Looks to me that that's their goal.

If all adhere to recommended guidelines (as mentioned), that will not be
required.
(is my interpretation of their goal).
This would result in, for instance, patients not having to travel extensively
for radiation therapy.
Probably savings in costs to insurance if the quality of  their treatments were
standardized and available locally.
J

It would be surprising if the quality of care was uniform across the
board.

This study really emphasises the importance of choosing carefully where
to go for treatment;

in the US one of the National Cancer Centres would be a good choice or,
failing that, a hospital associated with a university which has an
active cancer center.

=============================

I would definitely NOT recommend M D Anderson in Houston TX, as a place
to come or to actively seek cancer care.

It's a Texas state-run medical center, & Texas is basically Crime-Rule,
with the most extreme levels of corruption in govt, the most greedy &
sadistic criminals you can find.

Texas is too dangerous. It's like a third-world country, where most
things are total rip-offs.

If MDA claims to have an expert in your kind of cancer, then a long
distance consult by your cancer doctor, from the safety & protection of
your own state, would probably be best.

However, their protocols & treatments for cancer, like those of most
other doctors, are overly-controlled by the state, by medical lobbies,
by drug/pharma lobbies & such, ..... so it's mostly cr*p-care, a
harm-filled rip-off. It's an industry designed mostly to abuse power, to
do harm & enjoy it, to glory in it, while charging maximum $$$ for it.
(Narcissistic & Antisocial Moral/Mental Disorders, the Hypocrite High
Syndrome, the Sociopathic/Criminal Mindset]

There need to be enforceable penalties for docs who do the wrong things,
regardless if these things are "protocol", the govt-ordered norm.

For breast cancer, the treatments are still mostly general (primitive),
the one size fits all, ..... & if it doesn't fit you, then you're out of
luck. You've been robbed of time & $$$, sickened horribly & abandoned,
kicked to the curb.

The hormone-blocking stuff (Arimidex, etc.), proved to be the very worst
for me, extremely bad adverse reactions, ..... but because the docs had
nothing else, they conned, manipulated & intimidated me into staying on
it for about a year & a half, until it had almost killed me. My health
will never recover from this, esp. not from the sudden acute lymphedema
it caused.  

It not only destroys health, but quality of life. There have to be
better options than this.

I cringe whenever the TV reporters (sadistic idiots from hell) still
report the hormone blockers, as being the latest new advance in the
treatment of breast cancer, ..... since this harmful cr*p has been
around for so many years now.

Can't the researchers & pharma companies, come up with something
(anything!) else, ...... with something that has some chance of working,
or at least, not doing so much harm?

-------------------

Also, the universities in Texas & Louisiana have proved to be the worst
places possible to seek testing, diagnosis & care for cancer & for
injuries.

They need to attract guinea pigs (suckers, whom they know will get badly
harmed) for their students to practice on.

And the attitude of the professors is too often very bad, not only
arrogant but incompetent, "drunk" on the abuse of power if not drugs.

Also, they'll let their young students run their clinics & depts, which
can prove extremely bad. [Their professors would rather be elsewhere.]

When I asked an independent specialist, why do many professors at
universities just seemed & acted arrogant & ignorant (dumber than sh*t),
he said: "Those who can do. Those who can't teach, esp. at
universities."

Also, the universities won't refer outside of their systems (won't refer
to the independent, competent doctors), & the universities usually have
nothing of value or worth inside their systems.

Their professors seem to spend much of their time, sucking up to the
pharma companies, trying to get grant $$$ for their projects, .....
which is where their focus & loyalties lie.

-----------------

For the most part, the laws & legal system here in Texas & Louisiana,
have now been set up, so that the bad doctors can't get sued,
investigated, penalized in any way, or put out of practice.

"Power corrupts. Absolute power corrupts absolutely."

In Louisiana, in their state LSU systems, the campus cops (not the
police) have been put in charge of investigating claims against doctors
(for their physical assaults on patients & such), & they simply refuse
to investigate.

The DA's office also refuses to investigate, or to order the campus cops
to investigate.

It's a no-win loop of crime & corruption, & of greed.

-------------------

If there are any good/competent doctors, then they will be in private
practice, & probably very difficult to find unless you have a lot of
money.

Susan, Su_Texas  my opinions

PS  The yearly report on best hospitals/etc. in Newsweek (?) magazine,
is also bogus, & is put out by a university.