Surgeon and community factors affecting breast cancer sentinel lymph node biopsy

Julie R. Hutchinson; Anees B. Chagpar; Charles R. Scoggins; Robert C.G. Martin; David J. Carlson; Alison L. Laidley; Souzan E. El-Eid; Terre Q. McGlothin; Robert D. Noyes; Phillip B. Ley; Todd M. Tuttle; Kelly M. McMasters

doi:10.1016/j.amjsurg.2005.08.018

Surgeon and community factors affecting breast cancer sentinel lymph node biopsy

Julie R. Hutchinson, Anees B. Chagpar, Charles R. Scoggins, Robert C.G. Martin, David J. Carlson, Alison L. Laidley, Souzan E. El-Eid, Terre Q. McGlothin, Robert D. Noyes, Phillip B. Ley, Todd M. Tuttle, Kelly M. McMasters

Surgery

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22 Scopus citations

Abstract

Background: We sought to determine whether the results of sentinel lymph node (SLN) biopsy are related to practice and community factors. Methods: This prospective study included more than 300 surgeons from a variety of practice environments. Most surgeons had minimal experience with SLN biopsy prior to this study. Patients underwent attempted SLN biopsy, followed by completion axillary dissection. Univariate and multivariate analyses were performed to assess factors related to the SLN identification rate and the false negative rate. Results: A total of 4131 patients were enrolled. SLN identification rate was 93%; the false negative (FN) rate was 7.9%. The only factor that was significantly associated with improved SLN identification rate (odds ratio [OR] 1.60, 95% confidence interval [CI] 1.12 to 2.36, P = .0126) and FN rate (OR 2.39, 95% CI 1.32 to 4.79, P = .0073) was surgeon experience (>20 SLN cases). Conclusions: Surgeon experience is the major factor that contributes to improved SLN biopsy results. SLN biopsy can be performed equally well by community and academic surgeons.

Original language	English (US)
Pages (from-to)	915-919
Number of pages	5
Journal	American journal of surgery
Volume	190
Issue number	6
DOIs	https://doi.org/10.1016/j.amjsurg.2005.08.018
State	Published - Dec 2005

Keywords

Breast cancer
Community
Sentinel node

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Hutchinson, J. R., Chagpar, A. B., Scoggins, C. R., Martin, R. C. G., Carlson, D. J., Laidley, A. L., El-Eid, S. E., McGlothin, T. Q., Noyes, R. D., Ley, P. B., Tuttle, T. M., & McMasters, K. M. (2005). Surgeon and community factors affecting breast cancer sentinel lymph node biopsy. American journal of surgery, 190(6), 915-919. https://doi.org/10.1016/j.amjsurg.2005.08.018

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abstract = "Background: We sought to determine whether the results of sentinel lymph node (SLN) biopsy are related to practice and community factors. Methods: This prospective study included more than 300 surgeons from a variety of practice environments. Most surgeons had minimal experience with SLN biopsy prior to this study. Patients underwent attempted SLN biopsy, followed by completion axillary dissection. Univariate and multivariate analyses were performed to assess factors related to the SLN identification rate and the false negative rate. Results: A total of 4131 patients were enrolled. SLN identification rate was 93%; the false negative (FN) rate was 7.9%. The only factor that was significantly associated with improved SLN identification rate (odds ratio [OR] 1.60, 95% confidence interval [CI] 1.12 to 2.36, P = .0126) and FN rate (OR 2.39, 95% CI 1.32 to 4.79, P = .0073) was surgeon experience (>20 SLN cases). Conclusions: Surgeon experience is the major factor that contributes to improved SLN biopsy results. SLN biopsy can be performed equally well by community and academic surgeons.",

keywords = "Breast cancer, Community, Sentinel node",

author = "Hutchinson, {Julie R.} and Chagpar, {Anees B.} and Scoggins, {Charles R.} and Martin, {Robert C.G.} and Carlson, {David J.} and Laidley, {Alison L.} and El-Eid, {Souzan E.} and McGlothin, {Terre Q.} and Noyes, {Robert D.} and Ley, {Phillip B.} and Tuttle, {Todd M.} and McMasters, {Kelly M.}",

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AU - Hutchinson, Julie R.

AU - Chagpar, Anees B.

AU - Scoggins, Charles R.

AU - Martin, Robert C.G.

AU - Carlson, David J.

AU - Laidley, Alison L.

AU - El-Eid, Souzan E.

AU - McGlothin, Terre Q.

AU - Noyes, Robert D.

AU - Ley, Phillip B.

AU - Tuttle, Todd M.

AU - McMasters, Kelly M.

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N2 - Background: We sought to determine whether the results of sentinel lymph node (SLN) biopsy are related to practice and community factors. Methods: This prospective study included more than 300 surgeons from a variety of practice environments. Most surgeons had minimal experience with SLN biopsy prior to this study. Patients underwent attempted SLN biopsy, followed by completion axillary dissection. Univariate and multivariate analyses were performed to assess factors related to the SLN identification rate and the false negative rate. Results: A total of 4131 patients were enrolled. SLN identification rate was 93%; the false negative (FN) rate was 7.9%. The only factor that was significantly associated with improved SLN identification rate (odds ratio [OR] 1.60, 95% confidence interval [CI] 1.12 to 2.36, P = .0126) and FN rate (OR 2.39, 95% CI 1.32 to 4.79, P = .0073) was surgeon experience (>20 SLN cases). Conclusions: Surgeon experience is the major factor that contributes to improved SLN biopsy results. SLN biopsy can be performed equally well by community and academic surgeons.

AB - Background: We sought to determine whether the results of sentinel lymph node (SLN) biopsy are related to practice and community factors. Methods: This prospective study included more than 300 surgeons from a variety of practice environments. Most surgeons had minimal experience with SLN biopsy prior to this study. Patients underwent attempted SLN biopsy, followed by completion axillary dissection. Univariate and multivariate analyses were performed to assess factors related to the SLN identification rate and the false negative rate. Results: A total of 4131 patients were enrolled. SLN identification rate was 93%; the false negative (FN) rate was 7.9%. The only factor that was significantly associated with improved SLN identification rate (odds ratio [OR] 1.60, 95% confidence interval [CI] 1.12 to 2.36, P = .0126) and FN rate (OR 2.39, 95% CI 1.32 to 4.79, P = .0073) was surgeon experience (>20 SLN cases). Conclusions: Surgeon experience is the major factor that contributes to improved SLN biopsy results. SLN biopsy can be performed equally well by community and academic surgeons.

KW - Breast cancer

KW - Community

KW - Sentinel node

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Surgeon and community factors affecting breast cancer sentinel lymph node biopsy

Abstract

Keywords

UN SDGs

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