M. Lara, . Debled, and . Renaud, F Valentin (radiologist), H Laharie (radiation oncologist), G MacGrogan (pathologist), P Levillain (pathologist), D Cambon (surgeon), D Tariel (surgeon), A Bernard (oncologist), L Prié (radiation oncologist), A Daban (radiation oncologist), D Barret (radiologist) and S Duverge

H. Pôle-de-cancérologie, . Et-pathologie-tissulaire, . Service-de-radiothérapie, and F. Chu-de-poitiers, Réseau de Cancérologie d'Aquitaine, 229 cours de l'Argonne, 33076 Bordeaux Cedex, France. 3 Unité de Recherche et d'Épidémiologie Cliniques, CRLCC Institut Bergonié, 229 cours de l'Argonne 33076 Bordeaux Cedex, France. 4 Inserm CIC-EC7, 126 rue Léo Saignat, 33076 Bordeaux Cedex, France. 5 Université Victor Segalen Bordeaux 2, 146 rue Léo Saignat 33076 The quality of care for treatment of early stage breast carcinoma: is it consistent with national guidelines? Cancer, pp.302-309, 1998.

F. Cardoso and M. Piccart, The best use of chemotherapy in the adjuvant setting, The Breast, vol.12, issue.6, pp.522-528, 2003.
DOI : 10.1016/S0960-9776(03)00161-9

R. Hand, S. Sener, J. Imperato, J. Chmiel, J. Sylvester et al., Hospital Variables Associated With Quality of Care for Breast Cancer Patients, JAMA: The Journal of the American Medical Association, vol.266, issue.24, pp.3429-3432, 1991.
DOI : 10.1001/jama.1991.03470240051031

B. Bloom, N. De-pouvourville, S. Chhatre, R. Jayadevappa, and D. Weinberg, Breast cancer treatment in clinical practice compared to best evidence and practice guidelines, British Journal of Cancer, vol.90, issue.1, pp.26-30, 2004.
DOI : 10.1038/sj.bjc.6601439

I. Ray-coquard, T. Philip, G. De-laroche, X. Froger, J. Suchaud et al., Persistence of Medical Change at Implementation of Clinical Guidelines on Medical Practice: A Controlled Study in a Cancer Network, Journal of Clinical Oncology, vol.23, issue.19, pp.4414-4423, 2005.
DOI : 10.1200/JCO.2005.01.040

I. Ray-coquard, P. Thiesse, D. Ranchère-vince, F. Chauvin, J. Bobin et al., Conformity to clinical practice guidelines, multidisciplinary management and outcome of treatment for soft tissue sarcomas, Annals of Oncology, vol.15, issue.2, pp.307-315, 2004.
DOI : 10.1093/annonc/mdh058

M. Schaapveld, E. De-vries, R. Otter, J. De-vries, W. Dolsma et al., Guideline adherence for early breast cancer before and after introduction of the sentinel node biopsy, British Journal of Cancer, vol.18, issue.5, pp.520-528, 2005.
DOI : 10.1016/0895-4356(94)00148-J

J. White, M. Morrow, J. Moughan, J. Owen, T. Pajak et al., Compliance with breast-conservation standards for patients with early-stage breast carcinoma, Cancer, vol.13, issue.4, pp.893-904, 2003.
DOI : 10.1002/cncr.11141

A. Francke, C. Smit, J. De-veer, and P. Mistiaen, Factors influencing the implementation of clinical guidelines for health care professionals: A systematic meta-review, BMC Medical Informatics and Decision Making, vol.115, issue.Suppl 2, pp.38-49, 2008.
DOI : 10.1111/j.1600-0447.2007.01016.x

F. Saillour-glénisson, S. Domecq, M. Pouchadon, J. B. Sibé, and M. , Analyse qualitative et quantitative des d??terminants ?? l???application de recommandations professionnelles (RP) par les m??decins, Revue d'??pid??miologie et de Sant?? Publique, vol.56, issue.4, pp.207-219, 2008.
DOI : 10.1016/j.respe.2008.04.006

J. Grimshaw, R. Thomas, G. Maclennan, C. Fraser, C. Ramsay et al., Effectiveness and efficiency of guideline dissemination and implementation strategies, International Journal of Technology Assessment in Health Care, vol.21, issue.01, 2004.
DOI : 10.1017/S0266462305290190

G. Bouche, V. Migeot, S. Mathoulin-pélissier, R. Salamon, and P. Ingrand, Breast cancer surgery: Do all patients want to go to high-volume hospitals?, Surgery, vol.143, issue.6, pp.699-705, 2008.
DOI : 10.1016/j.surg.2008.03.013

G. Defossez, S. Mathoulin-pelissier, I. Ingrand, I. Gasquet, L. Sifer-riviere et al., Satisfaction with care among patients with non-metastatic breast cancer: development and first steps of validation of the REPERES-60 questionnaire, BMC Cancer, vol.13, issue.1, p.129, 2007.
DOI : 10.1007/s00520-004-0727-x

URL : https://hal.archives-ouvertes.fr/inserm-00177052

R. Neal and V. Allgar, Sociodemographic factors and delays in the diagnosis of six cancers: analysis of data from the ???National Survey of NHS Patients: Cancer???, British Journal of Cancer, vol.82, issue.11, pp.1971-1975, 2005.
DOI : 10.1097/00005650-200001000-00012

N. Hébert-croteau, J. Brisson, and R. Pineault, Review of Organizational Factors Related to Care Offered to Woman with Brest Cancer, Epidemiologic Reviews, vol.22, issue.2, pp.228-238, 2000.
DOI : 10.1093/oxfordjournals.epirev.a018035

N. Hébert-croteau, J. Brisson, J. Latreille, and C. Blanchette, Compliance with consensus recommendations for the treatment of early stage breast carcinoma in elderly women, Cancer, vol.89, issue.5, pp.1104-1113, 1999.
DOI : 10.1002/(SICI)1097-0142(19990301)85:5<1104::AID-CNCR14>3.0.CO;2-1

D. Kingsmore, D. Hole, and C. Gillis, Why does specialist treatment of breast cancer improve survival? The role of surgical management, British Journal of Cancer, vol.21, issue.10, pp.1920-1925, 2004.
DOI : 10.1038/sj.bjc.6601846

F. Roila, E. Ballatori, L. Patoia, S. Palazzo, A. Veronesi et al., Adjuvant systemic therapies in women with breast cancer: an audit of clinical practice in Italy, Annals of Oncology, vol.14, issue.6, pp.843-848, 2003.
DOI : 10.1093/annonc/mdg256

D. Hosmer and S. Lemeshow, Applied logistic regression. 2 edition, 2000.

H. Brown and R. Prescott, Applied mixed models in medicine, 1999.

L. Wyld, D. Garg, I. Kumar, H. Brown, and M. Reed, Stage and treatment variation with age in postmenopausal women with breast cancer: compliance with guidelines, British Journal of Cancer, vol.90, issue.8, pp.1486-1491, 2004.
DOI : 10.1038/sj.bjc.6601742

M. Ma, J. Bell, S. Campbell, I. Basnett, A. Pollock et al., Breast cancer management: is volume related to quality?, British Journal of Cancer, vol.75, issue.11, pp.1652-1659, 1997.
DOI : 10.1038/bjc.1997.281

J. Malin, K. Kahn, J. Adams, L. Kwan, M. Laouri et al., Validity of Cancer Registry Data for Measuring the Quality of Breast Cancer Care, JNCI Journal of the National Cancer Institute, vol.94, issue.11, pp.835-844, 2002.
DOI : 10.1093/jnci/94.11.835

S. Mcevoy, D. Ingram, M. Byrne, D. Joseph, J. Dewar et al., Breast cancer in Western Australia: clinical practice and clinical guidelines, Med J Aust, vol.181, pp.305-309, 2004.

E. Calon, Breast cancer treatment: evaluation of practices in Brittany, Oncologie, vol.6, issue.8, pp.583-587, 2004.
DOI : 10.1007/s10269-005-0135-y

N. Hébert-croteau, C. Freeman, J. Latreille, and J. Brisson, Delay in adjuvant radiation treatment and outcomes of breast cancer ??? a review, Breast Cancer Research and Treatment, vol.8, issue.1, pp.77-94, 2002.
DOI : 10.1023/A:1016089215070

M. Mccarthy and J. Bore, Treatment of breast cancer in two teaching hospitals: a comparison with consensus guidelines, European Journal of Cancer and Clinical Oncology, vol.27, issue.5, pp.579-582, 1991.
DOI : 10.1016/0277-5379(91)90222-Y

R. Rosato, C. Sacerdote, E. Pagano, D. Cuonzo, D. Baldi et al., Appropriateness of early breast cancer management in relation to patient and hospital characteristics: a population based study in Northern Italy, Breast Cancer Research and Treatment, vol.194, issue.2, pp.349-56, 2009.
DOI : 10.1007/s10549-008-0252-6

URL : https://hal.archives-ouvertes.fr/hal-00535319

E. Pagano, D. Cuonzo, D. Bona, C. Baldi, I. Gabriele et al., Accessibility as a major determinant of radiotherapy underutilization: A population based study, Health Policy, vol.80, issue.3, pp.483-491, 2007.
DOI : 10.1016/j.healthpol.2006.05.006

G. Bouche, I. Ingrand, S. Mathoulin-pelissier, P. Ingrand, C. Breton-callu et al., Determinants of variability in waiting times for radiotherapy in the treatment of breast cancer, Radiotherapy and Oncology, vol.97, issue.3, pp.541-547, 2010.
DOI : 10.1016/j.radonc.2010.09.011

H. Linstone and M. Turoff, The Delphi method: techniques and applications Reading (Mass), 1975.

S. Edge, A. Stewart, L. Patel-parekh, G. Gay, B. Palis et al., Measuring the quality of breast cancer care: National variation in the use of radiation among women under age 70, ASCO Annual Meeting Proceedings Part I, p.599, 2004.

K. Larsen and J. Merlo, Appropriate Assessment of Neighborhood Effects on Individual Health: Integrating Random and Fixed Effects in Multilevel Logistic Regression, American Journal of Epidemiology, vol.161, issue.1, pp.81-88, 2005.
DOI : 10.1093/aje/kwi017

P. Durieux, P. Ravaud, P. Dosquet, and A. Durocher, Effectiveness of clinical guideline implementation strategies: systematic review of systematic reviews, Gastroenterol Clin Biol, vol.24, pp.1018-1025, 2000.

. Lebeau, Breast cancer care compared with clinical Guidelines: an observational study in France, BMC Public Health, vol.24, issue.1, p.45, 2011.
DOI : 10.1093/aje/kwi017

URL : https://hal.archives-ouvertes.fr/inserm-00663687