We are thankful to Dr. Motiaa Youssef and Dr. Ghannam Abdelilah for referring to our breast cancer ‘pattern of care’ study in Morocco in their article [1]. While we fully agree with the authors about cancer pain management being an important quality indicator for oncology care, our retrospective study didn't have adequate data on the quality of cancer pain management at the two oncology centers in Morocco. The aim of our study was not to identify and/or validate any indicator for quality of cancer care. We used selected EUSOMA quality Standards that we could report for Morocco based on our retrospective data. It will be a useful initiative to define quality standards for breast cancer care in the Middle East and North Africa (MENA) region.