Gynecol Obstet Fertil Senol. 2019 Nov;47(11):769-775. doi: 10.1016/j.gofs.2019.07.012. Epub 2019 Jul 31.

[Breast cancer and outpatient surgery: State of play of the activity and assessment of patient satisfaction].

[Article in French]

Formet J¹, Dole C², Laroche J², De Lapparent T², Malincenco L², Gay C².

Author information

1: Service de gynécologie et unité de chirurgie ambulatoire, hôpital Nord Franche-Comté, 100, route de Moval, 90400 Trevenans, France. Electronic address: juformet@gmail.com.
2: Service de gynécologie et unité de chirurgie ambulatoire, hôpital Nord Franche-Comté, 100, route de Moval, 90400 Trevenans, France.

Abstract

OBJECTIVE:

The objective of this study was to evaluate an outpatient breast cancer surgery activity in our center and to collect the satisfaction of patient having benefited.

METHOD:

Descriptive and retrospective study about patients who underwent surgery for breast cancer scheduled on ambulatory between March 2015 and March 2017. Patients' satisfaction was collected retrospectively by a questionnaire.

RESULTS:

Six hundred and thirty-nine breast cancer surgeries were performed during the study period, of which 56.2% were scheduled for outpatient surgery: 33 axillary procedures (9.2%), 289 conservative surgeries (80.5%) and 37 radical surgeries (10.3%). Forty-nine patients initially managed on ambulatory had to be hospitalized on conventional service, representing a conversion rate of 13.6%. The main reason was the establishment of drainage (30.6%). The complication rate was 0.6% with 2 patients rehospitalized for hematoma requiring surgical revision. Of the 359 patients treated on ambulatory, 61% responded to the satisfaction questionnaire. Overall satisfaction was 96.3%. In addition, 68.3% of patients said they had seen a real benefit in this mode of care. After returning home, 59,8% of patients reported feeling no or low pain.

CONCLUSION:

Outpatient management seems to be both safe and satisfying for breast cancer surgery. A better organization of patient going home is in progress in order to reduce rate of conversion.