Annelotte van Bommel

27 The NABON Breast Cancer Audit Table 2. Quality indicators for breast cancer health care in theNABONBreast Cancer Audit (NBCA) andmean percentages per year from2011 to 2014. (continued) Discipline Indicator Pre-defined norm 2011 (n=12,562) 2012 (n=15,929) 2013 (n=16,451) 2014 a (n=11,985) P-value b Plastic surgery Immediate reconstructions with first ablative surgery for invasive breast cancer (total) 14% 16% 19% 21% <0.001 Immediate reconstructions with first ablative surgery for DCIS (total) 41% 38% 45% 46% 0.013 Radiotherapy Prior to neo-adjuvant chemotherapy seen by radiation oncologist 36% 42% 46% n.a. g <0.001 Radiotherapy for locally advanced breast cancer (excluding T3N0) treated with mastectomy 75% 80% 81% n.a. g <0.001 Radiotherapy for DCIS treated with breast conserving surgery  75% 81% 84% n.a. g <0.001 Systemictherapy Neo-adjuvant chemotherapy for invasive M0 breast cancer  8% 9% 12% 14% <0.001 Post-operative chemotherapy for invasive M0 breast cancer  34% 32% 31% n.a. g <0.001 Neo-adjuvant or post-operative chemotherapy for invasive M0 breast cancer 42% 40% 42% n.a. g <0.001 Multi-disciplinary Number of records completed in NBCA >90% 97% 98% 99% 99% <0.001 Pre-operative multi-disciplinary teammeeting including digital report >90% 83% 94% 97% 98% <0.001 Post-operative multi-disciplinary teammeeting including digital report >90% 91% 97% 99% 99% <0.001 2

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