Decreasing rates of axillary lymph node dissections over time: Implications for surgical resident exposure and operative skills development
作者: Laura H. RosenbergerSamantha M. ThomasJennifer K. PlichtaOluwadamilola M. FayanjuTerry HyslopRachel A. GreenupE. Shelley Hwang
作者单位: 1Department of Surgery, Duke University Medical Center, Durham, NC, USA
2Duke Cancer Institute, Duke University, Durham, NC, USA
3Biostatistics and Bioinformatics, Duke University, Durham, NC, USA
刊名: The American Journal of Surgery, 2019, Vol.218 (4), pp.786-791
来源数据库: Elsevier Journal
DOI: 10.1016/j.amjsurg.2019.07.013
关键词: Breast cancerAxillary lymph node dissectionSurgical volumeGraduate medical educationOperative competency
英文摘要: Abstract(#br)Background(#br)Sentinel lymph node biopsy has supplanted axillary lymph node dissection (ALND) in clinically node-negative breast cancer and select node-positive disease. We hypothesized a decreasing rate of both ALND and resident exposure over time.(#br)Methods(#br)We identified women with clinical Stage I-III breast cancer in the National Cancer Data Base (2004–2014). Adjusted multivariate logistic regression was used to estimate the effect of various factors on receipt of ALND. Yearly procedural rates for residents were extracted from surgical case log reports for comparison against procedural rates.(#br)Results(#br)1,131,363 patients were identified; 255,306 received ALND, 876,057 underwent non-ALND management. ALND rates declined from 2004 (32%) to 2014 (16%, p < 0.001),...
全文获取路径: Elsevier  (合作)
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影响因子:2.516 (2012)

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关键词翻译
关键词翻译
  • axillary 腋生的
  • operative 有法律效力
  • lymph 淋巴
  • exposure 暴露
  • surgical 外科的
  • resident 驻留的
  • development 开发
  • over 在上方
  • rates 地方税