Analysis of surgical and diagnostic quality at a specialist breast unit

Hoffmann, J

doi:10.1016/j.breast.2005.11.001

Cited by 13 publications

(10 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The overall risk of re-operation due to postoperative bleeding in breast cancer patients observed in our study was of the same magnitude as that observed in a small single centre cohort (0.8-4.1%) [7], which adds further support to the validity of our outcome measure.…”

Section: Discussionsupporting

confidence: 84%

See 1 more Smart Citation

Use of selective serotonin reuptake inhibitors and risk of re-operation due to post-surgical bleeding in breast cancer patients: a Danish population-based cohort study

et al. 2010

View full text Add to dashboard Cite

BackgroundSelective serotonin reuptake inhibitors (SSRI) decrease platelet-function, which suggests that SSRI use may increase the risk of post-surgical bleeding. Few studies have investigated this potential association.MethodsWe conducted a population-based study of the risk of re-operation due to post-surgical bleeding within two weeks of primary surgery among Danish women with primary breast cancer. Patients were categorised according to their use of SSRI: never users, current users (SSRI prescription within 30 days of initial breast cancer surgery), and former users (SSRI prescription more than 30 days before initial breast cancer surgery). We calculated the risk of re-operation due to post-surgical bleeding within 14 days of initial surgery, and the relative risk (RR) of re-operation comparing SSRI users with never users of SSRI adjusting for potential confounders.Results389 of 14,464 women (2.7%) were re-operated. 1592 (11%) had a history of SSRI use. Risk of re-operation was 2.6% among never users, 7.0% among current SSRI users, and 2.7% among former users. Current users thus had an increased risk of re-operation due to post-operative bleeding (adjusted relative risk = 2.3; 95% confidence interval (CI) = 1.4, 3.9) compared with never users. There was no increased risk of re-operation associated with former use of SSRI (RR = 0.93, 95% CI = 0.66, 1.3).ConclusionsCurrent use of SSRI is associated with an increased risk of re-operation due to bleeding after surgery for breast cancer.

show abstract

Section: Discussionsupporting

confidence: 84%

“…Severe peri-operative bleeding, defined as the need for blood transfusion following breast cancer surgery, is a rare event. Even so, major postoperative bleeding requiring re-operation occurs in about 4% of women operated on for breast cancer [7]. …”

Section: Introductionmentioning

confidence: 99%

Use of selective serotonin reuptake inhibitors and risk of re-operation due to post-surgical bleeding in breast cancer patients: a Danish population-based cohort study

et al. 2010

View full text Add to dashboard Cite

show abstract

“…Positive associations between a higher level of hospital caseload or specialization and BCS ? RT have already been reported [22,23]. In addition, lower local recurrence rates and improved survival for women who undergo surgery at a hospital with a high case volume have been documented [23].…”

Section: Discussionmentioning

confidence: 99%

Appropriateness of early breast cancer management in relation to patient and hospital characteristics: a population based study in Northern Italy

Rosato

Sacerdote

Pagano

et al. 2008

Breast Cancer Res Treat

View full text Add to dashboard Cite

Administrative data may provide valuable information for monitoring the quality of care at population level and offer an efficient way of gathering data on individual patterns of care, and also to shed light on inequalities in access to appropriate medical care. The aim of the study was to investigate the role of patient and hospital characteristics in the initial treatment of early breast cancer using administrative data. Incident breast cancer patients were identified from hospital discharge records and linked to the radiotherapy outpatient database during 2000-2004 in the Piedmont region of Northwestern Italy. Women treated with breast-conserving surgery followed by radiotherapy (BCS ? RT) were compared to those treated with BCS without radiotherapy (BCS w/o RT) or mastectomy using multinomial logistic regression models. Out of 16,022 incident cases, 46.2% received BCS ? RT, 20.3% received BCS w/o RT, and 33.5% received a mastectomy. Compared to BCS ? RT, the factors associated with BCS w/o RT were: increased age (OR = 1.54; 95% CI = 1.29-1.85, for ages 70-79 vs. \50), being unmarried (1.24; 1.13-1.36), presence of co-morbidities (1.32; 1.10-1.58), being treated at hospitals with low surgical volume (1.31; 1.07-1.60 for hospitals with less than 50 vs. C150 interventions/year), and living far from radiotherapy facilities (1.75; 1.39-2.20 for those at a distance of [45 min). These same factors were also associated with mastectomy. During the 5-year period observed, there was a trend of reduced probability of receiving a mastectomy (0.70; 0.56-0.88 for 2004 vs. 2000). The presence or absence of nodal involvement was positively associated with mastectomy (2.28; 1.83-2.85) and negatively associated with BCS w/o RT (0.65; 0.56-0.76). After adjustment for potential confounders, education level did not show any association with the type of treatment. Social and geographical factors, in addition to hospital specialization, should be considered to reduce inappropriateness of care for breast cancer.

show abstract

“…The "Brussels Statement" in 2001 emphasised the need for breast cancer diagnosis and care to be carried out in accredited breast units that practice according to set guidelines 14 . This has consistently been re-iterated in further updates of these statements 15,16 and is increasingly adopted in various countries throughout Europe 6,17 .…”

Section: 1mentioning

confidence: 98%

Optimising the care of primary breast cancer in older women—potential for a dedicated service

Tang

Morgan

Winterbottom

et al. 2010

Journal of Geriatric Oncology

View full text Add to dashboard Cite

Analysis of surgical and diagnostic quality at a specialist breast unit

Cited by 13 publications

References 18 publications

Use of selective serotonin reuptake inhibitors and risk of re-operation due to post-surgical bleeding in breast cancer patients: a Danish population-based cohort study

Use of selective serotonin reuptake inhibitors and risk of re-operation due to post-surgical bleeding in breast cancer patients: a Danish population-based cohort study

Appropriateness of early breast cancer management in relation to patient and hospital characteristics: a population based study in Northern Italy

Optimising the care of primary breast cancer in older women—potential for a dedicated service

Contact Info

Product

Resources

About