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National breast surgery audit.

P Malycha¹, S Tyson

¹Royal Australasian College of Surgeons, South Australian State Office, Adelaide, Australia.

The Australian and New Zealand Journal of Surgery

|February 13, 2001

Summary

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A national breast cancer surgery audit in Australia and New Zealand was successfully implemented. This initiative standardizes surgical practice recording and data collection for improved patient care.

Area of Science:

Surgical Oncology
Health Services Research

Background:

Surgical audit is a standard peer-review process for examining surgical practice.
A national audit for breast cancer surgery was established in Australia and New Zealand.
The audit aims to standardize the recording of surgical activities.

Purpose of the Study:

To describe the development and implementation of a national breast cancer surgery audit.
To standardize data collection for breast cancer surgery across Australia and New Zealand.

Main Methods:

An audit kit, including an instruction manual and data dictionary, was distributed.
Participants could choose between paper or database data collection instruments.
Surgeons prospectively recorded patient data, submitted it centrally, and provided feedback.

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Main Results:

Data from 3000 breast cancer patients were collected within the first six months.
The audit project was successfully implemented.

Conclusions:

The breast cancer surgery audit has been successfully implemented and is ongoing.
Many surgeons integrated the patient record forms into their routine practice.
Feedback led to revisions and improvements in subsequent releases of the audit kit.