Researchers from the International Agency for Research on Cancer (IARC) and partner institutions in Africa have examined the feasibility and challenges of measuring the key performance indicators (KPIs) associated with the three pillars of the World Health Organization (WHO) Global Breast Cancer Initiative (GBCI). Their analysis was published in the journal *eClinicalMedicine*.
The three pillars of the GBCI include: (1) health promotion for early detection, (2) timely breast diagnosis, and (3) comprehensive breast cancer management. The corresponding KPIs are: (KPI1) diagnosing more than 60% of invasive cancers at stage I or II, (KPI2) completing the diagnostic workup within 60 days of a patient’s first visit to the healthcare system, and (KPI3) ensuring that more than 80% of patients receive multimodal treatment without discontinuation.
The analysis aimed to determine whether it was feasible to measure each KPI while documenting the challenges involved in obtaining the necessary data and applying the definitions of the KPIs in practice. The study was carried out within the African Breast Cancer – Disparities in Outcomes (ABC-DO) cohort study, which is a hospital-based prospective cohort of women newly diagnosed with breast cancer.
