دورية أكاديمية
Intraoperative assessment of breast cancer specimens decreases cost and number of reoperations.
| العنوان: | Intraoperative assessment of breast cancer specimens decreases cost and number of reoperations. |
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| المؤلفون: | Uecker JM; University of Texas Southwestern-Austin, Austin, Texas 78701, USA., Bui EH, Foulkrod KH, Sabra JP |
| المصدر: | The American surgeon [Am Surg] 2011 Mar; Vol. 77 (3), pp. 342-4. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publications in association with Southeastern Surgical Congress Country of Publication: United States NLM ID: 0370522 Publication Model: Print Cited Medium: Print ISSN: 0003-1348 (Print) Linking ISSN: 00031348 NLM ISO Abbreviation: Am Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2020- : [Thousand Oaks, CA] : SAGE Publications in association with Southeastern Surgical Congress Original Publication: Atlanta Ga : Southeastern Surgical Congress |
| مواضيع طبية MeSH: | Health Care Costs* , Intraoperative Care*/economics, Breast Neoplasms/*pathology , Breast Neoplasms/*surgery , Mastectomy/*economics, Breast Neoplasms/prevention & control ; Cohort Studies ; Cost-Benefit Analysis ; Female ; Humans ; Neoplasm, Residual ; Reoperation/economics ; Retrospective Studies |
| مستخلص: | It is the aim of our study to determine if the assessment of intraoperative breast cancer margins leads to decreased incidence of repeat operations and decreased cost. We collected data prospectively from two hospitals in Austin, TX, University Medical Center at Brackenridge (UMCB) and Seton Northwest Hospital (SNW), over a 2-year period. Comparison was made to see if intraoperative margin assessment affected total surgical costs and need for reoperation. One hundred and seven cases met criteria for inclusion in the study (UMCB = 45, SNW = 62). Intraoperative margin assessment was used in zero cases at SNW (0%) and in 17 at UMCB (38%). Intraoperative assessment was used in 16 per cent of total cases. Sixty per cent of cases at SNW required subsequent return to the operating room. Twenty-four per cent of cases at UMCB required subsequent reoperation (P < 0.05). The average number of surgical interventions required was 1 ± 0.3 with intraoperative assessment, 2 ± 0.6 without, (P < 0.05). Total surgical costs were $15,341 ± $4,328 with intraoperative assessment and $22,013 ± $13,821 without (P < 0.05). Use of intraoperative margin assessment for breast cancer operations leads to both a decrease in reoperations as well as a decrease in total operative costs. |
| تواريخ الأحداث: | Date Created: 20110308 Date Completed: 20110425 Latest Revision: 20110307 |
| رمز التحديث: | 20231215 |
| PMID: | 21375848 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 0003-1348 |
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