Evaluating population-based breast cancer surgical practice in real time with a web-based synoptic operative reporting system.
Am J Surg
; 207(5): 693-6; discussion 696-7, 2014 May.
Article
em En
| MEDLINE
| ID: mdl-24576583
ABSTRACT
BACKGROUND:
A Web-based synoptic operative reporting system (WebSMR) incorporates implicit guidelines and real-time feedback of a surgeon's practice compared with provincial data. This study compares rates of total mastectomy (TM) between the overall provincial and WebSMR patients and examines decision-making factors in WebSMR patients.METHODS:
Patients treated for invasive breast cancer (2007 to 2011) were identified from WebSMR and the Alberta Cancer Registry. Reports include surgery type and reasons for TM.RESULTS:
Among 5,787 patients in WebSMR (2007 to 2011), TM rate decreased from 48% to 42% (P < .001). In 2011, the provincial cancer registry recorded a 56% TM rate compared to 42% in WebSMR patients. Patient preference accounted for 36% in the latter group.CONCLUSIONS:
In WebSMR patients, TM rates were lower than the overall provincial rate and decreased significantly during the study period. Reasons are unclear, but guidelines and real-time feedback likely plays a role.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Padrões de Prática Médica
/
Neoplasias da Mama
/
Mastectomia Simples
/
Sistemas Computadorizados de Registros Médicos
/
Carcinoma Ductal de Mama
/
Fidelidade a Diretrizes
/
Internet
Tipo de estudo:
Evaluation_studies
/
Guideline
/
Prognostic_studies
Limite:
Female
/
Humans
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Canadá