400, 449 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 404, 462, 413, 449 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 417, 462, 426, 449 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 430, 462, 438, 449 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 443, 462, 451, 449 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 315, 450, 324, 437 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 328, 450, 336, 437 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 341, 450, 349, 437 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 353, 450, 362, 437 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 366, 450, 375, 437 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 379, 450, 387, 437 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 392, 450, 400, 437 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 404, 450, 413, 437 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 417, 450, 426, 437 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 430, 450, 438, 437 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 443, 450, 451, 437 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 455, 450, 464, 437 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 468, 450, 477, 437 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 481, 450, 489, 437 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: 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412, 349, 399 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 353, 412, 362, 399 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 366, 412, 375, 399 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 379, 412, 387, 399 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 392, 412, 400, 399 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 404, 412, 413, 399 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 417, 412, 426, 399 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 430, 412, 438, 399 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 443, 412, 451, 399 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 455, 412, 464, 399 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 468, 412, 477, 399 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 481, 412, 489, 399 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 494, 412, 502, 399 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 506, 412, 515, 399 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 519, 412, 528, 399 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 532, 412, 540, 399 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 318, 402, 327, 389 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 331, 402, 340, 389 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 344, 402, 352, 389 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 357, 402, 365, 389 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 315, 390, 324, 377 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 328, 390, 336, 377 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 341, 390, 349, 377 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 353, 390, 362, 377 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 366, 390, 375, 377 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 379, 390, 387, 377 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 315, 377, 324, 365 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 328, 377, 336, 365 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: 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AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 455, 340, 464, 327 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 468, 340, 477, 327 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 481, 340, 489, 327 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 494, 340, 502, 327 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 506, 340, 515, 327 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 519, 340, 528, 327 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 532, 340, 540, 327 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 315, 327, 324, 315 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 328, 327, 336, 315 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 341, 327, 349, 315 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 353, 327, 362, 315 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 366, 327, 375, 315 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 379, 327, 387, 315 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 392, 327, 400, 315 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 404, 327, 413, 315 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 417, 327, 426, 315 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 430, 327, 438, 315 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 315, 315, 324, 302 Flags: Print AppearanceDictionary: true Destination: 638 Thumb: true Page: Label: 504 Sequence: 6 Annotations: Annotation: Subtype: Link Rect: 114, 111, 127, 103 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 146, 92, 159, 84 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 219, 92, 232, 84 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 271, 111, 284, 103 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 304, 92, 317, 84 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 356, 92, 369, 84 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 389, 92, 402, 84 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 451, 115, 464, 107 Flags: Print AppearanceDictionary: true Destination: 616 Annotation: Subtype: Link Rect: 484, 115, 497, 107 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 516, 111, 529, 103 Flags: Print AppearanceDictionary: true Destination: 638 Thumb: true Page: Label: 505 Sequence: 7 Annotations: Annotation: Subtype: Link Rect: 123, 111, 136, 103 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 155, 92, 168, 84 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 188, 92, 201, 84 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 220, 92, 233, 84 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 253, 92, 266, 84 Flags: Print AppearanceDictionary: true Destination: 616 Annotation: Subtype: Link Rect: 285, 111, 298, 103 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 348, 92, 361, 84 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 380, 92, 393, 84 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 413, 111, 426, 103 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 455, 111, 468, 103 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 478, 92, 490, 84 Flags: Print AppearanceDictionary: true Destination: 638 Thumb: true Page: Label: 506 Sequence: 8 Annotations: Annotation: Subtype: Link Rect: 113, 111, 126, 103 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 195, 92, 208, 84 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 218, 92, 231, 84 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 270, 92, 283, 84 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 353, 111, 366, 103 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 385, 92, 398, 84 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 448, 92, 461, 84 Flags: Print AppearanceDictionary: true Destination: 638 Thumb: true Page: Label: 507 Sequence: 9 Annotations: Annotation: Subtype: Link Rect: 113, 92, 126, 84 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 175, 92, 188, 84 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 208, 92, 221, 84 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 250, 92, 263, 84 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 333, 111, 346, 103 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 405, 92, 418, 84 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 468, 111, 481, 103 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 498, 92, 511, 84 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 498, 105, 511, 96 Flags: Print AppearanceDictionary: true Destination: 628 Thumb: true Page: Label: 508 Sequence: 10 Annotations: Annotation: Subtype: Link Rect: 113, 111, 126, 103 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 165, 92, 178, 84 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 218, 111, 231, 103 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 250, 111, 263, 103 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 323, 92, 336, 84 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link Rect: 375, 111, 388, 103 Flags: Print AppearanceDictionary: true Destination: 638 Annotation: Subtype: Link Rect: 418, 111, 431, 103 Flags: Print AppearanceDictionary: true Destination: 628 Annotation: Subtype: Link 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