Surgeon and community factors affecting breast cancer sentinel lymph node biopsy

Julie R. Hutchinson, Anees B. Chagpar, Charles R. Scoggins, Robert C.G. Martin, David J. Carlson, Alison L. Laidley, Souzan E. El-Eid, Terre Q. McGlothin, Robert D. Noyes, Phillip B. Ley, Todd M Tuttle, Kelly M. McMasters

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background: We sought to determine whether the results of sentinel lymph node (SLN) biopsy are related to practice and community factors. Methods: This prospective study included more than 300 surgeons from a variety of practice environments. Most surgeons had minimal experience with SLN biopsy prior to this study. Patients underwent attempted SLN biopsy, followed by completion axillary dissection. Univariate and multivariate analyses were performed to assess factors related to the SLN identification rate and the false negative rate. Results: A total of 4131 patients were enrolled. SLN identification rate was 93%; the false negative (FN) rate was 7.9%. The only factor that was significantly associated with improved SLN identification rate (odds ratio [OR] 1.60, 95% confidence interval [CI] 1.12 to 2.36, P = .0126) and FN rate (OR 2.39, 95% CI 1.32 to 4.79, P = .0073) was surgeon experience (>20 SLN cases). Conclusions: Surgeon experience is the major factor that contributes to improved SLN biopsy results. SLN biopsy can be performed equally well by community and academic surgeons.

Original languageEnglish (US)
Pages (from-to)903-906
Number of pages4
JournalAmerican Journal of Surgery
Volume190
Issue number6
DOIs
StatePublished - Dec 1 2005

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Sentinel Lymph Node Biopsy
Breast Neoplasms
Odds Ratio
Confidence Intervals
Dissection
Multivariate Analysis
Surgeons
Prospective Studies
Sentinel Lymph Node

Keywords

  • Breast cancer
  • Community
  • Sentinel node

Cite this

Hutchinson, J. R., Chagpar, A. B., Scoggins, C. R., Martin, R. C. G., Carlson, D. J., Laidley, A. L., ... McMasters, K. M. (2005). Surgeon and community factors affecting breast cancer sentinel lymph node biopsy. American Journal of Surgery, 190(6), 903-906. https://doi.org/10.1016/j.amjsurg.2005.08.018

Surgeon and community factors affecting breast cancer sentinel lymph node biopsy. / Hutchinson, Julie R.; Chagpar, Anees B.; Scoggins, Charles R.; Martin, Robert C.G.; Carlson, David J.; Laidley, Alison L.; El-Eid, Souzan E.; McGlothin, Terre Q.; Noyes, Robert D.; Ley, Phillip B.; Tuttle, Todd M; McMasters, Kelly M.

In: American Journal of Surgery, Vol. 190, No. 6, 01.12.2005, p. 903-906.

Research output: Contribution to journalArticle

Hutchinson, JR, Chagpar, AB, Scoggins, CR, Martin, RCG, Carlson, DJ, Laidley, AL, El-Eid, SE, McGlothin, TQ, Noyes, RD, Ley, PB, Tuttle, TM & McMasters, KM 2005, 'Surgeon and community factors affecting breast cancer sentinel lymph node biopsy', American Journal of Surgery, vol. 190, no. 6, pp. 903-906. https://doi.org/10.1016/j.amjsurg.2005.08.018
Hutchinson JR, Chagpar AB, Scoggins CR, Martin RCG, Carlson DJ, Laidley AL et al. Surgeon and community factors affecting breast cancer sentinel lymph node biopsy. American Journal of Surgery. 2005 Dec 1;190(6):903-906. https://doi.org/10.1016/j.amjsurg.2005.08.018
Hutchinson, Julie R. ; Chagpar, Anees B. ; Scoggins, Charles R. ; Martin, Robert C.G. ; Carlson, David J. ; Laidley, Alison L. ; El-Eid, Souzan E. ; McGlothin, Terre Q. ; Noyes, Robert D. ; Ley, Phillip B. ; Tuttle, Todd M ; McMasters, Kelly M. / Surgeon and community factors affecting breast cancer sentinel lymph node biopsy. In: American Journal of Surgery. 2005 ; Vol. 190, No. 6. pp. 903-906.
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