Abstract

RACS National Breast Cancer Audit (NBCA) began in 1998 when a Standing Committee of the House of Representatives indicated that RACS should establish it post haste.It started as a paper based audit using Windows Access in the College Office in Adelaide in 1998 and has grown into a web based audit under the management of ASERNIPS.It now has 80,000 patients enrolled and is beginning to close the audit loop by analyzing relevant key performance indicators (KPI).These indicators are the percentage of patients treated with breast conserving surgery referred for radiotherapy (>85%), the percentage of patients prescribed or referred for hormone therapy for ER+ patients (>85%), the percentage of patients undergoing axillary surgery for invasive breast cancer (KPI > 90%) and the percentage of patients who underwent breast conserving surgery undergoing no axillary surgery (>90%).New KPIs are being added and data tidied.The current numbers and analysis as well as plans for the audit will be presented.

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