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Published in: Annals of Surgical Oncology 10/2013

01-10-2013 | Breast Oncology

Should Re-excision Lumpectomy Rates Be a Quality Measure in Breast-Conserving Surgery?

Authors: Theresa Schwartz, Amy C. Degnim, Jeffrey Landercasper

Published in: Annals of Surgical Oncology | Issue 10/2013

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Excerpt

In response to recognition of variation in the quality of national healthcare, physicians and their professional societies have emphasized the need for quality measurement and improvement.1 Multiple organizations have now developed breast-specific quality measures (QM) to aid quality improvement (QI).26 Many of these QM have been incorporated into national quality initiatives that provide peer performance comparison and some level of transparency. In addition, during the last decade, the American Society of Breast Surgeons (ASBS), the National Accreditation Program for Breast Centers (NAPBC), and the National Consortium of Breast Centers (NCBC) have defined and endorsed multiple breast-specific quality measures.24
Literature
1.
go back to reference Kaufman CS, Landercasper J. Can we measure the quality of breast surgical care? Ann Surg Oncol. 2011;18(11):3053–60.PubMedCrossRef Kaufman CS, Landercasper J. Can we measure the quality of breast surgical care? Ann Surg Oncol. 2011;18(11):3053–60.PubMedCrossRef
9.
go back to reference Crossing the quality chiasm. A new health system for the twenty first century. Health care quality may be judged according to its safety, effectiveness, patient-centeredness, timeliness, efficiency and equity. CA Cancer J Clin. 2008;58:266–92.CrossRef Crossing the quality chiasm. A new health system for the twenty first century. Health care quality may be judged according to its safety, effectiveness, patient-centeredness, timeliness, efficiency and equity. CA Cancer J Clin. 2008;58:266–92.CrossRef
11.
go back to reference Neumayer L, Schifftner TL, Henderson WG, Khuri SF, El-Tamer M. Breast cancer surgery in Veterans Affairs and selected university medical centers: results of the patient safety in surgery study. J Am Coll Surg. 2007;204(6):1235–41.PubMedCrossRef Neumayer L, Schifftner TL, Henderson WG, Khuri SF, El-Tamer M. Breast cancer surgery in Veterans Affairs and selected university medical centers: results of the patient safety in surgery study. J Am Coll Surg. 2007;204(6):1235–41.PubMedCrossRef
13.
go back to reference Morrow M, Katz SJ. The challenge of developing quality measures for breast cancer surgery. JAMA. 2012;307(5):509–10.PubMedCrossRef Morrow M, Katz SJ. The challenge of developing quality measures for breast cancer surgery. JAMA. 2012;307(5):509–10.PubMedCrossRef
14.
go back to reference McCahill LE, Single RM, Aiello Bowles EJ, Feigelson HS, James TA, Barney T, Engel JM, Onitilo AA. Variability in reexcision following breast conservation surgery. JAMA. 2012;307(5):467–75.PubMedCrossRef McCahill LE, Single RM, Aiello Bowles EJ, Feigelson HS, James TA, Barney T, Engel JM, Onitilo AA. Variability in reexcision following breast conservation surgery. JAMA. 2012;307(5):467–75.PubMedCrossRef
16.
go back to reference Jeevan R, Cromwell DA, Trivella M, Lawrence G, Kearins O, Pereira J, Sheppard C, Caddy CM, van der Meulen JH. Reoperation rates after breast conserving surgery for breast cancer among women in England: retrospective study of hospital episode statistics. BMJ. 2012;345:e4505.PubMedCrossRef Jeevan R, Cromwell DA, Trivella M, Lawrence G, Kearins O, Pereira J, Sheppard C, Caddy CM, van der Meulen JH. Reoperation rates after breast conserving surgery for breast cancer among women in England: retrospective study of hospital episode statistics. BMJ. 2012;345:e4505.PubMedCrossRef
17.
go back to reference Coopey S, Smith BL, Hanson S, Buckley J, Hughes KS, Gadd M, Specht MC. The safety of multiple re-excisions after lumpectomy for breast cancer. Ann Surg Oncol. 2011;18(13):3797–801.PubMedCrossRef Coopey S, Smith BL, Hanson S, Buckley J, Hughes KS, Gadd M, Specht MC. The safety of multiple re-excisions after lumpectomy for breast cancer. Ann Surg Oncol. 2011;18(13):3797–801.PubMedCrossRef
18.
go back to reference Houssami N, Macaskill P, Marinovich ML, Dixon JM, Irwig L, Brennan ME, Solin LJ. Meta-analysis of the impact of surgical margins on local recurrence in women with early-stage invasive breast cancer treated with breast-conserving therapy. Eur J Cancer. 2010;46:3219.PubMedCrossRef Houssami N, Macaskill P, Marinovich ML, Dixon JM, Irwig L, Brennan ME, Solin LJ. Meta-analysis of the impact of surgical margins on local recurrence in women with early-stage invasive breast cancer treated with breast-conserving therapy. Eur J Cancer. 2010;46:3219.PubMedCrossRef
19.
go back to reference Dunne C, Burke JP, Morrow M, Kell MR. Effect of margin status on local recurrence after breast conservation and radiation therapy for ductal carcinoma in situ. J Clin Oncol. 2009;27(10):1615–20.PubMedCrossRef Dunne C, Burke JP, Morrow M, Kell MR. Effect of margin status on local recurrence after breast conservation and radiation therapy for ductal carcinoma in situ. J Clin Oncol. 2009;27(10):1615–20.PubMedCrossRef
21.
go back to reference Azu M, Abrahamse P, Katz SJ, Jagsi R, Morrow M. What is an adequate margin for breast-conserving surgery? Surgeon attitudes and correlates. Ann Surg Oncol. 2010;17(2):558–63.PubMedCrossRef Azu M, Abrahamse P, Katz SJ, Jagsi R, Morrow M. What is an adequate margin for breast-conserving surgery? Surgeon attitudes and correlates. Ann Surg Oncol. 2010;17(2):558–63.PubMedCrossRef
22.
go back to reference Taghian A, Mohiuddin M, Jagsi R, Goldberg S, Ceilley E, Powell S. Current perceptions regarding surgical margin status after breast-conserving therapy: results of a survey. Ann Surg. 2005;241(4):629–39.PubMedCrossRef Taghian A, Mohiuddin M, Jagsi R, Goldberg S, Ceilley E, Powell S. Current perceptions regarding surgical margin status after breast-conserving therapy: results of a survey. Ann Surg. 2005;241(4):629–39.PubMedCrossRef
23.
go back to reference Blair SL, Thompson K, Rococco J, Malcarne V, Beitsch PD, Ollila DW. Attaining negative margins in breast-conservation operations: is there a consensus among breast surgeons? J Am Coll Surg. 2009;209(5):608–13.PubMedCrossRef Blair SL, Thompson K, Rococco J, Malcarne V, Beitsch PD, Ollila DW. Attaining negative margins in breast-conservation operations: is there a consensus among breast surgeons? J Am Coll Surg. 2009;209(5):608–13.PubMedCrossRef
24.
go back to reference Morrow M, Harris JR, Schnitt SJ. Surgical margins in lumpectomy for breast cancer—bigger is not better. N Engl J Med. 2012;367(1):79–82.PubMedCrossRef Morrow M, Harris JR, Schnitt SJ. Surgical margins in lumpectomy for breast cancer—bigger is not better. N Engl J Med. 2012;367(1):79–82.PubMedCrossRef
25.
go back to reference Persing S, James TA, Mace J, Goodwin A, Geller B. Variability in the quality of pathology reporting of margin status following breast cancer surgery. Ann Surg Oncol. 2011;18:3061–5.PubMedCrossRef Persing S, James TA, Mace J, Goodwin A, Geller B. Variability in the quality of pathology reporting of margin status following breast cancer surgery. Ann Surg Oncol. 2011;18:3061–5.PubMedCrossRef
26.
go back to reference Esbona K, Li Z, Wilke LG. Intraoperative imprint cytology and frozen section pathology for margin assessment in breast conservation surgery: a systematic review. Ann Surg Oncol. 2012;19(10):3236–45.PubMedCrossRef Esbona K, Li Z, Wilke LG. Intraoperative imprint cytology and frozen section pathology for margin assessment in breast conservation surgery: a systematic review. Ann Surg Oncol. 2012;19(10):3236–45.PubMedCrossRef
27.
go back to reference Clarke M, Collins R, Darby S, et al. Effects of radiotherapy and differences in the extent of surgery for early breast cancer on local recurrence and 15-year survival: an overview of the randomized trials. Lancet. 2005;366:2087–106.PubMed Clarke M, Collins R, Darby S, et al. Effects of radiotherapy and differences in the extent of surgery for early breast cancer on local recurrence and 15-year survival: an overview of the randomized trials. Lancet. 2005;366:2087–106.PubMed
28.
go back to reference Cardoso MJ, Cardoso JS, Vrieling C, Macmillan D, Rainsbury D, Heil J, Hau E, Keshtgar M. Recommendations for the aesthetic evaluation of breast cancer conservative treatment. Breast Cancer Res Treat. 2012;135:629–37.PubMedCrossRef Cardoso MJ, Cardoso JS, Vrieling C, Macmillan D, Rainsbury D, Heil J, Hau E, Keshtgar M. Recommendations for the aesthetic evaluation of breast cancer conservative treatment. Breast Cancer Res Treat. 2012;135:629–37.PubMedCrossRef
29.
go back to reference Cano SJ, Klassen AF, Scott AM, Pusic AL. A closer look at the BREAST-Q©. Clin Plast Surg. 2013;40(2):287–96.PubMedCrossRef Cano SJ, Klassen AF, Scott AM, Pusic AL. A closer look at the BREAST-Q©. Clin Plast Surg. 2013;40(2):287–96.PubMedCrossRef
Metadata
Title
Should Re-excision Lumpectomy Rates Be a Quality Measure in Breast-Conserving Surgery?
Authors
Theresa Schwartz
Amy C. Degnim
Jeffrey Landercasper
Publication date
01-10-2013
Publisher
Springer US
Published in
Annals of Surgical Oncology / Issue 10/2013
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-013-3206-0

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