An evaluation of patient experience during percutaneous breast biopsy

Seely, Jean M.; Hill, F. W.; Peddle, Susan; Lau, Jacqueline

doi:10.1007/s00330-017-4872-2

Cited by 16 publications

(11 citation statements)

References 16 publications

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“…Only 0.6% of the patients in our study complained of severe pain which was associated with larger sample size. This finding is in line with previous study conducted by Seely et al which revealed an average pain score of 3.1 with stereotactic VABB which is in mild category 24 .…”

Section: Discussionsupporting

confidence: 93%

Diagnostic accuracy of tomosynthesis-guided vacuum assisted breast biopsy of ultrasound occult lesions

Bohan

Hamid

Chan

et al. 2021

Sci Rep

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This study aims to evaluate the diagnostic accuracy of digital breast tomosynthesis-guided vacuum assisted breast biopsy (DBT-VABB) of screening detected suspicious mammographic abnormalities comprising of calcifications, asymmetric densities, architectural distortions and spiculated masses. In this institutionally approved study, a total of 170 (n = 170) DBT-VABB were performed, 153 (90%) were for calcifications, 8 (4.7%) for spiculated mass, 5 (2.9%) for asymmetric density and 4 (2.4%) for architectural distortion. All these lesions were not detected on the corresponding ultrasound. Histopathology results revealed 140 (82.4%) benign, 9 (5.3%) borderline and 21 (12.4%) malignant lesions. The total upgrade rate at surgery was 40% for atypical ductal hyperplasia and 5.9% for ductal carcinoma in-situ. 3.6% discordant benign lesions showed no upgrade. DBT-VABB showed 100% specificity, 91.3% sensitivity and 100% positive predictive value (PPV) for detecting malignant lesions. The negative predictive value (NPV) was 80%. 2 (1.2%) patients had mild complications and 1 (0.6%) had severe pain. Our study showed that DBT-VABB was a safe and reliable method, with high sensitivity, specificity, PPV and NPV in the diagnosis of non-palpable benign and malignant breast lesions. Our data also confirmed the accuracy of DBT-VABB in detecting malignant lesions and we suggest further surgical excision in borderline lesions for a more accurate diagnostic evaluation.

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Section: Discussionsupporting

confidence: 93%

Diagnostic accuracy of tomosynthesis-guided vacuum assisted breast biopsy of ultrasound occult lesions

Bohan

Hamid

Chan

et al. 2021

Sci Rep

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“…With regard to technical procedures, Seely and colleagues included physicians performing stereotactic biopsies and studied the association between patient-satisfaction scores (with regard to pain and bruising from the procedure) and the treating physicians’ years in practice. 47 For stereotactic vacuum-assisted biopsies, they found that patients of more experienced physicians reported significantly less pain and bruising (p=0.0013).…”

Section: Resultsmentioning

confidence: 98%

Physicians’ clinical experience and its association with healthcare quality: a systematised review

Ajmi

Aase

2021

BMJ Open Qual

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Background and purposeThere is conflicting evidence regarding whether physicians’ clinical experience affects healthcare quality. Knowing whether an association exists and which dimensions of quality might be affected can help healthcare services close quality gaps by tailoring improvement initiatives according to physicians’ clinical experience. Here, we present a systematised review that aims to assess the potential association between physicians’ clinical experience and different dimensions of healthcare quality.MethodsWe conducted a systematised literature review, including the databases MEDLINE, Embase, PsycINFO and PubMed. The search strategy involved combining predefined terms that describe physicians’ clinical experience with terms that describe different dimensions of healthcare quality (ie, safety, clinical effectiveness, patient-centredness, timeliness, efficiency and equity). We included relevant, original research published from June 2004 to November 2020.ResultsFifty-two studies reporting 63 evaluations of the association between physicians’ clinical experience and healthcare quality were included in the final analysis. Overall, 27 (43%) evaluations found a positive or partially positive association between physicians’ clinical experience and healthcare quality; 22 (35%) found no association; and 14 (22%) evaluations reported a negative or partially negative association. We found a proportional association between physicians’ clinical experience and quality regarding outcome measures that reflect safety, particularly in the surgical fields. For other dimensions of quality, no firm evidence was found.ConclusionWe found no clear evidence of an association between measures of physicians’ clinical experience and overall healthcare quality. For outcome measures related to safety, we found that physicians’ clinical experience was proportional with safer care, particularly in surgical fields. Our findings support efforts to secure adequate training and supervision for early-career physicians regarding safety outcomes. Further research is needed to reveal the potential subgroups in which gaps in quality due to physicians’ clinical experience might exist.

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“…It is necessary to reduce the risk of complications and increase the accuracy of breast biopsies. It is well-known by most practitioners that large-gauge needles are related to higher complications (such as pain, hemorrhage, bruising, hematoma, infections), as a post-procedural complication (20,21). Pain is one of the most common complications and is related mostly to the depth of the lesion and the duration of the procedure (22).…”

Section: Discussionmentioning

confidence: 99%

“…Pain is one of the most common complications and is related mostly to the depth of the lesion and the duration of the procedure (22). Patients do not need follow-up unless complications such as vasovagal syncope or persistent bleeding are seen (20). Large hematomas can be seen every 1/1000, but rarely require surgical drainage (21).…”

Section: Discussionmentioning

confidence: 99%

14 ve 18 Gauge İğnelerle Yapılan Kor İğne Meme Biyopsisi Analizlerinin Değerlendirilmesi: Sekiz Yıllık Tek Merkez Deneyimi

Altınsoy

Guclu

Kantarcioğlu

et al. 2021

Düzce Tıp Fakültesi Dergisi

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Aim: Percutaneous imaging-guided core needle breast biopsy has become widely used as an alternative to incisional biopsy in the diagnosis of breast lesions. In this study, it was aimed to evaluate and report our core needle breast biopsy experiences performed with 14-and 18gauge needles. Material and Methods: Patients who underwent core needle breast biopsy between March 2012 and December 2019 in our radiology department and whose biopsy specimens were evaluated in the pathology department, of all age groups and both sexes, were included in this study. A total of 628 (615 female and 13 male) patients with breast masses were examined. Results: The mean age of the patients was 52.20±13.94 (median= 51, range, 13-96) years, 90.4% (n=568) of the lesions were masses and the majority of lesions (53.2%, n=334) were 11-20 mm in size. The most of cases (47.2%, n=268) were BI-RADS 5. There was no significant difference between the two needles in terms of gender distribution, age, type of surgery, and core needle breast biopsy results. In 86.5% (n=141) of the patients, there was diagnostic accuracy between the surgical specimen and the core needle breast biopsy result. Conclusion:We demonstrated that the 14-gauge and 18-gauge needles have similar performance of results. Smaller needles should be used for ultrasound-guided breast biopsies, which is less invasive, less painful, and creates less risk of hemorrhage. Moreover, no patient admitted to the emergency department because of the core needle breast biopsy acute complications such as hematoma, bleeding, etc. during this time.

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An evaluation of patient experience during percutaneous breast biopsy

Cited by 16 publications

References 16 publications

Diagnostic accuracy of tomosynthesis-guided vacuum assisted breast biopsy of ultrasound occult lesions

Diagnostic accuracy of tomosynthesis-guided vacuum assisted breast biopsy of ultrasound occult lesions

Physicians’ clinical experience and its association with healthcare quality: a systematised review

14 ve 18 Gauge İğnelerle Yapılan Kor İğne Meme Biyopsisi Analizlerinin Değerlendirilmesi: Sekiz Yıllık Tek Merkez Deneyimi

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