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The Quest for Outpatient Mastectomy in COVID-19 Era: Barriers and Facilitators.
- Source :
- Breast Journal; 6/1/2022, Vol. 2022, p1-6, 6p
- Publication Year :
- 2022
-
Abstract
- Background. The rate of inpatient mastectomies remains high despite multiple studies reporting favourably on outpatient mastectomies. Outpatient mastectomies do not compromise quality of patient care and are more efficient than inpatient care. The objective of this study was to evaluate the feasibility of outpatient mastectomy. Materials and Methods. Implementation of an outpatient mastectomy program was evaluated in a retrospective study. All patients who underwent mastectomy between January 2019 and September 2021 were included. Results. 213 patients were enrolled in the study: 62.4% (n = 133) outpatient mastectomies versus 37.6% (n = 80) inpatient mastectomies. A steady rise in outpatient mastectomies was observed over time. The second quarter of 2020, coinciding with the first COVID-19 wave, showed a peak in outpatient mastectomies. The only significant barrier to outpatient mastectomy proved to be bilateral mastectomy. Unplanned return to care was observed in 27.8% of the outpatient versus 36.3% of the inpatient mastectomies (P = 0.198); the reason for unplanned return of care was similar in both groups. Conclusions. Outpatient mastectomy is shown to be feasible and safe with a steady increase during the study period. A barrier to outpatient mastectomy was bilateral mastectomy. Incidence of unplanned return to care or complications did not differ significantly between the outpatient and inpatient cohorts. [ABSTRACT FROM AUTHOR]
- Subjects :
- STATISTICS
STATISTICAL significance
MEDICAL quality control
EVALUATION of human services programs
MULTIVARIATE analysis
RETROSPECTIVE studies
FISHER exact test
MEDICAL care use
T-test (Statistics)
DESCRIPTIVE statistics
CHI-squared test
MASTECTOMY
DATA analysis software
LOGISTIC regression analysis
PATIENT care
COVID-19 pandemic
OUTPATIENT services in hospitals
LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 1075122X
- Volume :
- 2022
- Database :
- Complementary Index
- Journal :
- Breast Journal
- Publication Type :
- Academic Journal
- Accession number :
- 159445842
- Full Text :
- https://doi.org/10.1155/2022/1863519