The quality of preoperative diagnostics and surgery and their impact on delays in breast cancer treatment - A population based study

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dc.contributor.author Ojala, Kaisu
dc.contributor.author Meretoja, Tuomo J.
dc.contributor.author Mattson, Johanna
dc.contributor.author Salminen-Peltola, Paivi
dc.contributor.author Leutola, Suvi
dc.contributor.author Berggren, Marianne
dc.contributor.author Leidenius, Marjut H. K.
dc.date.accessioned 2017-09-14T09:52:40Z
dc.date.available 2021-12-17T18:47:40Z
dc.date.issued 2016-04
dc.identifier.citation Ojala , K , Meretoja , T J , Mattson , J , Salminen-Peltola , P , Leutola , S , Berggren , M & Leidenius , M H K 2016 , ' The quality of preoperative diagnostics and surgery and their impact on delays in breast cancer treatment - A population based study ' , Breast , vol. 26 , pp. 80-86 . https://doi.org/10.1016/j.breast.2015.12.009
dc.identifier.other PURE: 62759430
dc.identifier.other PURE UUID: efe2eee3-815a-46d8-9f69-4ecfc7190608
dc.identifier.other WOS: 000373112600011
dc.identifier.other Scopus: 84961807551
dc.identifier.other ORCID: /0000-0002-2691-0710/work/36103147
dc.identifier.uri http://hdl.handle.net/10138/223938
dc.description.abstract Background and objectives: This study aims to clarify quality of breast cancer surgery in population-based setting. We aim to elucidate factors influencing waiting periods, and to evaluate the effect of hospital volume on surgical treatment policies. Special interest was given to diagnostic and surgical processes and their impact on waiting times. Methods: All 1307 patients having primary breast cancer surgery at the Helsinki and Uusimaa Hospital District during 2010 were included in this retrospective study. Results: Median waiting time for primary surgery was 24 days and significantly affected by additional imaging and diagnostic biopsies as well as hospital volume. Final rate of breast conserving surgery was surprisingly low, 51%, not affected by hospital volume, p = 0.781. Oncoplastic resection and immediate breast reconstruction (IBR) were performed more often in high volume units, p <0.001. Quality of axillary surgery varied with unit size. Multiple operations, IBR and high volume unit were factors prolonging initiation of adjuvant treatment. Conclusion: Quality of preoperative diagnostics play a crucial role in minimizing the need of repeated imaging and biopsies as well as multiple operations. Positive impact of high-volume hospitals becomes evident when analyzing procedures requiring advanced surgical techniques. High-volume hospitals achieved better quality in axillary surgery. (C) 2016 Elsevier Ltd. All rights reserved. en
dc.format.extent 7
dc.language.iso eng
dc.relation.ispartof Breast
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Breast cancer
dc.subject Surgery
dc.subject Quality of care
dc.subject Treatment delay
dc.subject Waiting time
dc.subject ADJUVANT CHEMOTHERAPY
dc.subject CONSERVATION SURGERY
dc.subject HOSPITAL VOLUME
dc.subject OF-CARE
dc.subject SURVIVAL
dc.subject TRIAL
dc.subject DISSECTION
dc.subject INITIATION
dc.subject BIOPSY
dc.subject WOMEN
dc.subject 3122 Cancers
dc.subject 3123 Gynaecology and paediatrics
dc.subject 3126 Surgery, anesthesiology, intensive care, radiology
dc.title The quality of preoperative diagnostics and surgery and their impact on delays in breast cancer treatment - A population based study en
dc.type Article
dc.contributor.organization Department of Surgery
dc.contributor.organization Clinicum
dc.contributor.organization II kirurgian klinikka
dc.contributor.organization Department of Oncology
dc.contributor.organization University of Helsinki
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1016/j.breast.2015.12.009
dc.relation.issn 0960-9776
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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