Oncoplastic surgery and breast surgeon training

Abstract

Introduction: Oncoplastic surgery became a reality, but many breast specialists need to be able in this context. Objective: To assess the rate of oncoplastic surgeries and the relatioship between the breast formasurgeon training time. Methods: A retrospective study of 2,129 patients undergoing breast surgery at the Department of Mastology of Hospital de Câncer de Barretos (SP), from January, 2006 to June, 2008. All surgical procedures were performed by surgeons or breast cancer specialists. The oncoplastic surgeons training time ranged from six months (surgeon A) to ten years (E), with a median of three years; three professionals had three years of experience (B and C). The surgeon (D) had an exclusive training in oncoplastic by one year. This study evaluated the percentage of oncoplastic surgeries performed in the service, and the relative risk (RR) of the surgeon as a risk factor for oncoplastic surgical indication. Results: Of the surgeries performed, 275 (12.9%) were listed as oncoplastic surgeries. Assessing each six months, the rate of oncoplastic surgeries ranged from 10.9 to 15%. The oncoplastic procedure rate by surgeons with training ranged from 2.2 to 33.3%. The frequencies of oncoplastic procedures by surgeons A, B, C, D and E, respectively are 2.2, 12.2, 12.2, 17.5 and 33.3%. The statement was proportional to the training time (p < 0.001). Considering the risk of the procedure, based on the surgeon’s training under “A”, RR 12.3 was observed for the surgeon B (CI: 5,2-28,9); RR 12.5 for the surgeon C (CI: 5,3-29,4); RR 18.6 for the surgeon D (CI: 7,6-45,4); and RR of 41.1 for the surgeon E (CI: 17.9 -94.4) – p < 0.001. Conclusions: The breast surgeon training time influenced the indication of oncoplastic procedures. Oncoplastic training centers should be encouraged.