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Geographic variation in sentinel node adaptation by practicing surgeons in Oregon
- Source :
- American journal of surgery. 189(5)
- Publication Year :
- 2004
-
Abstract
- Background The sentinel node biopsy (SNB) technique is an important tool in the diagnosis and treatment of breast cancer and melanoma. However, surgeons in Oregon have not universally adopted its use. Methods Mailed questionnaire. Results The response rate was 32%. Seventy-four (76%) of the surgical respondents perform routine SNB; 49% completed courses, and 32% learned the technique in residency. Sixty-one (89%) performed axillary dissection with their initial cases. It took 21 of 40 (52%) surgeons greater than a year to accrue 20 cases. Of 23 surgeons (24%) not performing SNB, 89% believed it was an important skill to obtain, and 70% thought they would benefit from proctoring opportunities. Six (26%) did not have technological support at their hospital. Surgeons at hospitals with less than 50 beds (P = .001) and at rural hospitals (P = .003) were less likely to perform SNB. Conclusion The majority of urban general surgeons in Oregon use SNB in their practice. However, the incorporation of SNB for surgeons practicing in smaller hospitals and rural settings is less frequent than in the urban environment. As SNB becomes the standard of care, we need to overcome these barriers so that patients can have access to this procedure in their own communities.
- Subjects :
- medicine.medical_specialty
Sentinel lymph node
Geographic variation
Breast Neoplasms
Oregon
Breast cancer
Surveys and Questionnaires
Medicine
Humans
Practice Patterns, Physicians'
Melanoma
Response rate (survey)
Geography
business.industry
Sentinel Lymph Node Biopsy
General surgery
General Medicine
Sentinel node
medicine.disease
Surgery
Dissection
Lymphatic Metastasis
Axillary Dissection
Clinical Competence
business
Urban environment
Subjects
Details
- ISSN :
- 00029610
- Volume :
- 189
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- American journal of surgery
- Accession number :
- edsair.doi.dedup.....9fe851e3d73b0b10455027af03b018f1