Implementation of a Breast Intraoperative Oncoplastic Form to Aid Management of Oncoplastic Surgery

被引：2

作者：

Li, Amy E. ^{[1
]}

Jhawar, Sachin ^{[2
]}

Grignol, Valarie ^{[1
]}

Agnese, Doreen ^{[1
]}

Oppong, Bridget A. ^{[1
]}

Beyer, Sasha ^{[2
]}

Bazan, Jose G. ^{[2
,3
]}

Skoracki, Roman ^{[4
]}

Shen, Chengli ^{[5
]}

Park, Ko Un ^{[1
,6
,7
]}

机构：

[1] Ohio State Univ, Dept Surg, Div Surg Oncol, Wexner Med Ctr, Columbus, OH USA

[2] Ohio State Univ, Dept Radiat Oncol, Wexner Med Ctr, Columbus, OH USA

[3] City Hope Natl Med Ctr, Dept Radiat Oncol, Comprehens Canc Ctr, Duarte, CA USA

[4] Ohio State Univ, Dept Plast Surg, Wexner Med Ctr, Columbus, OH USA

[5] Univ Virginia, Dept Surg, Charlottesville, VA USA

[6] Dana Farber Canc Inst, Brigham & Womens Hosp, Dept Surg, Div Breast Surg, Boston, MA USA

[7] OH State Univ, Dept Surg, Div Surg Oncol, Wexner Med Ctr, 410 West 10th Ave Doan 908, Columbus, OH 43210 USA

来源：

JOURNAL OF SURGICAL RESEARCH | 2023年 / 290卷

关键词：

Breast cancer; Lumpectomy; Oncoplastic breast surgery; Radiation therapy; CONSERVING SURGERY; SURGICAL CLIPS; RADIOTHERAPY; CONSERVATION;

D O I：

10.1016/j.jss.2023.04.002

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Introduction: Oncoplastic breast conservation surgery (BCS) uses concurrent reduction and/ or mastopexy with lumpectomy to improve aesthetic outcomes. However, tissue rear-rangement can shift the original tumor location site in relation to external breast land-marks, resulting in difficulties during re-excision for a positive margin and accurate radiation targeting. We developed the Breast Intraoperative Oncoplastic (BIO) form to help depict the location of the tumor and breast reduction specimen. This study seeks to assess physician perspectives of the implementation outcomes.Methods: From February 2021 to April 2021, the BIO form was used in 11 oncoplastic BCS cases at a single institution. With institutional review board approval, surgical oncologists (SOs), plastic surgeons (PSs), and radiation oncologists (ROs) were administered a 12-question validated survey on Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM), using a 5-point Likert scale during initial implementation and at 6-month reassessment.Results: Twelve physicians completed the survey initially (4 SOs, 4 PSs, and 4 ROs). The mean scores for Acceptability of Intervention Measure, Intervention Appropriateness Measure, and Feasibility of Intervention Measure were high (4.44, 4.56, and 4.56, respec-tively). Twelve completed the second survey (5 SOs, 3 PSs, and 4 ROs). The mean scores were marginally lower (4.06, 4.21, and 4.25). There were no significant differences when stratified by number of years in practice or specialty. Free text comments showed that 75% of physicians found the form helpful in oncoplastic BCS.Conclusions: The data indicate high feasibility, acceptability, and appropriateness of the BIO form. Results of this study suggest multidisciplinary benefits of implementing the BIO form in oncoplastic BCS. 2023 Elsevier Inc. All rights reserved.

引用

页码：9 / 15

页数：7