Select Choices in Benign Breast Disease: An Initiative of the American Society of Breast Surgeons for the American Board of Internal Medicine Choosing Wisely® Campaign

Rao, Roshni; Ludwig, Kandace; Bailey, Lisa; Berry, Tiffany S.; Buras, R.; Degnim, Amy C.; Fayanju, Oluwadamilola M.; Froman, Joshua; Golesorkhi, Negar; Greenburg, Caprice; Thu, Ayemoe; Mautner, Starr Koslow; Krontiras, Helen; Sowden, Michelle; Wexelman, Barbara; Landercasper, Jeffrey

doi:10.1245/s10434-018-6584-5

Cited by 17 publications

(12 citation statements)

References 21 publications

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“…Over 50% of women in China experience benign breast problems [ 5 – 7 ]. However, the lack of adequate high-level evidence related to breast cancer causes its management to be based on an individual physician’s experience or training [ 8 ]. Furthermore, with the development of image-guided localization and expansion of the applications of ultrasonography, the accurate detection of suspicious nodules and lesions has increased; consequently, this has increased the chances of breast cancer surgeons to encounter new or challenging high-risk lesions.…”

Section: Introductionmentioning

confidence: 99%

Prediction of total hospital expenses of patients undergoing breast cancer surgery in Shanghai, China by comparing three models

Chen

Zhang

et al. 2021

BMC Health Serv Res

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Background Breast cancer imposes a considerable burden on both the health care system and society, and becomes increasingly severe among women in China. To reduce the economic burden of this disease is crucial for patients undergoing the breast cancer surgery, hospital managers, and medical insurance providers. However, few studies have evidenced the prediction of the total hospital expenses (THE) for breast cancer surgery. The aim of the study is to predict THE for breast cancer surgery and identify the main influencing factors. Methods Data were retrieved from the first page of medical records of 3699 patients undergoing breast cancer surgery in one tertiary hospital from 2017 to 2018. Multiple liner regression (MLR), artificial neural networks (ANNs), and classification and regression tree (CART) were constructed and compared. Results The dataset from 3699 patients were randomly divided into training and test sets at a 70:30 ratio (2599 and 1100 records, respectively). The average total hospital expenses were 12520.54 ± 7844.88 ¥ (US$ 1929.20 ± 1208.11). MLR results revealed six factors to be significantly associated with THE: age, LOS, type of disease, having medical insurance, minimally invasive surgery, and receiving general anesthesia. After comparing three models, ANNs was the best model to predict THEs in patients undergoing breast cancer surgery, and its strong predictive performance was also validated. Conclusions To reduce the THEs, more attention should be paid to related factors of LOS, major and minimally invasive surgeries, and general anesthesia for these patient groups undergoing breast cancer surgery. This may reduce the information asymmetry between doctors and patients and provide more reliable cost, practical inpatient medical consumption standards and reimbursement standards reference for patients, hospital managers, and medical insurance providers ,respectively.

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Section: Introductionmentioning

confidence: 99%

Prediction of total hospital expenses of patients undergoing breast cancer surgery in Shanghai, China by comparing three models

Chen

Zhang

et al. 2021

BMC Health Serv Res

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“…нерентабельному способу відкритої біопсії, який на поточний період резервується лише для невеликої (≈ 5,0%) субпопуляції жінок із невизначеними результатами закритих біопсій [21]. Водночас негативні результати РПКГ з високою (74,1%) ймовірністю підтверджують доброякісний характер ККГЗ і можливість ухилення від непотрібних біопсій/операцій із подальшим динамічним спостереженням.…”

Section: матеріали та методиunclassified

Diagnosis of complex breast cysts using X-ray pneumocystography and endoscopic mammocystoscopy

Аксьонов

2022

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Background. Complex cysts of the breast (CCB), in contrast to simple and complicated cysts, are characterized by a high (up to 31.0%) oncological potential. Mammography and ultrasound (US) as the most common methods of radiological diagnosis do not allow to classify CCB on benign and malignant, and in the case of breast cancer (BC) are not detected the establishment of its molecular genetic subtype.Objectives: to analyze and popularize own experience of using endoscopic mammocystoscopy (EMCS) and X-ray pneumocystography (RPCG) for the diagnosis of CCB and biopsy navigation. Materials and methods. The clinical and anamnestic data, the results of radiological, endoscopic and pathomorphological studies in 286 adult women with simple, complicated breast cysts and CCB were analyzed (n = 45, 134 and 142, respectively).Results. The diagnostic and navigation capabilities of US are limited by frequent (18.1%) false-negative results, which are caused by atypical echosemiotics of CCB. Trepan-biopsy under US control becomes impossible when visualization of the CCB disappears, which often occurs during fine-needle aspiration of the liquid component. Technical difficulties arise when imitating a puncture needle with linear hyperechoic structures induced by Cooper’s ligaments, as well as when positioning the CCB in a bulky, non-fixed gland. In terms of diagnostic specificity and prognostic significance of a negative result, RPCG is slightly (5.6 and 4.7%, respectively) inferior to US and in certain clinical situations it can be used to assess the likelihood of BC, and in case of positive results for navigate a stereotaxic сore needle biopsy. EMCS is a low-traumatic procedure that provides direct visual contact with intracystic neoplasms, allows assessing the probability of BC and conducting a pinch biopsy.Conclusions. The consistent combined use of well-known and author’s methods with the involvement of US, RPCG and EMCS according to the given algorithm ensures effective management of CCB at the modern level.

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“…The vast majority of these injuries occur in females, but they can also occur in males. Diagnosis and treatment of breast abscess is not difficult, but there is a high percentage of repetition [123]. Abscesses breast disease is often caused by Staphylococcus aureus and Streptococcus species, it became Staphylococcus aureus resistant MRSA increasingly common.…”

Section: Breast Abscessmentioning

confidence: 99%

Bacterial Skin Abscess

Radhi¹,

AL-Rubea²,

Hindi³

et al. 2021

Insights Into Drug Resistance in Staphylococcus Aureus

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Patients with skin and soft tissue infections may appear with the abscess. Erroneous diagnosis of these entities is common, and should carefully consider the possible alternative diagnoses. Risk for developing skin abscess factors includes disruption of the skin barrier, edema, venous insufficiency, and immune suppression. However, healthy individuals who have no risk factors may also develop these diseases. The most common microbiologic cause of abscess, a commonly group Streptococcus or Streptococcus pyogenes; Staphylococcus aureus (including methicillin-resistant strains) is a notable but less common cause. The most common microbiologic cause of skin abscess is S. aureus; a skin abscess can be caused by more than one pathogen. The diagnosis is based on skin abscess usually on the clinical manifestations. It must be subject to patients with disposable abscess incision and drainage, with a test of culture and susceptibility of materials wet. There is no justification for the blood of patients in the cultures of the abovementioned circumstances. It can be a useful radiographic examination to determine whether the skin abscess is present (via ultrasound) to distinguish cellulitis from osteomyelitis (via magnetic resonance imaging). There may be a justification for radiological assessment in patients with immune suppression, diabetes, venous insufficiency, or lymphedema in patients with persistent symptoms of systemic lymphatic obstruction.

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Select Choices in Benign Breast Disease: An Initiative of the American Society of Breast Surgeons for the American Board of Internal Medicine Choosing Wisely® Campaign

Abstract: The ASBrS Choosing Wisely measures that address benign breast disease management are easily accessible to patients via the internet. Consensus was reached by PSQC regarding these recommendations. These measures provide guidance for shared decision-making.

Cited by 17 publications

References 21 publications

Prediction of total hospital expenses of patients undergoing breast cancer surgery in Shanghai, China by comparing three models

Prediction of total hospital expenses of patients undergoing breast cancer surgery in Shanghai, China by comparing three models

Diagnosis of complex breast cysts using X-ray pneumocystography and endoscopic mammocystoscopy

Bacterial Skin Abscess

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