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Author Spotlight: Integrating Eastern and Western Medicine for Treatment of Granulomatous Mastitis
Published on: May 3, 2024
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A case management model for patients with granulomatous mastitis: a prospective study
Yuan Deng1,2, Ying Xiong1, Ping Ning3
1Department of Breast, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, No. 1617, Riyue Avenue, Qingyang District, Chengdu, 611731, Sichuan Province, People's Republic of China.
BMC Women'S Health
|May 3, 2022
Summary
Granulomatous mastitis (GM) management improved with a hospital-to-community model. High medication adherence reduces GM recurrence, while surgery combined with medication increases it.
Area of Science:
- Medical Science
- Clinical Medicine
- Oncology
Background:
- Granulomatous mastitis (GM) is a chronic inflammatory condition with high recurrence rates, necessitating long-term management.
- Case management models offer regular monitoring and targeted healthcare for chronic illnesses like GM.
- This study evaluated a hospital-to-community case management approach for GM.
Purpose of the Study:
- To assess the effectiveness of a hospital-to-community case management model for granulomatous mastitis.
- To identify factors contributing to the recurrence of granulomatous mastitis.
Main Methods:
- A prospective study involving 152 female patients with granulomatous mastitis.
- Data collection included demographics, clinical information, treatments, and follow-up.
- The Morisky Medication Adherence Scale (MMAS-8) and logistic regression were used to analyze recurrence risk factors.
Main Results:
- The overall recurrence rate was 11.2% over a mean management period of 24.54 months.
- High medication adherence was significantly associated with a lower recurrence rate (RR=0.428).
- Treatment with medication and surgery showed a higher recurrence rate compared to medication alone (RR=4.128).
Conclusions:
- The hospital-to-community case management model effectively monitors GM and identifies recurrence factors.
- Low medication adherence is a significant risk factor for GM recurrence.
- Optimizing treatment plans and emphasizing medication adherence are crucial for managing granulomatous mastitis.

