Analyse des délais de traitement du cancer du sein : expérience d'un centre de référence tertiaire au Maroc

Measuring waiting times is a good indicator of quality and performance of cancer care. However, no detailed evaluation of these deadlines has been carried out in Morocco. The aim of this study was to determine the waiting times of medical care of breast cancer in a national tertiary referral center. The study was carried out by retrospective analysis of 373 cases of patients randomly selected among the cases recruited during the year 2015. Twelve delays of the care pathway were evaluated. The mean age was of 50,7 years. The deadline of access to this center was 9 ± 8 days. The deadline of access to the diagnosis was 33.5 ± 21.2 days. The deadlines of access to multidisciplinary team meeting pre-therapeutic was 20.4 ± 16.9 days. The access to the first treatment was 51.1 ± 34.3 days for the neoadjuvant chemotherapy and 75.5 ± 34.8 days for surgery. The deadline of access to the postoperative therapeutic proposal was on average 49.2 ± 25.2 days. The deadline of access to the postoperative chemotherapy was 83.7 ± 28.8 days and 284 ± 43.8 days for postoperative radiotherapy in case of adjuvant chemotherapy. The global deadline mammography-radiotherapy was 372 ± 66.5 days. Many of our deadlines were long compared to international recommendations. The factors associated with these delays must be analyzed in order to introduce improvement measures to control these indicators.