Vardhman Mahavir Medical College, India
Title: Quality assurance in breast surgery- have we finally arrived
Management of breast cancer ,arguably the commonest cancer of mankind has indeed undergone a tremendous evolution in the last few decades. While there are variations in the presentation and behaviour of this cancer, there are few accepted common management strategies that have been adopted world over. Till such time that we have completely reliable and rock solid guidelines there would be regional variations in the management and outcome of this dreaded but curable cancer. The management approaches would also vary depending on the availability of healthcare resources and proper investigational and management facilities. The management would therefore need to be tailored to the centre, the patient and also the expertise available.
While there are no issues with these modalities being available in the developed world, there are problems in the developing world, although one can find some of these countries as healthcare paradoxes i.e at one end there are centres of excellence and at the other end there are issues relating to providing primary health care and management of certain basic health problems like communicable diseases. There is thus no uniformity in the management of breast cancer across centres and countries. Quality assurance has to be ensured in order to achieve acceptable and reproducible outcomes in the management of breast cancer across the globe.