Web of Science: 8 cites, Scopus: 9 cites, Google Scholar: cites
Health services research in patients with breast cancer (CAMISS-prospective) : study protocol for an observational prospective study
Garcia-Gutierrez, Susana (Hospital de Galdakao (Usansolo, Biscaia))
Orive, Miren (Hospital de Galdakao (Usansolo, Biscaia))
Sarasqueta, Cristina (Hospital Universitario Donostia - Red de Investigación en Servicios de Salud en Enfermedades Crónicas [REDISSEC])
Legarreta, Maria Jose (Universidad del País Vasco)
Gonzalez, Nerea (Hospital de Galdakao (Usansolo, Biscaia))
Redondo, Maximino (Agencia Sanitaria Costa del Sol)
Rivero-Santana, Amado (Fundación Canaria de Investigación y Salud)
Serrano-Aguilar, Pedro (Servicio Canario de la Salud)
Castells, Xavier (Universitat Autònoma de Barcelona. Departament de Pediatria, Obstetrícia i Ginecologia i Medicina Preventiva i Salut Pública)
Quintana López, José María (Hospital de Galdakao (Usansolo, Biscaia))
Sala, Maria (Institut Hospital del Mar d'Investigacions Mèdiques)

Data: 2018
Resum: Though breast cancer remains a major health problem, there is a lack of information on health care provided to patients with this disease and associated costs. In addition, there is a need to update and validate risk stratification tools in Spain. Our purpose is to evaluate the health services provided for breast cancer in Spain, from screening and diagnosis to treatment and prognosis. Prospective cohort study involving 13 hospitals in Spain with a follow-up period of up to 5 years after diagnostic biopsy. Eligibility criteria: Patients diagnosed with breast cancer between April 2013 and May 2015 that have consented to participate in the study. Data collection: Data will be collected on the following: pre-intervention medical history, biological, clinical, and sociodemographic characteristics, mode of cancer detection, hospital admission, treatment, and outcomes up to 5 years after initial treatment. Questionnaires about quality of life (EuroQoL EQ-5D-5 L, the European Organization For Research And Treatment Of Cancer Core Quality Of Life Questionnaire EORTC QLQ-C30 join to the specific breast cancer module (QLQ-BR23), as well as Hospital Anxiety and Depression Scale were completed by the patients before the beginning of the initial treatment and at the end of follow-up period, 2 years later. The end-points of the study were changes in health-related quality of life, recurrence, complications and readmissions at 2 and 5 years after initial treatment. Statistical analysis: Descriptive statistics will be calculated and multivariate models will be used where appropriate to adjust for potential confounders. In order to create and validate a prediction model, split validation and bootstrapping will be performed. Cost analysis will be carried out from the perspective of a national health system. The results of this coordinated project are expected to generate scientifically valid and clinically and socially important information to inform the decision-making of managers and the authorities responsible for ensuring equality in care processes as well in health outcomes. For clinicians, clinical prediction rules will be developed which are expected to serve as the basis for the development of software applications. Date of registration: May 8, 2015 (retrospectively registered).
Ajuts: Instituto de Salud Carlos III PI12-01842
Instituto de Salud Carlos III PI12-02493
Nota: Altres ajuts: This study has been funded by [...] and the Basque Government Health Department (2012111045).
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Llengua: Anglès
Document: Article ; recerca ; Versió publicada
Matèria: Breast cancer ; Health services research ; Clinical prediction rules
Publicat a: BMC Cancer, Vol. 18 (january 2018) , ISSN 1471-2407

DOI: 10.1186/s12885-017-3926-9
PMID: 29310641


10 p, 834.6 KB

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