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Summary of Results

Health Topic:   Cancer
Guidance:   Breast cancer (advanced)
Description:   The summary of the published clinical guideline on Breast cancer (advanced). It links to the published guidance and key documents.

NICE implementation uptake reports

Implementation uptake report Assessment Published Date Coverage

External literature

External literature Assessment Coverage

Department of Health (2009) Uptake of NICE approved cancer drugs 2007/2008 London: Department of Health

Description: An analysis of prescribing data across cancer networks. Data show a 73% increase in prescribing of capecitabine from 2005 to 2007/08 and a 28% reduction in variation across networks (NB data is not linked to diagnosis).

Practice appears to be in line with guidance National

The NHS Information Centre for Health and Social Care (2011) Use of NICE-appraised medicines in the NHS in England-2009, Experimental Statistics

Description: This is the second report commissioned by the Metrics Working Group to look at the variation in use of postively appraised medicines in relation to the expected use as predicted by NICE. In all, 47 medicines in 18 groups, relating to 29 technology appraisals were considered. Out of the 12 groups where a comparison could be made (these are presented in Section 1 of the technology section results), observed use by the NHS in England was higher than the predicted use for eight and lower for three.

Not graded National

National Cancer Intelligence Network (2012) Recurrent and Metastatic Breast Cancer Data Collection Project: Pilot Report

Description: One of the aims of this pilot audit was to establish what local processes are in place for managing patients with recurrent and metastatic breast cancer. Fifteen breast cancer units in England provided information on 598 patients between June and November 2011 via teleconference and questionnaire. Findings include that the majority of units routinely discussed the treatment and care of patients in MDT meetings and 53% of patients were referred to a clinical nurse specialist or other key worker.

Doubts about or mixed impact in practice National

Olsen, S. et al (2013) Breast cancer surgery for the elderly - are we meeting a growing need? European Journal of Surgical Oncology. Volume 39, Issue 5 , Page 497, May 2013

Description: Findings are presented from a retrospective audit of all patients presenting with breast cancer to the Royal Devon & Exeter Hospital from 2000-2012 and of patients presenting after 2009 against guidance. Results found that the proportion of patients aged 80-89 undergoing surgery increased from 67% during 2000-2008 to 75% during 2009-2012 following publication of NICE guidelines on advanced breast cancer. For those aged 90 and over, this increased over the same period from 28% to 44%.

Doubts about or mixed impact in practice Local

Picart, S. (2013) Auditing compliance with the NICE Clinical Guideline: Quality standard for breast cancer (Aug 2011) at Salford Royal Foundation Trust European Journal of Surgical Oncology. Volume 39, Issue 5 , Pages 509-510, May 2013

Description: Practice at the Breast Unit at Salford Royal Foundation Trust was compared with the NICE quality standard for breast cancer. Data were collected on all patients diagnosed with breast cancer between Sept and Dec 2011. Results found that the Trust achieved 100% compliance in 6 out of 10 key areas. Improving documentation about reconstruction discussions, giving patients written care plans and documenting discussions about adjuvant therapy were areas for improvement.

Doubts about or mixed impact in practice Local

This page was last updated: 24 May 2013

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Selected, reliable information for health and social care in one place

Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright 2014 National Institute for Health and Care Excellence. All rights reserved.