Audit of Re-excision Rate for positive margins in BCS: surgical quality measure in a DGH Muhammad Irfan, Hammad Hassan, Chandeena Roshanlall

2021 ◽  
Vol 47 (2) ◽  
pp. e38
Author(s):  
Muhammad Irfan
Keyword(s):  
Quality Measure ◽  
Surgical Quality ◽  
Positive Margins ◽  
Excision Rate

Low re-excision rate for positive margins in patients treated with ultrasound-guided breast-conserving surgery

The Breast ◽  
2013 ◽  
Vol 22 (5) ◽  
pp. 698-702 ◽  
Author(s):  
Chi-Chang Yu ◽  
Kun-Chun Chiang ◽  
Wen-Lin Kuo ◽  
Shih-Che Shen ◽  
Yung-Feng Lo ◽  
...  
Keyword(s):  
Breast Conserving Surgery ◽  
Ultrasound Guided ◽  
Positive Margins ◽  
Excision Rate

scholarly journals Risk factors for positive resection margins of breast cancer tumorectomy specimen following breast-conserving surgery

2017 ◽  
Vol 32 (2) ◽  
Author(s):  
Niko Heiss ◽  
Valentin Rousson ◽  
Assia Ifticene-Treboux ◽  
Hans-Anton Lehr ◽  
Jean-François Delaloye
Keyword(s):  
Breast Cancer ◽  
Risk Factors ◽  
Breast Conserving Surgery ◽  
Surgical Margins ◽  
Invasive Cancer ◽  
Surgical Experience ◽  
Positive Surgical Margins ◽  
Positive Margins ◽  
Significant Difference ◽  
Excision Rate

AbstractBackgroundThe aim of the study was to identify risk factors for positive surgical margins in breast-conserving surgery for breast cancer and to evaluate the influence of surgical experience in obtaining complete resection.MethodsAll lumpectomies for invasive breast carcinoma and ductal carcinoma in situ (DCIS) between April 2008 and March 2010 were selected from the database of a single institution. Re-excision rates for positive margins as well as patient and histopathologic tumor characteristics were analyzed. Surgical experience was staged by pairs made of Resident plus Specialist or Consultant. Two periods were defined. During period A, the majority of operations were performed by Residents under supervision of Specialist or Consultant. During period B, only palpable tumors were operated by Residents.ResultsThe global re-excision rate was 27% (50 of 183 patients). The presence of DCIS increased the risk for positive margins: 60% (nine of 15 patients) in the case of sole DCIS compared to 26% (41 of 160 patients) for invasive cancer (p = 0.005) and 35% (42 of 120 patients) in the case of peritumoral DCIS compared to 11% (seven of 62 patients) in the case of sole invasive cancer (p = 0.001). Re-excision rate decreased from 36% (23 of 64 patients) during period A to 23% (27 of 119 patients) during period B (p = 0.055). There was no significant difference between the surgical pairs.ConclusionIn our study, DCIS was the only risk factor for positive surgical margins. Breast-conserving surgery for non-palpable tumors should be performed by Specialists, however, palpable tumors can be safely operated by Residents under supervision.

469: Positive Margins in Radical Prostatectomy and Biochemical Recurrence: not as Easy as Yes or No!

2007 ◽  
Vol 177 (4S) ◽  
pp. 157-157
Author(s):  
Georg Schaefer ◽  
Andrea Brunner ◽  
Jasmin Bektic ◽  
Alexandre E. Pelzer ◽  
Christof Seifart ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Biochemical Recurrence ◽  
Positive Margins

Quintessenz

2016 ◽  
Vol 1 (2) ◽  
pp. 47-49
Author(s):  
Anja Maria Reichel
Keyword(s):  
Psychiatric Treatment ◽  
Quality Measure ◽  
Psychiatric Nurses ◽  
Patient Centered ◽  
Inpatient Psychiatric Treatment

Zusammenfassung. Delaney, K. R., Johnson, M. E. and Fogg, L. (2015): Development and Testing of the Combined Assessment of Psychiatric Environments: A Patient-Centered Quality Measure for Inpatient Psychiatric Treatment. Journal of the American Psychiatric Nurses Association, 21 (2), 134–147.

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