A Study on the Performance of Breast One-Stop Clinic in Queen Elizabeth Hospital
WSE Fok, WL Poon, KM Chu, CY Lee, CW Lee, KS Tse, WC Wai, LF Chiu
Hong Kong J Radiol 2015;18:134-40
DOI: 10.12809/hkjr1514243
Objectives: To evaluate the breast One-Stop Clinic (OSC) performance in Queen Elizabeth Hospital from December 2011 to November 2012.
Methods: Patient attendances and clinical data were retrieved from the hospital computer database. Data of patients attending the OSC (the OSC group) were compared with those of a control group attending the regular surgical breast clinic (the non-OSC group). Binary logistic regression was performed to determine the association between a short symptom-to-operation time (within 6 weeks) and the type of clinic attended (OSC or non-OSC), adjusting for patient’s age, symptomatology, and history of contralateral breast cancer. Statistical significance was set at 5%.
Results: A total of 850 patient attendances were reviewed. Cancer detection rates for the OSC and non-OSC groups were 42.7% and 12.1%, respectively. The proportions of patients with a short symptom-to-operation time in the OSC and non-OSC groups were 12.4% and 3.4%, respectively. The OSC group was 22 times more likely to have a short symptom-to-operation time than the non-OSC group (p < 0.05), independent of age, symptomatology, and history of contralateral breast cancer.
Conclusion: The OSC is an effective clinical pathway to identify symptomatic patients for timely operation.
中文摘要
伊利沙伯醫院內一站式乳房診所的一項研究
霍泳珊、潘偉麟、朱嘉敏、李俊賢、李昭穎、謝健燊、衛莊、趙朗峰
目的：評估2011年12月至2012年11月期間伊利沙伯醫院內一站式乳房診所（OSC）的表現。
方法：從醫院電腦數據庫中抽取就診人次和其臨床數據。比較到一站式診所（OSC組）和定期到乳房外科診所（非OSC組，即對照組）就診的病人數據。在調整患者年齡、症狀和對側乳腺癌的病史後，使用二元邏輯回歸判斷「症狀至手術」短時間間隔（即6個星期內）與診所類別（即OSC或非OSC）的關係。統計顯著性水平設定為5%。
結果：共回顧850例就診病人。癌症檢出率分別為：OSC組42.7%，非OSC組12.1%。從症狀出現至手術時間為6個星期內的，OSC組有12.4%，非OSC組有3.4%；OSC組比非OSC組的比率高出22倍（p < 0.05），這與年齡、症狀和對側乳腺癌的病史無關。
結論：一站式診所是確診具症狀的乳腺癌患者並能及時進行手術的有效臨床途徑。