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Rates and indications for surgical breast biopsies in a community-based health system.
Soot, Laurel; Weerasinghe, Roshanthi; Wang, Lian; Nelson, Heidi D.
Afiliación
  • Soot L; Providence Cancer Center, Providence Health and Services Oregon, 4805 NE Glisan Street, Portland, OR 97213, USA.
  • Weerasinghe R; Providence Cancer Center, Providence Health and Services Oregon, 4805 NE Glisan Street, Portland, OR 97213, USA.
  • Wang L; Medical Data Research Center, Providence Health and Services Oregon, Portland, OR, USA.
  • Nelson HD; Providence Cancer Center, Providence Health and Services Oregon, 4805 NE Glisan Street, Portland, OR 97213, USA; Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR, USA. Electronic address: heidi.nelson@providence.org.
Am J Surg ; 207(4): 499-503, 2014 Apr.
Article en En | MEDLINE | ID: mdl-24315378
BACKGROUND: High rates of surgical breast biopsies in community hospitals have been reported but may misrepresent actual practice. METHODS: Patient-level data from 5,757 women who underwent breast biopsies in a large integrated health system were evaluated to determine biopsy types, rates, indications, and diagnoses. RESULTS: Between 2008 and 2010, 6,047 breast biopsies were performed on 5,757 women. Surgical biopsy was the initial diagnostic procedure in 16% (n = 942) of women overall and in 6% (72 of 1,236) of women with newly diagnosed invasive breast cancer. Invasive breast cancer was diagnosed in 72 women (8%) undergoing surgical biopsy compared with 1,164 (24%) undergoing core needle biopsy (P < .001, age adjusted). Main indications for surgical biopsies included symptomatic abnormalities, technical challenges, and patient choice. CONCLUSIONS: Surgical biopsy was the initial diagnostic procedure in 16% of women with breast abnormalities, comparable with rates at academic centers. Rates could be improved by more careful consideration of indications.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Biopsia / Neoplasias de la Mama / Planificación en Salud Comunitaria Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Female / Humans / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Am J Surg Año: 2014 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Biopsia / Neoplasias de la Mama / Planificación en Salud Comunitaria Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Female / Humans / Middle aged País/Región como asunto: America do norte Idioma: En Revista: Am J Surg Año: 2014 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos