Day-Case Mastectomy Target- Achievable and Sustainable for the Future of the NHS
Association of Breast Surgery ePoster Library. Wilson C. 05/13/19; 257099; P055
Dr. Claudia Wilson
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P055
Topic: Breast surgery
INTRODUCTION: Mastectomy remains a commonly used surgery in the management of breast cancer. National guidelines now recommend that we aim to carry out 50% of mastectomy procedures as day-cases. This project assesses how achievable the recommended day-case mastectomy (DCM) rates are within our trust, how DCM rates can be improved and whether this can be applied to other trusts. Methods : All mastectomy cases were evaluated from February to August 2018 at a district general hospital following an initial audit in 2017 identifying DCM rates much lower than the national 50% target. We undertook retrospective analysis of electronic records of all patients who underwent mastectomies. RESULTS: 82 patients were included for analysis and the average age was 58. Overall 54.9% had their mastectomies as day cases, including patients with immediate reconstruction and all nodal procedures. 62% of patients who underwent simple mastectomies had their procedures done as day-cases compared to 35% of patients in 2017. Mean length of stay decreased for all types of mastectomies over this period compared to the previously audited period.CONCLUSION: The rate of day-case mastectomies has improved significantly from 2017 to 2018. This has been attributed mainly to a drive to adjust patient expectations. This has had huge financial implications in the trust. Further work should be done nationally with patients and clinicians to make day-case mastectomies a part of routine surgical practice.
Topic: Breast surgery
INTRODUCTION: Mastectomy remains a commonly used surgery in the management of breast cancer. National guidelines now recommend that we aim to carry out 50% of mastectomy procedures as day-cases. This project assesses how achievable the recommended day-case mastectomy (DCM) rates are within our trust, how DCM rates can be improved and whether this can be applied to other trusts. Methods : All mastectomy cases were evaluated from February to August 2018 at a district general hospital following an initial audit in 2017 identifying DCM rates much lower than the national 50% target. We undertook retrospective analysis of electronic records of all patients who underwent mastectomies. RESULTS: 82 patients were included for analysis and the average age was 58. Overall 54.9% had their mastectomies as day cases, including patients with immediate reconstruction and all nodal procedures. 62% of patients who underwent simple mastectomies had their procedures done as day-cases compared to 35% of patients in 2017. Mean length of stay decreased for all types of mastectomies over this period compared to the previously audited period.CONCLUSION: The rate of day-case mastectomies has improved significantly from 2017 to 2018. This has been attributed mainly to a drive to adjust patient expectations. This has had huge financial implications in the trust. Further work should be done nationally with patients and clinicians to make day-case mastectomies a part of routine surgical practice.
P055
Topic: Breast surgery
INTRODUCTION: Mastectomy remains a commonly used surgery in the management of breast cancer. National guidelines now recommend that we aim to carry out 50% of mastectomy procedures as day-cases. This project assesses how achievable the recommended day-case mastectomy (DCM) rates are within our trust, how DCM rates can be improved and whether this can be applied to other trusts. Methods : All mastectomy cases were evaluated from February to August 2018 at a district general hospital following an initial audit in 2017 identifying DCM rates much lower than the national 50% target. We undertook retrospective analysis of electronic records of all patients who underwent mastectomies. RESULTS: 82 patients were included for analysis and the average age was 58. Overall 54.9% had their mastectomies as day cases, including patients with immediate reconstruction and all nodal procedures. 62% of patients who underwent simple mastectomies had their procedures done as day-cases compared to 35% of patients in 2017. Mean length of stay decreased for all types of mastectomies over this period compared to the previously audited period.CONCLUSION: The rate of day-case mastectomies has improved significantly from 2017 to 2018. This has been attributed mainly to a drive to adjust patient expectations. This has had huge financial implications in the trust. Further work should be done nationally with patients and clinicians to make day-case mastectomies a part of routine surgical practice.
Topic: Breast surgery
INTRODUCTION: Mastectomy remains a commonly used surgery in the management of breast cancer. National guidelines now recommend that we aim to carry out 50% of mastectomy procedures as day-cases. This project assesses how achievable the recommended day-case mastectomy (DCM) rates are within our trust, how DCM rates can be improved and whether this can be applied to other trusts. Methods : All mastectomy cases were evaluated from February to August 2018 at a district general hospital following an initial audit in 2017 identifying DCM rates much lower than the national 50% target. We undertook retrospective analysis of electronic records of all patients who underwent mastectomies. RESULTS: 82 patients were included for analysis and the average age was 58. Overall 54.9% had their mastectomies as day cases, including patients with immediate reconstruction and all nodal procedures. 62% of patients who underwent simple mastectomies had their procedures done as day-cases compared to 35% of patients in 2017. Mean length of stay decreased for all types of mastectomies over this period compared to the previously audited period.CONCLUSION: The rate of day-case mastectomies has improved significantly from 2017 to 2018. This has been attributed mainly to a drive to adjust patient expectations. This has had huge financial implications in the trust. Further work should be done nationally with patients and clinicians to make day-case mastectomies a part of routine surgical practice.
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