Evidence map›Paper›PMID 41561531›Full record

ArticleEcancermedicalscience2025

Bridging gaps in breast cancer care: a Breast Cancer Care Quality Index to improve outcomes worldwide.

Eduardo Cazap, Benjamin O Anderson, Giuseppe Curigliano, Sandeep Sehdev, Fatima Cardoso, Ana Rita Gonzalez, Emad Shash, Cheng-Har Yip, André Mattar, Yanin Chavarri-Guerra and 5 more

Abstract readCase Reports
In one paragraph

Article in Ecancermedicalscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Eduardo CazapLatin-American and Caribbean Society of Medical Oncology (SLACOM), Buenos Aires CP 1057, Argentina.
Benjamin O AndersonUniversity of Washington, Seattle, WA 98195, USA.
Giuseppe CuriglianoDepartment of Oncology and Hemato-Oncology, University of Milano, Milano 20122, Italy.
Sandeep SehdevOttawa Hospital Cancer Centre, Ottawa, ON K1H 1C4, Canada.
Fatima CardosoAdvanced Breast Cancer (ABC) Global Alliance, Lisbon 1400-038, Portugal.
Ana Rita GonzalezPolicy Wisdom LLC, Quebradillas 00678-2705, Puerto Rico.
Emad ShashMedical Oncology, National Cancer Institute, Cairo University, Giza 12613, Egypt.
Cheng-Har YipPicaso Hospital, Petaling Jaya 46300, Malaysia.
André MattarMastology Department, Women's Health Hospital, São Paulo 01215-000, Brazil.
Yanin Chavarri-GuerraInstituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City 40080, Mexico.
Miriam MutebiDepartment of Surgery, Aga Khan University, Nairobi 30270-00100, Kenya.
Yongmei YinDepartment of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210000-211300, China.
João Victor RochaPolicy Wisdom LLC, Quebradillas 00678-2705, Puerto Rico.
Ilaria LucibelloPolicy Wisdom LLC, Quebradillas 00678-2705, Puerto Rico.
Namita SrivastavaPolicy Wisdom LLC, Quebradillas 00678-2705, Puerto Rico.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Breast cancer (BC) care faces challenges in early detection, timely diagnosis and comprehensive management. Disparities persist, with underserved populations facing the greatest barriers. Addressing these requires policies that support consistent, evidence-based practices and enhance healthcare capacity and technology advancements. This document presents the development of the Breast Cancer Care Quality Index (BCCQI), supported by evidence to promote equitable care and improve BC outcomes globally, and discusses its adoption as a strategic tool within National Cancer Control Plans. Methods: A two-part methodology identified challenges in BC care and defined dimensions, targets and indicators for the BCCQI, aligned with the World Health Organization Global Breast Cancer Initiative. A literature review and analysis of existing United Nations (UN) frameworks informed the initial structure of the index, which was later refined through expert feedback from a multidisciplinary panel representing diverse backgrounds and geographies. Findings: The BCCQI is organised into four dimensions, comprising 10 targets and 23 indicators to guide the development of country-specific roadmaps. It should promote progress across key domains: health equity, patient centricity, universal access, care quality and treatment effectiveness. The Index is conceived as a dynamic tool, continuously refined through real-world application and emerging evidence. Interpretation: Despite the previous initiatives, progress has been slow, likely due to practical details and country-specific guidance remaining limited due to scarce real-world evidence. Promoting national ownership and empowering action aligned with local challenges and opportunities, a flexible, strategic framework may help address these gaps.

Indexed as

breast cancercomprehensive managementearly detectionhealthcare qualityhealthcare systems strengtheninghealth equitypatient centricityquality indextimely diagnosistreatment effectivenessuniversal access to health

Identifiers

PMID41561531
PMCPMC12812820

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.