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A review of patient-centred measures in breast cancer and impact on care efficiency

Elizabeth Tan , Christobel Saunders

Abstract

Objective Breast cancer is the most common cancer in Australian women, with rising prevalence and costs. Inefficient care leads to poorer outcomes and strains healthcare systems. This review explores the association between breast cancer management strategies and efficiency in delivering care. Methods An exploratory single database review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA-P) guidelines was conducted; searching MEDLINE for studies on patient-centred care, efficiency, and breast cancer published 2014-present. Data extraction and synthesis followed PRISMA extension for Scoping Reviews (PRISMA-ScR) Checklist. Results 11 studies were included (1 systematic review, 1 Randomised Control Trial (RCT), 4 comparative studies, 3 observational studies, 1 budget analysis and 1 protocol). 7 studies found a positive association between patient-centred care and efficiency; 6 showed statistical significance. These included reduced diagnostic delays (n=3), improved shared decision-making (SDM) with decision aids (n=3), need to address ethnic/socioeconomic status (SES) disparities (n=2), and survivorship interventions/experience (n=3). Conclusion This is the first review analysing multiple strategies to improve delivery of care, demonstrating improved efficiency throughout the treatment journey in breast cancer by using patient-centred care. Further implementation studies are needed to understand how to optimize outcomes and healthcare sustainability.

AH24329  Accepted 24 January 2025

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