Factors Affecting Time to Surgery in Breast Cancer Patients.

التفاصيل البيبلوغرافية
العنوان:	Factors Affecting Time to Surgery in Breast Cancer Patients.
المؤلفون:	Chagpar AB; Departments of Surgery, 5755Yale University, New Haven, CT, USA., Howard-McNatt M; 12279Wake Forest University, Winston-Salem, North Carolina., Chiba A; 12279Wake Forest University, Winston-Salem, North Carolina., Levine EA; 12279Wake Forest University, Winston-Salem, North Carolina., Gass JS; 22209Women and Infants Hospital, Providence, RI., Gallagher K; 2569Cleveland Clinic Akron, Akron, OH., Lum S; 4608Loma Linda University, Loma Linda, CA., Martinez R; 205980Doctors Hospital at Renaissance, Edinburg, TX., Willis AI; 4608Loma Linda University, Loma Linda, CA., Fenton A; 205980Doctors Hospital at Renaissance, Edinburg, TX., Solomon NL; 4608Loma Linda University, Loma Linda, CA., Senthil M; 4608Loma Linda University, Loma Linda, CA., Edmonson D; 22209Women and Infants Hospital, Providence, RI., Namm JP; 4608Loma Linda University, Loma Linda, CA., Walters L; 6559Thomas Jefferson University, Philadelphia, PA., Brown E; 6559Thomas Jefferson University, Philadelphia, PA., Murray M; 205980Doctors Hospital at Renaissance, Edinburg, TX., Ollila D; 2569Cleveland Clinic Akron, Akron, OH., Dupont E; 7005Beaumont Hospital, Troy, MI., Garcia-Cantu C; 205980Doctors Hospital at Renaissance, Edinburg, TX.
المصدر:	The American surgeon [Am Surg] 2022 Apr; Vol. 88 (4), pp. 648-652. Date of Electronic Publication: 2021 Nov 03.
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-Electronic Cited Medium: Internet ISSN: 1555-9823 (Electronic) 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:	Breast Neoplasms/pathology , Breast Neoplasms/surgery, Female ; Humans ; Mastectomy ; Neoadjuvant Therapy ; Retrospective Studies ; Time-to-Treatment
مستخلص:	Background: We sought to determine factors affecting time to surgery (TTS) to identify potential modifiable factors to improve timeliness of care. Methods: Patients with clinical stage 0-3 breast cancer undergoing partial mastectomy in 2 clinical trials, conducted in ten centers across the US, were analyzed. No preoperative workup was mandated by the study; those receiving neoadjuvant therapy were excluded. Results: The median TTS among the 583 patients in this cohort was 34 days (range: 1-289). Patient age, race, tumor palpability, and genomic subtype did not influence timeliness of care defined as TTS ≤30 days. Hispanic patients less likely to have a TTS ≤30 days ( P = .001). There was significant variation in TTS by surgeon ( P < .001); those practicing in an academic center more likely to have TTS ≤30 days than those in a community setting (55.1% vs 19.3%, P < .001). Patients who had a preoperative ultrasound had a similar TTS to those who did not (TTS ≤30 days 41.9% vs 51.9%, respectively, P = .109), but those who had a preoperative MRI had a significantly increased TTS (TTS ≤30 days 25.0% vs 50.9%, P < .001). On multivariate analysis, patient ethnicity was no longer significantly associated with TTS ≤30 ( P = .150). Rather, use of MRI (OR: .438; 95% CI: .287-.668, P < .001) and community practice type (OR: .324; 95% CI: .194-.541, P < .001) remained independent predictors of lower likelihood of TTS ≤30 days. Conclusions: Preoperative MRI significantly increases time to surgery; surgeons should consider this in deciding on its use.
فهرسة مساهمة:	Keywords: MRI; breast cancer; delay; surgery
تواريخ الأحداث:	Date Created: 20211104 Date Completed: 20220316 Latest Revision: 20220316
رمز التحديث:	20221213
DOI:	10.1177/00031348211054714
PMID:	34732082
قاعدة البيانات:	MEDLINE

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تدمد:	1555-9823
DOI:	10.1177/00031348211054714