多年来,ALND在乳腺外科瘤学奖学金期间的经验:一个SSO/ASBrS合作分析
Mary M Mrdutt1, Courtney N Day2, Andrea Madrigrano3
1Division of Breast and Melanoma Surgical Oncology, Department of Surgery, Mayo Clinic, Rochester, MN, USA. Mrdutt.mary@mayo.edu.
Annals of surgical oncology
|January 13, 2026
概括
乳腺外科瘤学研究员随着时间的推移,执行较少的下淋巴结解剖 (ALNDs). 尽管有这种趋势,但ALND的培训案例最低标准仍然得到满足,确保研究员在乳腺癌手术方面保持熟练.
科学领域:
- 手术瘤学手术瘤学
- 乳腺癌手术 乳腺癌手术
- 外科教育的外科教育
背景情况:
- 临床实践趋势显示手术的缓解.
- 这种转变可能会减少在乳腺外科瘤学 (BSO) 奖学金培训期间的带淋巴结解剖 (ALND) 经验.
研究的目的:
- 评估随着时间的推移,BSO研究员在ALND经验中的趋势.
- 评估当前的培训是否符合不断变化的外科手术实践的需求.
主要方法:
- 分析了63个项目 (2016-2024) 中645名研究员的非识别案例日志数据.
- 用线性回归来评估ALND程序的趋势,并根据程序大小,区域和记录疲劳进行调整.
主要成果:
- 随着时间的推移,研究员进行的ALND的平均数量显著下降 (估计 -0.64,p<0.001).
- 毕业于2024年的奖学员在2016年毕业的奖学员 (平均23.2分) 相比,取得的ALND (平均19.0分) 较少.
- 在多变量调整后,这种下降仍然很大.
结论:
- 在BSO奖学金期间,ALND的数量有所下降.
- 尽管下降,但ALND的奖学金案例最低标准始终得到满足.
- 了解当前的培训对于适应乳腺癌护理的局部和区域降级趋势至关重要.
相关概念视频
SBAR I: Understanding the Concept
5.8K
Effective communication among healthcare professionals during hand-off reporting is essential to delivering safe and continuous patient care. Common professional interactions include reports to healthcare team members, hand-off, and transfer reports. Nurses routinely report information to other healthcare team members and also urgently contact healthcare providers to report changes in patient status.
Standardized methods of communication have been developed to ensure that information is...
Standardized methods of communication have been developed to ensure that information is...
5.8K
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
516
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
516
SBAR II: Application of SBAR
5.7K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
5.7K


