• Follow-up
• esito estetico funzionale

It has been demonstrated that multidisciplinary breast centers must comprehensively address all the issues regarding breast cancer patients to ensure ideal treatments, the best quality of life and higher survival rates. Quality of care must not be self-certified; process and outcome indicators should be constantly monitored and updated according to international scientific guidelines and European, Italian and Tuscan regulations.
In order to ensure quality of care, several Italian breast centers, including the Breast Unit (Center) of the University Hospital of Pisa, were asked to monitor process indicators as well as new and experimental aesthetic and functional performance indicators after breast surgery using QTBREAST software.
This thesis discusses the experimental monitoring of these process and performance indicators with QTBREAST in 200 patients with breast cancer operated in 2014 and a one-year follow-up. The thesis project shows that indicator monitoring can help improve some of the stages of comprehensive care and esthetic and functional performance in one of Italy’s most important breast centers.