Physician preference and patient satisfaction with radioactive seed versus wire localization
| Autor: | Hank Schmidt, Audree Condren, Annika Burnett, Elisa Port, Matthew McMurray, Anya Romanoff |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
medicine.medical_specialty Attitude of Health Personnel Radioactive seed Radiography Wire localization New York Breast Neoplasms Malignant disease 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Patient satisfaction Fiducial Markers Humans Medicine In patient Practice Patterns Physicians' Aged Retrospective Studies Aged 80 and over business.industry Significant difference Middle Aged Surgery Patient Satisfaction Health Care Surveys 030220 oncology & carcinogenesis Concomitant Female Radiopharmaceuticals business |
| Zdroj: | Journal of Surgical Research. 210:177-180 |
| ISSN: | 0022-4804 |
| Popis: | Background Nonpalpable breast lesions require localization before excision. This is most commonly performed with a wire (WL) or a radioactive seed (SL), which is placed into the breast under radiographic guidance. Although there are advantages of each modality, there are no guidelines to address which patients should undergo WL versus SL. We investigated factors influencing the selection of SL versus WL at our institution and assessed patient satisfaction with each procedure. Methods Patients undergoing preoperative localization of nonpalpable breast lesions from May 2014 through August 2015 were included. Physicians were surveyed on surgical scheduling to evaluate factors influencing the decision to perform SL or WL. Patient satisfaction was evaluated with a survey at the first postoperative visit. Retrospective chart review was performed. Results 341 patients were included: 104 (30%) patients underwent SL and 237 (70%) underwent WL. There was no difference in patient age, benign versus malignant disease, or need for concomitant axillary surgery comparing the SL versus WL groups. Physician survey indicated that 18% of patients were candidates for WL only. Of the patients who were eligible for both, 88 (41%) ultimately underwent SL and 126 (59%) had WL. The most commonly cited reason for selection of one localization method or the other was physician preference, followed by patient preference or avoiding additional visit. There was no significant difference in self-reported preoperative anxiety level, convenience of the localization procedure, pain of the localization procedure, operative experience, postoperative pain level or medication requirement, or overall patient satisfaction comparing patients who underwent SL and WL. Conclusions SL and WL offer patients similar comfort and satisfaction. Factors influencing selection of one modality over the other include both logistic and clinical considerations. |
| Databáze: | OpenAIRE |
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