Calidad de la atención al paciente oncológico: Tiempos asistenciales recomendables entre sospecha clínica y definición del plan terapéutico en cáncer de mama y colorrectal

Objective: To determine recommended delays for treatment since there is a clinical suspicion for cancer care processes breast and colorectal taking into account resources and psychological well-being of the patients. Method: A qualitative study among professionals. The study was conducted in two phases. Firstly, during 4 sessions (N=19) we conducted a revision of the care processes of breast cancer and colorectal cancer and fixed desirable times. Secondly, through a modification of the Delphi technique (N=49), the propose times for each care process were validated. Results: Delphi’s response rate of 69% and 58% for colorectal and breast process respectively. The recommended time in the case of not invasive breast cancer was 5 to 6 weeks. For invasive cancer and nuclear medicine for sentinel node study was necessary, and in the case of invasive breast cancer with axillary clearance 5 to 7 weeks. In the case of cancer of the colon and rectum was considered necessary from 7 to 13 weeks. Conclusions: There is a possibility of shortening the time to confirm the diagnosis and treatment plan in the processes of breast cancer and colorectal cancer considering current resources.