Evidence map›Paper›PMID 41692511›Full record

ArticleBMJ open quality2026

Implementing consistent pretreatment multidisciplinary review for breast cancer: a quality improvement project.

Karina Makarova, Allison Chiu, Rebecca Warburton, Amy Bazzarelli, Melina Deban, Carol Dingee, Jieun Newman-Bremang, Jin-Si Pao, Elaine McKevitt

Abstract read
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In one paragraph

Article in BMJ open quality, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Karina MakarovaThe University of British Columbia, Vancouver, Canada.
Allison ChiuPhysician Quality Improvement, Vancouver Coastal Health, Vancouver, Canada.
Rebecca WarburtonSurgery, The University of British Columbia, Vancouver, Canada.
Amy BazzarelliSurgery, The University of British Columbia, Vancouver, Canada.
Melina DebanSurgery, The University of British Columbia, Vancouver, Canada.
Carol DingeeSurgery, The University of British Columbia, Vancouver, Canada.
Jieun Newman-BremangSurgery, The University of British Columbia, Vancouver, Canada.
Jin-Si PaoSurgery, The University of British Columbia, Vancouver, Canada.
Elaine McKevittSurgery, The University of British Columbia, Vancouver, Canada emckevitt@providencehealth.bc.ca.ORCID 0000-0002-9080-113X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Modern breast cancer care is multimodal and multidisciplinary, and a lack of structured communication between members in different disciplines can introduce obstacles in a patient's journey, resulting in potential treatment delays. In this study, we aimed to increase the percentage of more complex breast cancer cases reviewed pretreatment in a multidisciplinary setting in order to improve breast cancer management at our breast programme. We first started by examining cases of a lower volume complex procedure, oncoplastic breast reconstruction, and aimed to increase the number reviewed preoperatively from 0% to 50% by May 2023. We then expanded the process to include all cases categorised as 'complex', aiming to increase the number reviewed from 0% to 50% by April 2024. We prospectively collected data on all triaged cancer cases to track the number of cases reviewed, with the conclusion that both aims were achieved. Feedback surveys were distributed to conference members at three study time points to assess benefits, challenges, perceptions of the process and ideas for department-specific sustainability. Our findings emphasise that pretreatment review is effective, with 23% of cases resulting in management changes directly as a result of review.

Indexed as

Breast NeoplasmsPreoperative CareQuality ImprovementFemaleHumansPatient Care TeamProspective StudiesSurveys and QuestionnairesHealthcare quality improvementPatient-centred careStandards of careSurgeryTeamwork

Identifiers

PMID41692511
PMCPMC12911702

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.