Minor surgery in general practice in Ireland- a report of workload and safety.
BMC Fam Pract
; 21(1): 115, 2020 06 23.
Article
em En
| MEDLINE
| ID: mdl-32576217
ABSTRACT
BACKGROUND:
The provision of minor surgical services is an established part of the task profile of general practitioners (GPs) in many countries in Europe and elsewhere. This study aimed to collect data on the clinical process and outcomes for specified minor surgical procedures undertaken in Irish general practice by GPs experienced in minor surgery in order to document the scope and safety of minor surgery being undertaken.METHODS:
Over a six-month period, 24 GPs in 20 practices recorded data on a pre-determined list of procedures undertaken in adults (aged 18 and older); procedures for ingrown toenails were also recorded for those aged 12-18 years. Clinical data were rendered fully anonymous by the participating GPs, entered onto the Excel database template and returned to the project team monthly.RESULTS:
On average, each practice undertook 212 procedures in a six-month period. The four most frequent procedures include two relatively non-invasive procedures (cryosurgical ablation of skin lesions and aspiration and/or injection of joints) and two more invasive procedures (full thickness excision of skin lesion and shave, punch or incisional biopsy). Overall, 83.8% of relevant specimens were submitted for histology. Combining benign and malignant cases, there was an overall 87% clinical and histological concordance; 85% of malignancies were suspected clinically. A complication was recorded in 0.9% after 1 month.CONCLUSIONS:
Irish GPs with experience in minor surgery can provide a range of surgical services in the community safely.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Neoplasias Cutâneas
/
Procedimentos Cirúrgicos Menores
/
Padrões de Prática Médica
/
Carga de Trabalho
/
Medicina Geral
/
Clínicos Gerais
Tipo de estudo:
Prognostic_studies
Limite:
Adolescent
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Adult
/
Female
/
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
BMC Fam Pract
Ano de publicação:
2020
Tipo de documento:
Article
País de afiliação:
Irlanda