Evaluating the breast cancer quality of care indicators in Iran; multicenter study

Background: Data on quality-of-care indicators for breast cancer patients is limited in low—and middle-income countries. We evaluated the indicators in Iran. Method: A total of 21 quality-of-care indicators of breast cancer management defined by EUSOMA 2017 were selected. The indicators were retrospectively evaluated based on the data from the Clinical Breast Cancer Registry established in 11 provinces of Iran. Result: In the study of 6,293 patients evaluated on 21 indicators, 15 indicators were more than 5% below EUSOMA's standard levels. Conclusion: The defined indicators had a value lower than the suggested standards by EUSOMA. This study's results highlight important clues for intervention in improving breast cancer outcomes in Iran and other low—and middle-income countries.