Risk Factors for Re-Excision Following Breast-Conserving Surgery (original) (raw)

2017, Oncology nursing forum

To identify previously unstudied factors predicting re-excision following breast-conserving surgery (BCS) and to assess the feasibility of obtaining data about breast density for predictive modeling. . Retrospective secondary data analysis. . Data were obtained from the cancer registry and electronic health records (EHRs) at Texas Health Harris Methodist Hospital, a large, urban, private, nonprofit hospital in North Texas. . 244 patients choosing BCS from 2011-2012. . Data were subjected to univariate analyses (chi-square) followed by logistic regression. . The primary dependent variable was re-excision following BCS. Predictors of interest included lifestyle factors, time from diagnosis to surgery, surgical approach, patient age, and breast density, and controlled for covariates, such as assay results. . Three factors predicted re-excision with 87% accuracy. Women younger than 60 years whose surgery included placement of a wire for localization of tissue to be removed and who under...

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