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Title:Does regular quality control improve the quality of surgery in Slovenian breast cancer screening program?
Authors:ID Perhavec, Andraž (Author)
ID Milićević, Sara (Author)
ID Perić, Barbara (Author)
ID Žgajnar, Janez (Author)
Files:.pdf PDF - Presentation file, download (276,28 KB)
MD5: DCEB3B00334BF9FA65D8B923D0F1526C
 
Language:English
Typology:1.01 - Original Scientific Article
Organization:Logo OI - Institute of Oncology
Abstract:The aim of our study was to evaluate the quality of surgery of Slovenian breast cancer screening program (DORA) using the requested EU standards. Furthermore, we investigated whether regular quality control over the 3-year period improved the quality of surgical management. Patients and methods. Patients who required surgical management within DORA between January 1st, 2016 and December 31st, 2018 were included in the retrospective study. Quality indicators (QIs) were adjusted mainly according to European Society of Breast Cancer Specialists (EUSOMA) and European Breast Cancer Network (EBCN) recommendations. Five QIs for therapeutic and two for diagnostic surgeries were selected. Additionally, variability in achieving the requested QIs among surgeons was analysed. Results. Between 2016 and 2018, 14 surgeons performed 1421 breast procedures in 1398 women. There were 1197 therapeutical (for proven breast cancer) and 224 diagnostic surgical interventions respectively. Overall, the minimal standard was met in two QIs for therapeutic and none for diagnostic procedures. A statistically significant improvement in three QIs for therapeutic and in one QI for diagnostic procedures was observed however, indicating that regular quality control improves the quality of surgery. A high variability in achieving the requested QIs was observed among surgeons, which remained high throughout the study period. Conclusions. Adherence to all selected surgical QIs in patients from screening program is difficult to achieve, especially to those specifically defined for screen-detected lesions. Regular quality control may improve results over time. Reducing the number of surgeons dedicated to breast pathology may reduce variability of management inside the institution.
Keywords:breast surgery, mammography, screening program, quality control
Publication status:Published
Publication version:Version of Record
Publication date:01.01.2020
Publisher:Association of Radiology and Oncology
Year of publishing:2020
Number of pages:str. 488-494, XII
Numbering:Vol. 54, no. 4
Source:Ljubljana
PID:20.500.12556/DiRROS-19282 New window
UDC:616-089
ISSN on article:1318-2099
DOI:10.2478/raon-2020-0030 New window
COBISS.SI-ID:13919491 New window
Copyright:by Authors
Publication date in DiRROS:12.07.2024
Views:425
Downloads:158
Metadata:XML DC-XML DC-RDF
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PERHAVEC, Andraž, MILIĆEVIĆ, Sara, PERIĆ, Barbara and ŽGAJNAR, Janez, 2020, Does regular quality control improve the quality of surgery in Slovenian breast cancer screening program? Radiology and oncology [online]. 2020. Vol. 54, no. 4, p. 488–494, xii. [Accessed 16 April 2025]. DOI 10.2478/raon-2020-0030. Retrieved from: https://dirros.openscience.si/IzpisGradiva.php?lang=eng&id=19282
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Record is a part of a journal

Title:Radiology and oncology
Shortened title:Radiol. oncol.
Publisher:Slovenian Medical Society - Section of Radiology, Croatian Medical Association - Croatian Society of Radiology
ISSN:1318-2099
COBISS.SI-ID:32649472 New window

Document is financed by a project

Funder:ARIS - Slovenian Research and Innovation Agency
Project number:P3-0352-2018
Name:Družine s povišano ali visoko ogroženostjo za raka: svetovanje, odkrivanje mutacij in preprečevanje raka

Licences

License:CC BY-NC-ND 4.0, Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
Link:http://creativecommons.org/licenses/by-nc-nd/4.0/
Description:The most restrictive Creative Commons license. This only allows people to download and share the work for no commercial gain and for no other purposes.

Secondary language

Language:Slovenian
Keywords:kirurgija dojke, mamografija, presejalni programi, kakovost


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