摘要
目的:近十年我国乳腺肿瘤整形外科发展迅速,为全面梳理本领域发展现状,促进学科水平高质量发展,中国抗癌协会肿瘤整形外科专业委员会和乳房再造护理整合专业委员会联合开展了本现况研究。方法:通过电子问卷调研会员单位在2022年乳腺肿瘤整形外科技术开展现状和决策影响因素。结果采用χ^(2)或Fisher精确概率检验、多重响应分析和帕累托图可视化体现等统计方法分析。结果:195家参与调研的医院中,165家医院(84.6%)已经开展整形保乳手术,其中42家医院(21.5%)整形保乳/保乳手术百分比超过50%;同时166家医院(85.1%)已经开展即刻乳房再造手术,显示乳腺肿瘤整形外科理念和技术普及度显著提高。大多数医院乳头再造(173/195,88.7%)和再造乳房修整手术(167/195,85.6%)开展占比小于10%,提示修整术式需要进一步推广和普及。地理分区(多因素Logistic回归分析,P<0.05)、医院等级规模(多因素Logistic回归分析,P<0.05)、患者意愿(多重响应分析:普及率>90%,响应率>30%)等因素显著影响乳腺肿瘤整形外科技术的普及和术式决策。结论:虽然乳腺肿瘤整形外科在我国受到越来越多的重视,但是该技术的普及率和创新能力仍有提升空间。本研究为有关部门和行业协会的政策制定和学术规划提供了依据。
Objective Over the past decade,China has seen rapid development and significant achievements in the field of oncoplastic breast surgery.To understand our current academic standing and further the high-quality development of oncoplastic breast surgery in China,the Committee of Oncoplastic Surgery and Committee of Integrated Nursing for Breast Reconstruction(COPS and CINBR,respectively),under the China Anti-Cancer Association(CACA),conducted a cross-sectional study in 2023.Methods The cross-sectional study assessed the current state of technological advancements and decision-making factors among member hospitals of COPS and CINBR within the year 2022 using an electronicquestionnaire.The results were analyzed byχ^(2) test or Fisher's precision probability test,multiple response analysis and displayed by Pareto chart.Results Among the 195 participating hospitals,165 hospitals(84.6%)had performed oncoplastic breast surgery,including 42hospitals(21.5%)which reported an adoption rateof oncoplastic proceduresover 50%.Meanwhile,166 hospitals(85.1%)already introduced the immediate breast reconstruction into their clinical practice,indicating that the popularization of the concepts and techniques in oncoplastic breast surgery had significantly improved.The adoption rates of nipple reconstruction(173/195,88.7%)and revision procedures(167/195,85.6%)were less than 10%,suggesting that low prevalence of those procedures after breast reconstruction still require attention.Factors including geographic location(multivariate Logistic regression analysis,P<0.05),hospital grade and size(multivariate Logistic regression analysis,P<0.05),and patient preferences(multiple response analysis:popularity rate>90%,response rate>30%)significantly influence the adoption of oncoplastic breast surgery and decisions regarding breast conservation or reconstruction.Conclusions Although increased attention on the oncoplastic breast surgeryhas been paid in China,the prevalence and innovation ability of oncoplastic breast surgerystill need further impr
作者
殷竹鸣
张青月
王燕
尹健
Zhuming Yin;Qingyue Zhang;Yan Wang;Jian Yin(Department of Breast Oncoplastic Surgery,Tianjin Medical University Cancer Institute&Hospital,National Clinical Research Center for Cancer,Tianjin Key Laboratory of Breast Cancer Prevention and Therapy,Tianjin Key Laboratory of Cancer Prevention and Therapy,Tianjin’s Clinical Research Center for Cancer,Key Laboratory of Cancer Prevention and Therapy(Ministry of Education),Sino-Russian Joint Research Center for Oncoplastic Breast Surgery,Tianjin 300060,China)
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2024年第18期950-956,共7页
Chinese Journal of Clinical Oncology
关键词
乳腺癌
肿瘤整形外科
乳房再造
整形保乳
横断面研究
breast cancer
oncoplastic surgery
breast reconstruction
oncoplastic breast conserving surgery
cross-sectional study
