Exact(2)
Medical specialties were pooled into six main provider types: primary care, pediatrics, gynecology & obstetrics, psychiatrists, invasive (i.e. doing mainly therapeutic operations as e.g. surgery, orthopaedics, nephrology, etc).
Cases with a comorbid condition requiring hospitalization were also left out: newborns, deliveries, trauma and life-threatening diseases (see Additional file 2), as were cases involving therapeutic operations that required hospitalization, insofar as they were not the consequence of an ACSC.
Similar(58)
Forty-three oft of 45 (95.5%) patients underwent a single therapeutic operation (NHSBSP target 90% of women should not require more than one therapeutic operation to ensure complete excision).
This would represent a 20% increase in the number of cases requiring a second therapeutic operation.
449 cases (64.2%) had breast-conserving surgery as their final therapeutic operation and 251 (35.8%) had a mastectomy.
Accurate preoperative diagnosis of carcinoma is necessary in screen-detected lesions so that patients may be counselled appropriately and a majority could have a single therapeutic operation.
Among them, 2,829 had a severe comorbidity justifying the hospitalization; 2,701 involved a therapeutic operation requiring an inpatient stay; and 550 satisfied both of these exclusion criteria.
Cancer registries were asked to flag cases as having had a pre-operative diagnosis of breast cancer if the case record contained a cytology or core biopsy diagnosis that pre-dated the first therapeutic operation.
We assumed no recurrence of cancer, despite the 10 year survival rate for breast cancer being 72% in the UK. 30 We also assumed no re-operations, even though 17% of women with tumours detected at screening in the UK had more than one therapeutic operation in 2006-7.
Bonvalot et al. reported a mortality rate of 3% with only 18% of their patients requiring an invasive therapeutic procedure and 12% re-operation rate in a series treated with so called "aggressive frontline surgery" [ 36].
It's a therapeutic process".
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