Featured Research

from universities, journals, and other organizations

Few breast cancer surgeons follow quality of care standards, study finds

Date:
January 13, 2010
Source:
University of Michigan Health System
Summary:
Most breast cancer surgeons' practices do not follow standards associated with the best quality of care, according to a new study. These standards include consulting with other specialists and providing resources and education to help patients make treatment decisions.

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.

Related Articles


"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.

Breast cancer statistics: 194,280 Americans will be diagnosed with breast cancer this year and 40,610 will die from the disease, according to the American Cancer Society

Additional authors are Sarah T. Hawley, Ph.D., Jennifer J. Griggs, M.D., M.P.H.; and Reshma Jagsi, M.D., D.Phil.; Christopher R. Friese, R.N., Ph.D.; and Timothy P. Hofer, M.D., M.S.C., all from U-M; Monica Morrow, M.D., Memorial Sloan-Kettering Cancer Center; Ann S. Hamilton, Ph.D., University of Southern California; and John J. Graff, Ph.D., Karmanos Cancer Institute

Funding was provided by the National Cancer Institute.



Story Source:

The above story is based on materials provided by University of Michigan Health System. Note: Materials may be edited for content and length.


Journal Reference:

  1. Katz et al. Coordinating Cancer Care Patient and Practice Management Processes Among Surgeons Who Treat Breast Cancer. Medical Care, 2010; 48 (1): 45 DOI: 10.1097/MLR.0b013e3181bd49ca

Cite This Page:

University of Michigan Health System. "Few breast cancer surgeons follow quality of care standards, study finds." ScienceDaily. ScienceDaily, 13 January 2010. <www.sciencedaily.com/releases/2010/01/100105125840.htm>.
University of Michigan Health System. (2010, January 13). Few breast cancer surgeons follow quality of care standards, study finds. ScienceDaily. Retrieved October 25, 2014 from www.sciencedaily.com/releases/2010/01/100105125840.htm
University of Michigan Health System. "Few breast cancer surgeons follow quality of care standards, study finds." ScienceDaily. www.sciencedaily.com/releases/2010/01/100105125840.htm (accessed October 25, 2014).

Share This



More Health & Medicine News

Saturday, October 25, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Texas Nurse Nina Pham Cured of Ebola

Texas Nurse Nina Pham Cured of Ebola

AFP (Oct. 25, 2014) — An American nurse who contracted Ebola while caring for a Liberian patient in Texas has been declared free of the virus and will leave the hospital. Duration: 01:01 Video provided by AFP
Powered by NewsLook.com
IKEA Desk Converts From Standing to Sitting With One Button

IKEA Desk Converts From Standing to Sitting With One Button

Buzz60 (Oct. 24, 2014) — IKEA is out with a new convertible desk that can convert from a sitting desk to a standing one with just the push of a button. Jen Markham explains. Video provided by Buzz60
Powered by NewsLook.com
Ebola Protective Suits Being Made in China

Ebola Protective Suits Being Made in China

AFP (Oct. 24, 2014) — A factory in China is busy making Ebola protective suits for healthcare workers and others fighting the spread of the virus. Duration: 00:38 Video provided by AFP
Powered by NewsLook.com
WHO: Millions of Ebola Vaccine Doses by 2015

WHO: Millions of Ebola Vaccine Doses by 2015

AP (Oct. 24, 2014) — The World Health Organization said on Friday that millions of doses of two experimental Ebola vaccines could be ready for use in 2015 and five more experimental vaccines would start being tested in March. (Oct. 24) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins