Postoperative Outcomes of Breast Cancer Surgery in Tertiary Care Units in Pakistan: A Cross-Sectional Study
Infection Rates and Wound Healing in Post-Mastectomy Patients
DOI:
https://doi.org/10.69750/dmls.01.04.038Keywords:
Breast Cancer, Postoperative, Patient Recovery, Surgical ComplicationsAbstract
Background: Breast cancer is a serious health problem in Pakistan and has high incidence and mortality rate. This paper seeks to compare and contrast surgical care and patient management by analyzing postoperative results of breast cancer operations in tertiary health care centers of Pakistan.
Methods: It was a cross-sectional study designed in tertiary care unit of Nishtar hospital Multan where medical records of female breast cancer patients who underwent surgery between January 2023 to June 2023 were analyzed. The demographic data, surgical procedures, postoperative morbidities, hospital stays, and readmission rates data were analyzed using multivariate statistics.
Results: In total 300 patients were selected in the study. The rate of developing post-operative complications was 20%, and the most frequent of them were infections (12%). The mean days to recovery including those who were discharged and stayed at home was twenty-one days with a readmission ratio of fifteen percent. Specific factors that were found to have a significant influence on the outcomes consisted of age, comorbidities as well as the surgical method used with the latter having a (p ≤ 0.01).
Conclusion: This finding of study stated that the postoperative outcomes of breast cancer surgeries in Pakistani tertiary care units were determined by patients’ characteristics, medical co morbidities, and surgical procedures. Implementing standard of care and making available better surgical modalities can improve the patient care and post-surgical care maybe reduced the rate of further complications among breast cancer patients.
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Mooghal M, Javaid RH, Khan W, Muneeb M, Khan WA, Ahmad A, et al. COVID-19 pandemic: effect on management of patients with breast cancer; single-center retrospective cohort study. Int J Surg Open. 2021;35:100386. doi:10.1016/j.ijso.2021.100386
Abidi SS, Vohra LM, Javed MR, Khan N. Oncoplastic surgery: a suitable alternative to conventional breast-conserving surgery in low-middle income countries; a retrospective cohort study. Ann Med Surg. 2021;68:102618. doi:10.1016/j.amsu.2021.102618
Vohra LM, Jabeen D, Asif N, Ahad A. COVID-19 pandemic and breast cancer management: a retrospective observational clinical study from Pakistan. Ann Med Surg. 2021;63:102099. doi:10.1016/j.amsu.2021.01.099
Khalid IB, Sarwar A, Khalid HB, Sajjad B, Rehman B, Parvaiz MA. Clinicopathological features and treatment outcomes of male breast cancer in Pakistani population: a 10-year retrospective cross-sectional study. Breast Cancer Basic Clin Res. 2024;18:1–7. doi:10.1177/11782234241233120
Ali G, Shaukat A, Sarfraz U, Masood S, Jamshaid K. Surgical management of breast cancer during COVID-19 pandemic. Ann King Edward Med Univ. 2024;30(2):145–51. doi:10.21649/akemu.v30i2.5560
Vohra LM, Soomro R, Jabeen D, Ali N, Khan N. Utility of post-mastectomy radiotherapy among patients with T1/T2 N1 disease: a retrospective cohort study. Ann Med Surg. 2021;65:102295. doi:10.1016/j.amsu.2021.102295
Vohra LM, Jabeen D, Khan N, Nizar A, Jamil A, Siddiqui T. Analysing the trends in breast surgery practice during COVID-19 pandemic: a comparative study with the pre-COVID era. Ann Med Surg. 2022;74:103342. doi:10.1016/j.amsu.2022.103342
Jamshed A, Shah M, Syed A, Murtaza G, Mehmood T, Chaudry S, et al. Clinical outcome of primary non-metastatic breast cancer: a single-institution experience. Indian J Cancer. 2015;52(1):119–25. doi:10.4103/0019-509X.175599
Rashid M, Shahbaz MN, Akram A, Anwar A, Umar M, Ali MS, et al. Analysis of patients receiving treatment for inflammatory breast disease at surgery department of tertiary care units. Dev Med Life Sci. 2024;1(1):2–6. doi:10.69750/dmls.01.01.012
Nair N, Shet T, Parmar V, Havaldar R, Gupta S, Budrukkar A, et al. Breast cancer in a tertiary cancer center in India—an audit with outcome analysis. Indian J Cancer. 2018;55(1):16–22. doi:10.4103/ijc.IJC_484_17
O-GAA Collaborative. Textbook outcome following oesophagectomy for cancer: international cohort study. Br J Surg. 2022;109(5):439–49. doi:10.1093/bjs/znac016
Ali B, Mubarik F, Zahid N, Sattar AK. Clinicopathologic features predictive of distant metastasis in patients diagnosed with invasive breast cancer. JCO Glob Oncol. 2020;(6):1346–51. doi:10.1200/GO.20.00257
Ali D, Zeeshan S, Farooqi N, Vohra L. Breast surgery super-specialization: impact on advanced surgical training and research. Pak J Med Sci. 2022;38(8):2345–9. doi:10.12669/pjms.38.8.6045
Bajpai J, Ventrapati P, Joshi S, Wadasadawala T, Rath S, Pathak R, et al. Unique challenges and outcomes of young women with breast cancers from a tertiary care cancer centre in India. Breast. 2021;60:177–84. doi:10.1016/j.breast.2021.09.008
Prodhan AHMSU, Islam DZ, Khandker SS, Jamiruddin MR, Abdullah A, Godman B, et al. Breast cancer management in the era of COVID-19: key issues, strategies, and future implications. Breast Cancer Targets Ther. 2023;15:51–89. doi:10.2147/BCTT.S390296
Mansha MA, Sadaf T, Waheed A, Munawar A, Rashid A, Chaudry SJ. Long-term toxicity and efficacy of intensity-modulated radiation therapy in cervical cancers. JCO Glob Oncol. 2020;(6):1639–46. doi:10.1200/GO.20.00169
Riad A, Knight SR, Ghosh D, Kingsley PA, Lapitan MC, Parreno-Sacdalan MD, et al. Impact of malnutrition on early outcomes after cancer surgery: an international prospective cohort study. Lancet Glob Health. 2023;11(3):e341–9. doi:10.1016/S2214-109X(22)00550-2
Shamim Seth U, Perveen S, Ahmed T, Kamal MT, Soomro JA, Khomusi MM, et al. Postoperative analgesia in modified radical mastectomy after instillation of bupivacaine via surgical drains. Cureus. 2022;14(4):e24125. doi:10.7759/cureus.24125
Jafar D, Pesnani F, Arif S, Nasir A. Self-esteem of patients receiving chemotherapy in a tertiary care hospital. Pak J Med Dent. 2020;9(3):60–4. doi:10.36283/PJMD9-3/012
Cata JP, Zaidi Y, Guerra-Londono JJ, Kharasch ED, Piotrowski M, Kee S, et al. Intraoperative methadone for total mastectomy: a retrospective study. J Clin Anesth. 2024;98:111572. doi:10.1016/j.jclinane.2024.111572
Ostermann M, Raimundo M, Williams A, Whiteley C, Beale R. Outcomes of women with breast or gynecologic cancer in ICU: retrospective analysis. JRSM Short Rep. 2013;4(1):1–5. doi:10.1258/shorts.2012.012036
Alam T, Qureshi R, Aziz M, Khan A. Incidence of accidental awareness during general anaesthesia: tertiary cancer care hospital experience. J Postgrad Med Inst. 2022;36(1):3–8. doi:10.54079/jpmi.36.1.2996
Rastogi K, Jain S, Bhatnagar AR, Bhaskar S, Gupta S, Sharma N. Hypofractionated vs conventional radiotherapy in post-mastectomy breast cancer. Asia Pac J Oncol Nurs. 2018;5(1):107–13. doi:10.4103/apjon.apjon_46_17
Ahmed O, Asghar MS, Khurshaidi MN, Yasmin F, Kanwal N, Khokher AJ, et al. Surgical services to COVID-19 infected patients: one-year review. Cureus. 2021;13(1):e12705. doi:10.7759/cureus.12705
Shaw JF, Budiansky D, Sharif F, McIsaac DI. Frailty and outcomes after cancer surgery: systematic review. Ann Surg Oncol. 2022;29(8):4690–704. doi:10.1245/s10434-021-11321-2
Pangarsa EA, Rizky D, Tandarto K, Setiawan B, Santosa D, Hadiyanto JN, et al. Effect of multidisciplinary team on survival of breast cancer. Ann Med Surg. 2023;85(6):2940–8. doi:10.1097/MS9.0000000000000914
Satti MZ, Hamza M, Sajid Z, Asif O, Ahmed H, Zaidi SMJ, et al. Compliance with surgical antimicrobial prophylaxis and knowledge of guidelines. Cureus. 2019;11(5):e4776. doi:10.7759/cureus.4776
Mustafa F, Khan MA, Mustafa A, Manzoor A, Safa S, Khogyani S. Organisms causing surgical site infection in postoperative patients. J Rawalpindi Med Coll. 2022;26(4):1–6. doi:10.37939/jrmc.v26i4.1982
Yfantis A, Sarafis P, Moisoglou I, Tolia M, Intas G, Tiniakou I, et al. Quality of life one year after breast cancer surgery. BMC Surg. 2020;20(1):210. doi:10.1186/s12893-020-00871-z
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