Navigation Links
Few breast cancer surgeons follow quality of care standards, U-M study finds
Date:1/5/2010

ANN ARBOR, Mich. Most breast cancer surgeons' practices do not follow standards associated with the best quality of care, according to a new study from researchers at the University of Michigan Comprehensive Cancer Center. These standards include consulting with other specialists and providing resources and education to help patients make treatment decisions.

"Despite the mantra for multidisciplinary decision-making and care intake for patients, surgeons in the community are reporting relatively little of that in their practices," says lead study author Steven J. Katz, M.D., M.P.H., professor of internal medicine at the U-M Medical School and professor of health management and policy at the U-M School of Public Health.

Researchers surveyed 318 surgeons who treated breast cancer patients in the Detroit and Los Angeles metropolitan areas. Surgeons were asked about the processes and services available in their practice, including:

  • Consulting with medical oncologists, radiation oncologists and plastic surgeons
  • Collecting or reviewing biopsy specimens or mammograms
  • Offering patient education videos or presentations
  • Connecting patients with peers, for example through support groups

The measures were developed by the researchers based on accepted standards in other areas of chronic care. Results of the study appear in the January issue of Medical Care.

About one-quarter to one-third of surgeons reported they had routinely discussed patients' treatment plans with medical or radiation oncologists. Only 13 percent routinely consulted with a plastic surgeon. About one-third of surgeons said their patients typically participate in patient decision support activities, such as viewing a video or Web-based materials or attending peer support programs.

Surgeons who treated mostly breast cancer patients were more likely to report these services, compared to surgeons who saw fewer breast cancer patients. But a program's status with the National Cancer Institute or the American College of Surgeons did not correspond with meeting more of the quality of care measures.

"Either doctors are not convinced these elements matter or there are logistical constraints in terms of building these standards into their practices. What the implications are for patients is unknown. These results suggest patients might find a more integrated practice among surgeons with higher volume. But we don't know whether that matters with regards to patient decision making, quality of life and satisfaction," says Katz, who is also co-director of the socio-behavioral program at the U-M Comprehensive Cancer Center.


'/>"/>

Contact: Nicole Fawcett
nfawcett@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

Related medicine news :

1. New SBI and ACR recommendations suggest breast cancer screening should begin at age 40
2. Acupuncture May Cut Hot Flashes, Boost Sex Drive in Breast Cancer Patients
3. Acupuncture reduces hot flashes, improves sex drive for breast cancer patients
4. Many Women Quit Breast-Feeding Early
5. Research Reveals How Breast Cancer Rearranges Genome
6. Broken genomes behind breast cancers
7. Chicago Plastic Surgeon Discusses the Popularity and Safety of Silicone Breast Implants Three Years after FDA Approval
8. UAB will carry out an in-depth study of the effects olive oil has on the prevention of breast cancer
9. Many High-Risk Women Refuse Breast MRI
10. Elevated-risk women refuse MRI breast cancer screening
11. Breast-Feeding May Protect a Womans Heart
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/24/2017)... Houston, TX (PRWEB) , ... July 24, 2017 , ... ... $1000 student scholarship will be awarded for the fall semester to a deserving student. ... SignatureCare Emergency Centers Spring 2017 scholarship was awarded to Mariana Castillo who is a ...
(Date:7/24/2017)... ... July 24, 2017 , ... Horizon Goodwill Industries, ... unique opportunity that helps high school girls succeed in STEM programs as well ... Horizon Goodwill will host over 20 high school girls at their corporate headquarters ...
(Date:7/24/2017)... ... July 24, 2017 , ... The International Essential Tremor Foundation (IETF) will host ... tremor (ET). The seminar will take place on Saturday, Aug. 26 at the Embassy ... program will run from 9 a.m. to 12 p.m., with check-in beginning at 8 ...
(Date:7/24/2017)... NY (PRWEB) , ... July 24, 2017 , ... ... series of media initiatives designed to promote awareness for Topricin’s revolutionary, natural, after-burn ... elements is one of the leading causes of long term skin conditions, including ...
(Date:7/24/2017)... ... July 24, 2017 , ... Puregraft, the global leader in ... of United States Patent Number 9,695,398 (the '398 patent) and South Korean Patent ... and '324 patents cover methods and systems for optimizing fat grafts for current ...
Breaking Medicine News(10 mins):
(Date:7/14/2017)... It should come as no surprise to anyone ... the midst of a crippling opioid epidemic. According to the ... of overdose deaths from opiate-based medications has quadrupled, Says, Dr. ... dead from 2001 to 2015". During this time, the prescription ... quadrupled, drawing a compelling link between prescription and eventual addiction. ...
(Date:7/13/2017)... ROCKVILLE, Md. , July 13, 2017  New York ... watchers of pharmaceutical markets should be aware of.  From new ... These trends are detailed in a recently completed study, ... following: 1.  Age-Driven ... years, we have been aware of the impact the growing ...
(Date:7/11/2017)... 11, 2017 Zymo Research Corp., also known as ,The Epigenetics ... biological aging in a precise manner using the myDNAge ™ test. ... a professor of human genetics and biostatistics at the David Geffen ... Health , Zymo Research,s proprietary DNAge ™ technology is used to ... ...
Breaking Medicine Technology: