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Related Experiment Videos

Breast conservation surgery--the surgeon's factor.

Y Y Woon1, M Y P Chan

  • 1Department of Surgery, Tan Tock Seng Hospital, Jalan Tan Tock Seng, Singapore 308433, Singapore.

Breast (Edinburgh, Scotland)
|March 16, 2005
PubMed
Summary
This summary is machine-generated.

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Breast-conserving surgery (BCS) offers a viable treatment for early breast cancer. Surgeon subspecialty and year of operation significantly influence BCS rates, highlighting the surgeon's key role.

Area of Science:

  • Oncology
  • Surgical Oncology
  • Public Health

Background:

  • Breast-conserving surgery (BCS) is a standard treatment for early-stage breast cancer.
  • Significant variations in BCS rates exist globally and institutionally.
  • Understanding local factors influencing BCS adoption is crucial for improving patient outcomes.

Purpose of the Study:

  • To identify factors affecting the utilization of breast-conserving surgery (BCS) in a specific acute care hospital setting.
  • To analyze the impact of surgeon subspecialty and treatment year on BCS rates.

Main Methods:

  • Retrospective analysis of 389 patients with early breast cancer treated between 2000 and 2002.
  • Comparison of mastectomy indications documented by breast surgeons versus other surgeons.

Related Experiment Videos

  • Univariate and multivariate analyses to identify predictors of BCS.

    • Main Results:

    • Surgeons specializing in breast surgery were more likely to document indications for mastectomy.
    • Smaller tumor size, later year of operation (2002), and treatment by breast specialists were associated with higher BCS rates.
    • After excluding mastectomy-indicated cases, year of operation and surgeon subspecialty remained independent predictors of BCS.

    Conclusions:

    • The surgeon's subspecialty and the year of operation are critical independent predictors of breast-conserving surgery rates.
    • Optimizing surgeon training and subspecialization can enhance BCS utilization for early breast cancer.
    • Healthcare institutions should focus on surgeon-specific factors to improve BCS rates.