Quality Improve cancer registries Spain’s good performance in the Outcomes & Survivorship Vital Sign could be further improved by increasing the quality of its cancer registries (19th). View this data Specialists Increase access to specialists To improve patient outcomes, Spain needs to improve direct access to cancer specialists (24th). View this data Death Rate Top score for low death rate Spain ranks 1st for the lowest death rate from malignant neoplasm of the breast, reflecting positively on the overall quality of care for breast cancer. View this data