scholarly journals Pausing for the pandemic? The impact of deferring breast cancer surgery

2020 ◽  
Vol 26 (12) ◽  
pp. 2437-2438
Author(s):  
Ashlyn E. Whitlock ◽  
Benjamin G. Allar ◽  
Ted James
Keyword(s):  
Breast Cancer ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
The Impact

Exploring the impact of exercise and mind–body prehabilitation interventions on physical and psychological outcomes in women undergoing breast cancer surgery

2021 ◽  
Author(s):  
Robert Knoerl ◽  
Anita Giobbie-Hurder ◽  
Timothy S. Sannes ◽  
Anees B. Chagpar ◽  
Deborah Dillon ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Psychological Outcomes ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
The Impact

scholarly journals Financial Costs and Burden Related to Decisions for Breast Cancer Surgery

2019 ◽  
Vol 15 (8) ◽  
pp. e666-e676 ◽  
Author(s):  
Rachel A. Greenup ◽  
Christel Rushing ◽  
Laura Fish ◽  
Brittany M. Campbell ◽  
Lisa Tolnitch ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cancer Treatment ◽  
Financial Burden ◽  
Breast Conserving Surgery ◽  
Treatment Costs ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Bilateral Mastectomy ◽  
Financial Costs ◽  
The Impact

PURPOSE: Financial toxicity is a well-recognized adverse effect of cancer care, yet little is known about how women consider treatment costs when facing preference-sensitive decisions for breast cancer surgery or how surgical treatment choice affects financial harm. We sought to determine how financial costs and burden relate to decisions for breast cancer surgery. METHODS: Women (≥ 18 years old) with a history of breast cancer were recruited from the Army of Women and Sisters Network to complete an 88-item electronic survey. Descriptive statistics and regression analysis were used to evaluate the impact of costs on surgical decisions and financial harm after breast cancer surgery. RESULTS: A total of 607 women with stage 0 to III breast cancer were included. Most were white (90%), were insured privately (70%) or by Medicare (25%), were college educated (78%), and reported household incomes of more than $74,000 (56%). Forty-three percent underwent breast-conserving surgery, 25% underwent mastectomy, 32% underwent bilateral mastectomy, and 36% underwent breast reconstruction. Twenty-eight percent reported that costs of treatment influenced their surgical decisions, and at incomes of $45,000 per year, costs were prioritized over breast preservation or appearance. Overall, 35% reported financial burden as a result of their cancer treatment, and 78% never discussed costs with their cancer team. When compared with breast-conserving surgery, bilateral mastectomy with or without reconstruction was significantly associated with higher incurred debt, significant to catastrophic financial burden, treatment-related financial hardship, and altered employment. Among the highest incomes, 65% of women were fiscally unprepared, reporting higher-than-expected (26%) treatment costs. CONCLUSION: Cancer treatment costs influenced decisions for breast cancer surgery, and comparably effective surgical treatments differed significantly in their risk of patient-reported financial burden, debt, and impact on employment. Cost transparency may inform preference-sensitive surgical decisions and improve patient-centered care.

scholarly journals Adopting Ambulatory Breast Cancer Surgery as the Standard of Care in an Asian Population

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Yvonne Ying Ru Ng ◽  
Patrick Mun Yew Chan ◽  
Juliana Jia Chuan Chen ◽  
Melanie Dee Wern Seah ◽  
Christine Teo ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Ambulatory Surgery ◽  
Standard Of Care ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Patient Acceptance ◽  
Wound Complications ◽  
Proper Patient Selection ◽  
The Impact ◽  
Ambulatory Procedures

Introduction. Ambulatory surgery is not commonly practiced in Asia. A 23-hour ambulatory (AS23) service was implemented at our institute in March 2004 to allow more surgeries to be performed as ambulatory procedures. In this study, we reviewed the impact of the AS23 service on breast cancer surgeries and reviewed surgical outcomes, including postoperative complications, length of stay, and 30-day readmission.Methods. Retrospective review was performed of 1742 patients who underwent definitive breast cancer surgery from 1 March 2004 to 31 December 2010.Results. By 2010, more than 70% of surgeries were being performed as ambulatory procedures. Younger women (P<0.01), those undergoing wide local excision (P<0.01) and those with ductal carcinoma-in situ or early stage breast cancer (P<0.01), were more likely to undergo ambulatory surgery. Six percent of patients initially scheduled for ambulatory surgery were eventually managed as inpatients; a third of these were because of perioperative complications. Wound complications, 30-day readmission and reoperation rates were not more frequent with ambulatory surgery.Conclusion. Ambulatory breast cancer surgery is now the standard of care at our institute. An integrated workflow facilitating proper patient selection and structured postoperativee outpatient care have ensured minimal complications and high patient acceptance.

The Impact of neoadjuvant chemotherapy on postoperative complications in breast cancer surgery

2021 ◽  
Author(s):  
R Nussbaumer ◽  
NG Maggi ◽  
L Castrezana ◽  
L Zehnpfennig ◽  
I Oberhauser ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Postoperative Complications ◽  
Neoadjuvant Chemotherapy ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
The Impact

Abstract GS6-05: The impact of breast cancer surgery on quality of life: Long term results from E5103

2019 ◽  
Author(s):  
SM Rosenberg ◽  
A O'Neill ◽  
K Sepucha ◽  
KD Miller ◽  
CT Dang ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Long Term Results ◽  
The Impact

Nationwide Review of Predictors of Readmission after Breast Cancer Surgery and the Impact of Hospital Procedure Volume

2017 ◽  
Vol 225 (4) ◽  
pp. S24
Author(s):  
Gyulnara Kasumova ◽  
Sing Chau Ng ◽  
Promise O. Ukandu ◽  
Jennifer F. Tseng ◽  
Ted A. James
Keyword(s):  
Breast Cancer ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Procedure Volume ◽  
The Impact

scholarly journals The impact of physical therapy on the quality of life of women after breast cancer surgery

Mastology ◽  
2017 ◽  
Vol 27 (4) ◽  
pp. 300-306
Author(s):  
Felipe Bernardino Rezende Maués ◽  
◽  
Saul Rassy Carneiro ◽  
Thalita da Luz Costa ◽  
Bárbara Begot de Freitas Rosa ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Physical Therapy ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
The Impact
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