The use and outcomes of outpatient mastectomy in Florida
The use and outcomes of outpatient mastectomy in Florida
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DOI：
10.1016/s0002-9610(00)00336-6
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发表时间：
2000-04-01
影响因子：
3
通讯作者：
Roetzheim, R
中科院分区：
文献类型：
--
作者：
Ferrante, J;Gonzalez, E;Roetzheim, R
背景技术背景：确定患者特征与门诊乳房切除术和他们的outcomes.METHODS：患者诊断为乳腺癌和乳房切除术治疗在佛罗里达在1994年确定从国家出院摘要和国家肿瘤登记。使用多元逻辑回归确定临床/人口统计学特征与门诊乳房切除术几率之间的关系。通过计算出院后30天内再次住院的风险来评估结果：20%的乳房切除术是在门诊进行的。门诊乳房切除术更有可能对年龄较大，生活在高收入社区或没有保险的妇女进行。健康保险类型与门诊乳房切除术无关。接受门诊乳房切除术的妇女更有可能在出院后30天内再次入院;然而，超额风险非常小（0.7%）。结论：门诊乳房切除术的风险很小。需要持续监测结果和评估患者满意度。美国外科杂志2000;179：253-260。(C)2000年出版，Excerpta Medica，Inc.
BACKGROUND: To identify patient characteristics associated with outpatient mastectomies and their outcomes.METHODS: Patients diagnosed with breast cancer and treated with mastectomies in Florida in 1994 were identified from state discharge abstracts and the state tumor registry. The relationship between clinical/demographic characteristics and the odds of having an outpatient mastectomy was identified using multiple logistic regression. Outcomes were assessed by calculating the risk of being rehospitalized within 30 days of discharge.RESULTS: Twenty percent of mastectomies were performed on an outpatient basis. Outpatient mastectomies were more likely to be performed on women who were older, who lived in higher income communities, or who were uninsured. Health insurance type was not associated with having an outpatient mastectomy. Women undergoing outpatient mastectomy were more likely to be readmitted within 30 days of discharge; however, the excess risk was very small (0.7%).CONCLUSIONS: The risks from outpatient mastectomy are small. Ongoing monitoring of outcomes and assessment of patient satisfaction are needed. Am J Surg. 2000;179:253-260. (C) 2000 by Excerpta Medica, Inc.