Doctors who ran hospital where rogue breast surgeon worked face GMC charges

BMJ ◽  
2020 ◽  
pp. m3387
Author(s):  
Clare Dyer
Keyword(s):  
Breast Surgeon

scholarly journals Implementation of a Breast/Reconstruction Surgery Coordinator to Reduce Preoperative Delays for Patients Undergoing Mastectomy With Immediate Reconstruction

2016 ◽  
Vol 12 (3) ◽  
pp. e338-e343 ◽  
Author(s):  
Mehra Golshan ◽  
Katya Losk ◽  
Melissa A. Mallory ◽  
Kristen Camuso ◽  
Linda Cutone ◽  
...  
Keyword(s):  
Patient Outcomes ◽  
Cancer Center ◽  
Immediate Reconstruction ◽  
Reconstruction Surgery ◽  
Surgical Services ◽  
Breast Surgeon ◽  
Time Period ◽  
Surgical Teams ◽  
The Impact ◽  
Surgical Clinic

Purpose: Mastectomy with immediate reconstruction (MIR) requires coordination between breast and reconstructive surgical teams, leading to increased preoperative delays that may adversely impact patient outcomes and satisfaction. Our cancer center established a target of 28 days from initial consultation with the breast surgeon to MIR. We sought to determine if a centralized breast/reconstructive surgical coordinator (BRC) could reduce care delays. Methods: A 60-day pilot to evaluate the impact of a BRC on timeliness of care was initiated at our cancer center. All reconstructive surgery candidates were referred to the BRC, who had access to surgical clinic and operating room schedules. The BRC worked with both surgical services to identify the earliest surgery dates and facilitated operative bookings. The median time to MIR and the proportion of MIR cases that met the time-to-treatment goal was determined. These results were compared with a baseline cohort of patients undergoing MIR during the same time period (January to March) in 2013 and 2014. Results: A total of 99 patients were referred to the BRC (62% cancer, 21% neoadjuvant, 17% prophylactic) during the pilot period. Focusing exclusively on patients with a cancer diagnosis, an 18.5% increase in the percentage of cases meeting the target (P = .04) and a 7-day reduction to MIR (P = .02) were observed. Conclusion: A significant reduction in time to MIR was achieved through the implementation of the BRC. Further research is warranted to validate these findings and assess the impact the BRC has on operational efficiency and workflows.

Primer on Ultrasound for the Breast Surgeon

2010 ◽  
pp. 109-120
Author(s):  
Edgar D. Staren ◽  
Jay K. Harness ◽  
Eric B. Whitacre
Keyword(s):  
Breast Surgeon

Breast lumps in service women

2014 ◽  
Vol 100 (2) ◽  
pp. 174-178
Author(s):  
S Pengelly ◽  
AW Lambert ◽  
M Khan ◽  
J Groome
Keyword(s):  
Breast Cancer ◽  
Young Population ◽  
Young Females ◽  
Breast Surgeon ◽  
Group A ◽  
Red Flag ◽  
Wait And See ◽  
Breast Lumps ◽  
The Uk ◽  
Current Guidelines

AbstractIntroductionBreast cancer is uncommon in a young population but it does occur. 80% of breast cancer occurs after 50 yrs of age. This article uses current guidelines and evidence to advise military medical staff on how best to investigate and manage servingage women presenting with breast symptoms. Male breast changes will be dealt with in a future article.Differential DiagnosisYoung females presenting with breast lumps are unlikely to have cancer. In order of frequency the causes are likely to be benign breast change; fibroadenoma; abscesses in 20-30 year olds; cysts in 30-40 year olds; and lastly cancer. The UK sees 48,000 new cases of breast cancer in women every year; breast cancer can also occur in men but is very rare.Diagnosis and ManagementManagement in the deployed, primary and secondary care settings are described. It may be reasonable in young women to wait and see if a lump resolves after the patient’s next menstrual cycle before referring the patient. Once referred, current guidelines recommend that all patients are seen by a breast surgeon within two weeks. Within this group, a subgroup of patients with ‘red-flag’ lumps is identified who need to be referred urgently. The remaining patients have lumps that can be considered non-urgent: however, hospitals will still endeavour to see these patients within two weeks..ConclusionsBreast cancer is more difficult to diagnose in the younger patient. In primary care, breast lumps are still simple to manage if the points in this article are followed. Anxious patients can be reassured that cancer is unlikely. However, cancer in this young age group is associated with worse outcomes than breast cancer in older patients.

ASO Visual Abstract: A 5-Year Breast Surgeon Experience in LYMPHA at Time of ALND for Treatment of Clinical T1–4N1–3M0 Breast Cancer

2021 ◽  
Author(s):  
Kelly M. Herremans ◽  
Morgan P. Cribbin ◽  
Andrea N. Riner ◽  
Dan W. Neal ◽  
Tracy L. Hollen ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Breast Surgeon ◽  
Surgeon Experience

Who is ordering breast MRIs in newly diagnosed breast cancer patients?

2014 ◽  
Vol 32 (26_suppl) ◽  
pp. 24-24
Author(s):  
Anya Romanoff ◽  
Matthew McMurray ◽  
Hank Schmidt ◽  
Parissa Tabrizian ◽  
Christina Weltz ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Primary Care ◽  
Cancer Patients ◽  
Breast Mri ◽  
Primary Care Providers ◽  
Newly Diagnosed ◽  
Care Providers ◽  
Breast Cancer Patients ◽  
Breast Center ◽  
Breast Surgeon

24 Background: Utilization of breast MRI has increased dramatically in recent years, and there is ongoing debate regarding the role of MRI in patients with breast cancer. Guidelines for MRI use in newly diagnosed breast cancer patients have not been established; therefore, provider ordering of MRI in this population is variable. We investigated patterns of MRI ordering by healthcare providers in the setting of newly diagnosed breast cancer and analyzed predictors of MRI utilization. Methods: All newly diagnosed breast cancer patients presenting for surgical management at a single tertiary care breast center from January 2011 through December 2013 were reviewed. Cases were evaluated for the use of preoperative MRI, and medical specialty of the ordering provider was determined. Patients who presented to a specialized breast center with MRI already completed were compared to those who had MRIs ordered by their treating breast surgeon. Results: A total of 423 women with newly diagnosed breast cancer underwent MRI during the study period. In this group, 253/423 patients (60%) presented to our institution with an MRI already completed. Of MRIs performed prior to presentation, 73% were ordered by a primary care provider, and 27% were ordered by a breast specialist seen previously. Race was a significant predictor of having an MRI before presentation to a breast center (64% of white patients, 41% of black patients, 25% of Asians, and 65% of Hispanic patients, p < .001). Women with commercial insurance were significantly more likely to have an MRI completed before presentation than those with Medicaid (62% versus 37%, p = .002). Age, family history of breast cancer, genetic testing, breast density, mode of diagnosis, and biopsy pathology were not significant factors in determining whether a patient underwent MRI prior to presentation to a breast surgeon. Conclusions: In our experience, the majority of MRIs performed in newly diagnosed patients with breast cancer were ordered by primary care providers as part of their patient’s initial workup. Patient race and insurance status were significant predictors of having an MRI ordered prior to seeing a breast specialist. Further research is needed to develop guidelines for breast MRI use in newly diagnosed cancer patients.

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