title: The impact of providing an oncoplastic service on the workload of a specialist breast unit.
abstract: Increasing breast specialization triggered a review of our surgical activity. All 10,000 elective inpatient and day case procedures between 1998 and 2008 were grouped into six categories: oncological, primary, secondary and revisional oncoplastic, and other breast and nonbreast procedures. Overall, surgical activity increased, with a rise in breast and a fall in nonbreast procedures, as a result of a changing caseload in each category (chi-squared for linear trend = 55.24: p < 0.00001). These included increases in oncological procedures, secondary oncoplastic, and revisional oncoplastic procedures. Increased oncoplastic activity was associated with a reduction in other breast procedures (chi-squared for linear trend = 04.94: p < 0.00001). The impact of breast specialization reported in the 1990's has accelerated with the introduction of oncoplastic surgery. This has major short-term and long-term implications when planning a modern breast service.
authors: Department of Surgery, Royal Hampshire County Hospital, Winchester, United Kingdom. bunmi5832@hotmail.com
authors: Olubunmi
authors: O
authors: Odofin
authors: Kevin
authors: K
authors: Harris
authors: Nirmala
authors: N
authors: Paramanathan
authors: Siobhan
authors: S
authors: Laws
authors: Richard
authors: R
authors: Rainsbury