Factors Affecting Time to Surgery in Breast Cancer Patients.


Journal

The American surgeon
ISSN: 1555-9823
Titre abrégé: Am Surg
Pays: United States
ID NLM: 0370522

Informations de publication

Date de publication:
Apr 2022
Historique:
pubmed: 5 11 2021
medline: 17 3 2022
entrez: 4 11 2021
Statut: ppublish

Résumé

We sought to determine factors affecting time to surgery (TTS) to identify potential modifiable factors to improve timeliness of care. Patients with clinical stage 0-3 breast cancer undergoing partial mastectomy in 2 clinical trials, conducted in ten centers across the US, were analyzed. No preoperative workup was mandated by the study; those receiving neoadjuvant therapy were excluded. The median TTS among the 583 patients in this cohort was 34 days (range: 1-289). Patient age, race, tumor palpability, and genomic subtype did not influence timeliness of care defined as TTS ≤30 days. Hispanic patients less likely to have a TTS ≤30 days ( Preoperative MRI significantly increases time to surgery; surgeons should consider this in deciding on its use.

Sections du résumé

BACKGROUND BACKGROUND
We sought to determine factors affecting time to surgery (TTS) to identify potential modifiable factors to improve timeliness of care.
METHODS METHODS
Patients with clinical stage 0-3 breast cancer undergoing partial mastectomy in 2 clinical trials, conducted in ten centers across the US, were analyzed. No preoperative workup was mandated by the study; those receiving neoadjuvant therapy were excluded.
RESULTS RESULTS
The median TTS among the 583 patients in this cohort was 34 days (range: 1-289). Patient age, race, tumor palpability, and genomic subtype did not influence timeliness of care defined as TTS ≤30 days. Hispanic patients less likely to have a TTS ≤30 days (
CONCLUSIONS CONCLUSIONS
Preoperative MRI significantly increases time to surgery; surgeons should consider this in deciding on its use.

Identifiants

pubmed: 34732082
doi: 10.1177/00031348211054714
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

648-652

Auteurs

Anees B Chagpar (AB)

Departments of Surgery, 5755Yale University, New Haven, CT, USA.

Marissa Howard-McNatt (M)

12279Wake Forest University, Winston-Salem, North Carolina.

Akiko Chiba (A)

12279Wake Forest University, Winston-Salem, North Carolina.

Edward A Levine (EA)

12279Wake Forest University, Winston-Salem, North Carolina.

Jennifer S Gass (JS)

22209Women and Infants Hospital, Providence, RI.

Kristalyn Gallagher (K)

2569Cleveland Clinic Akron, Akron, OH.

Sharon Lum (S)

4608Loma Linda University, Loma Linda, CA.

Ricardo Martinez (R)

205980Doctors Hospital at Renaissance, Edinburg, TX.

Allric I Willis (AI)

4608Loma Linda University, Loma Linda, CA.

Andrew Fenton (A)

205980Doctors Hospital at Renaissance, Edinburg, TX.

Naveenraj L Solomon (NL)

4608Loma Linda University, Loma Linda, CA.

Magi Senthil (M)

4608Loma Linda University, Loma Linda, CA.

David Edmonson (D)

22209Women and Infants Hospital, Providence, RI.

Jukes P Namm (JP)

4608Loma Linda University, Loma Linda, CA.

Laura Walters (L)

6559Thomas Jefferson University, Philadelphia, PA.

Eric Brown (E)

6559Thomas Jefferson University, Philadelphia, PA.

Mary Murray (M)

205980Doctors Hospital at Renaissance, Edinburg, TX.

David Ollila (D)

2569Cleveland Clinic Akron, Akron, OH.

Elisabeth Dupont (E)

7005Beaumont Hospital, Troy, MI.

Carlos Garcia-Cantu (C)

205980Doctors Hospital at Renaissance, Edinburg, TX.

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