[Prospective multicenter study for quality management of breast cancer surgery].
Over the last 10 years a dramatic decrease became apparent in primary treatment of breast cancer in general surgical departments. A prospective 1-year observational study involving 84 surgical departments was carried out to describe the current therapeutic situation. A total of 1,416 patients undergoing primary surgical treatment for mammary carcinoma were recorded, and their data evaluated. 68.9% of the carcinomas were treated in departments with an annual case load for this disease of more than 20 operations, with 50% of them being operated on in 8 departments with a case load of 40-100 procedures per year. 94.4% of the carcinomas were confirmed histologically, and in 91% of the patients surgery was performed in curative intention. The rate of breast-preserving procedures was 40%, and breast amputations accounted for 60%. An analysis of the data allowed an evaluation of this specific patient group in the surgical departments. Deficits in terms of management quality are identified.
Leinung
S
S
Chirurgische Klinik II der Universität Leipzig. leinungs@medizin.uni-leipzig.de
Schönfelder
M
M
Winzer
K-J
KJ
Schuster
E
E
Gastinger
I
I
Lippert
H
H
Würl
P
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000601:surgery*; D003131:Combined Modality Therapy; D003627:Data Interpretation, Statistical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008197:Lymph Node Excision; D008327:Mammography; D008408:Mastectomy; D008875:Middle Aged; D020360:Neoadjuvant Therapy; D009362:Neoplasm Metastasis; D011182:Postoperative Care; D011446:Prospective Studies; D011785:Quality Assurance, Health Care; D012307:Risk Factors; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016217:Ultrasonography, Mammary