Reoperation after breast-conserving surgery for cancer in Australia: statewide cohort study of linked hospital data.
Marina T van LeeuwenMichael O FalsterClaire M VajdicPhilip J CroweSanja LujicElizabeth KlaesLouisa JormArt SedrakyanPublished in: BMJ open (2018)
Reoperation rates within 90 days of BCS varied significantly between hospitals. For women undergoing mastectomy after BCS, this represents a dramatic change in clinical course. Multilevel modelling suggests unwarranted clinical variation may be an issue, likely due to disparities in access to multidisciplinary breast cancer care and preoperative diagnostic procedures. However, the observed reduction in disparities over time is encouraging and indicates that guidelines and policy initiatives have the potential to improve regional breast cancer care.
Keyphrases
- healthcare
- minimally invasive
- public health
- quality improvement
- papillary thyroid
- patients undergoing
- mental health
- polycystic ovary syndrome
- type diabetes
- coronary artery bypass
- electronic health record
- squamous cell carcinoma
- squamous cell
- radiation therapy
- metabolic syndrome
- risk assessment
- clinical practice
- young adults
- emergency department
- lymph node
- insulin resistance
- acute care
- data analysis
- drug induced