Annelotte van Bommel

37 The NABON Breast Cancer Audit CONCLUSION The goals of the NBCA to establish a nation-wide multidisciplinary evaluation of quality parameters in breast cancer care, to evaluate guideline adherence and to facilitate benchmarking have been achieved within 4 years’ time with full participation of all hospitals. Present results show an overall high quality of breast cancer care in the Netherlands and provide insight in fields and items for improvement. Future challenges include the development of robust quality indicators and understanding the variation of several indicators, accurate data verification and reducing the time necessary for data collection. With these efforts, we will be able to monitor and improve breast cancer care in the Netherlands. 2

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