Assessing trends in breast care surveillance metrics after implementing surgeon‐specific tracking and performance reporting in a large, integrated cancer network Article Swipe
Richard L. White
,
Michelle L. Wallander
,
Marjorie E. Leighliter
,
Wei Sha
,
Pooja Palmer
,
Almira Sejdic
,
Jennifer H. Benbow
,
Deba P. Sarma
,
Myra Robinson
,
Sally J. Trufan
,
Terry Sarantou
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1002/cncr.34924
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1002/cncr.34924
Background There are few quality metrics and benchmarks specific to surgical oncology. Development of a surgeon‐level performance metrics system based on peer comparisons is hypothesized to positively influence surgical decision‐making. This study established a tracking and reporting system comprised of evidence and consensus‐based metrics to assess breast care delivered by individual surgeons. Methods Surgeons’ performance is assessed by a surveillance tracking system of metrics pertaining to referrals and surgical elements. This retrospective analysis of prospectively collected breast care data reports on recurring 6‐month and cumulative data from nine care locations from 2015 to 2021. Results Breast care was provided to 6659 patients by 41 surgeons. A total of 27 breast care metrics were evaluated over 7 years. Metrics with consistent, proficient results were retired after 18 months, including the rate of core biopsy, specimen orientation, and referrals to medical oncology, genetics, and fertility, among others. In clinically node‐negative, hormone receptor‐positive patients 70 years of age or older, the cumulative rate of sentinel lymph node (SLN) biopsy significantly decreased by 40% over 5.5 years ( p < .001). The overall breast conservation rate for T0–T2 cancer increased 10% over 7 years. At the surgeon level, improvements were made in the median number of SLNs removed and in operative note documentation. Conclusions Implementation of a surgeon‐specific, peer comparison‐based metric and tracking system has yielded substantive changes in breast care management. This process and governance structure can serve as a model for quantification of breast care at other institutions and for other disease sites.
Related Topics
Concepts
Medicine
Breast cancer
Sentinel lymph node
Surgical oncology
Breast-conserving surgery
Cancer
General surgery
Mastectomy
Surgery
Internal medicine
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/cncr.34924
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/cncr.34924
- OA Status
- hybrid
- Cited By
- 1
- References
- 15
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4382502396
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4382502396Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1002/cncr.34924Digital Object Identifier
- Title
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Assessing trends in breast care surveillance metrics after implementing surgeon‐specific tracking and performance reporting in a large, integrated cancer networkWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-06-29Full publication date if available
- Authors
-
Richard L. White, Michelle L. Wallander, Marjorie E. Leighliter, Wei Sha, Pooja Palmer, Almira Sejdic, Jennifer H. Benbow, Deba P. Sarma, Myra Robinson, Sally J. Trufan, Terry SarantouList of authors in order
- Landing page
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https://doi.org/10.1002/cncr.34924Publisher landing page
- PDF URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/cncr.34924Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/cncr.34924Direct OA link when available
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Medicine, Breast cancer, Sentinel lymph node, Surgical oncology, Breast-conserving surgery, Cancer, General surgery, Mastectomy, Surgery, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2023: 1Per-year citation counts (last 5 years)
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15Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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