The American Journal of Surgery
Volume 193, Issue 5 , Pages 556-560 , May 2007

Measuring surgeon performance of sentinel lymph node biopsy in breast cancer treatment by cumulative sum analysis

Presented at the Annual Meeting of the North Pacific Surgical Association, Spokane, WA, November 10–11, 2006

  • Lindsey Lerch, B.Sc.

      Affiliations

    • Department of Surgery, Vancouver Island Health Authority, 302-2020 Richmond Road, Victoria, British Columbia, Canada V8R 6R5
    • Department of Biology, University of Victoria, POB 3020 STN CSC, Victoria, British Columbia, Canada V8W 3N5
    • ,
  • James C. Donald, M.B.Ch.B., F.R.C.S.C.

      Affiliations

    • Department of Surgery, Vancouver Island Health Authority, 302-2020 Richmond Road, Victoria, British Columbia, Canada V8R 6R5
    • ,
  • Ivo A. Olivotto, M.D., F.R.C.P.C.

      Affiliations

    • British Columbia Cancer Agency–Vancouver Island Cancer Centre, 2410 Lee Avenue, Vancouver, British Columbia, Canada V8R 6V5
    • Faculty of Medicine, University of British Columbia, 317-2194 Health Sciences Mall, British Columbia, Canada V6T 1Z3
    • ,
  • Mary Lesperance, Ph.D., P.Stat.

      Affiliations

    • Department of Mathematics and Statistics, University of Victoria, POB 3045 STN CSC, Victoria, British Columbia, Canada V8W 3P4
    • ,
  • Nick van der Westhuizen, M.B., F.R.C.P.C.

      Affiliations

    • Laboratory Medicine, Vancouver Island Health Authority, Royal Jubilee Hospital, 1952 Bay Street, Victoria, British Columbia, Canada V8R 1J8
    • Faculty of Medicine, University of British Columbia, 317-2194 Health Sciences Mall, British Columbia, Canada V6T 1Z3
    • ,
  • Conrad Rusnak, M.D., F.R.C.S.C.

      Affiliations

    • Department of Surgery, Vancouver Island Health Authority, 302-2020 Richmond Road, Victoria, British Columbia, Canada V8R 6R5
    • Faculty of Medicine, University of British Columbia, 317-2194 Health Sciences Mall, British Columbia, Canada V6T 1Z3
    • ,
  • Darren Biberdorf, M.D., F.R.C.S.C.

      Affiliations

    • Department of Surgery, Vancouver Island Health Authority, 302-2020 Richmond Road, Victoria, British Columbia, Canada V8R 6R5
    • Faculty of Medicine, University of British Columbia, 317-2194 Health Sciences Mall, British Columbia, Canada V6T 1Z3
    • ,
  • Alison Ross, M.D., F.R.C.S.C.

      Affiliations

    • Department of Surgery, Vancouver Island Health Authority, 302-2020 Richmond Road, Victoria, British Columbia, Canada V8R 6R5
    • Faculty of Medicine, University of British Columbia, 317-2194 Health Sciences Mall, British Columbia, Canada V6T 1Z3
    • ,
  • Allen Hayashi, M.D., F.R.C.S.C.

      Affiliations

    • Department of Surgery, Vancouver Island Health Authority, 302-2020 Richmond Road, Victoria, British Columbia, Canada V8R 6R5
    • Faculty of Medicine, University of British Columbia, 317-2194 Health Sciences Mall, British Columbia, Canada V6T 1Z3
    • Corresponding Author InformationCorresponding author. Tel.: +1-250-592-4310; fax: +1-250-592-5020.

Received 6 December 2006 ,Revised 29 January 2007

References 

  1. Cantin J, Scarth H, Levine M, et al. Clinical practice guidelines for the care and treatment of breast cancer: 13 (Sentinel lymph node biopsy). CMAJ. 2001;165(2):166–171
  2. Hayashi A, Bernstein V, Cuddington G, et al. Provincial guidelines for lymphatic mapping and sentinel node biopsy for breast cancer. BC Surg Oncol Network 2003. Available at: http://www.bccancer.bc.ca/HPI/SON/CPG/default.htm. Accessed March 14, 2007.
  3. Lyman G, Guiliano AE, Somerfield MR, et al. American Society of Clinical Oncology guideline recommendations for sentinel lymph node biopsy in early-stage breast cancer. J Clin Oncol. 2005;23(30):7703–7720
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  8. Orr R, Hoehn JL, Nananda FC. The learning curve for sentinel lymph node biopsy in breast cancer. Arch Surg. 1999;134:764–767
  9. Tafra L, McMasters K, Whitworth P, et al. Credentialing issues with sentinel lymph node staging for breast cancer. Am J Surg. 2000;180(4):268–273
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  11. Schwartz G, Guiliano AE, Veronesi U, et al. Proceedings of the consensus conference on the role of sentinel lymph node biopsy in carcinoma of the breast, April 19–22, 2001, Philadelphia, Pennsylvania. Cancer. 2002;94:2542–2551
  12. Khuri S, Henderson WG. The case against volume as a measure of quality of surgical care. World J Surg. 2005;29:1222–1229
  13. Sainsbury R, Haward B, Rider L, et al. Influence of clinician workload and patterns of treatment on survival from breast cancer. Lancet. 1995;345(8960):1265–1270
  14. Hutchinson J, Chagpar AB, Scoggins CR, et al. Surgeon and community factors affecting breast cancer sentinel lymph node biopsy. Am J Surg. 2005;190:915–919
  15. Smillie T, Hayashi A, Rusnak C, et al. Evaluation of feasibility and accuracy of sentinel node biopsy in early breast cancer. Am J Surg. 2001;181(5):427–430
  16. Chua B, Olivotto IA, Donald JC, et al. Outcomes of sentinel node biopsy for breast cancer in British Columbia, 1996–2001. Am J Surg. 2003;185:118–126
  17. Estourgie S, Nieweg OE, Rutgers EJTH, et al. What is a false-negative result for sentinel node procedures in breast cancer?. J Surg Oncol. 2003;82:141–142
  18. Sanidas E, Daskalakis M, Sbyrakis N, et al. Modifications of the learning curve guideline for breast cancer sentinel node biopsy. Eur J Surg Oncol. 2005;31:357–363
  19. Lim T, Soraya A, Ding LM, et al. Assessing doctors’ competence: application of CUSUM technique in monitoring doctor’s performance. Int J Qual Health Care. 2002;14(3):251–258
  20. Rowlands R, Griffiths KW, Nix ABJ, et al. Application of CUSUM techniques to the routine monitoring of analytical performance in clinical laboratories. Stat Med. 1983;2:141–145
  21. Williams S, Parry BR, Schlup MT. Quality control: an application of CUSUM. Br Med J. 1992;304:1359–1361

PII: S0002-9610(07)00091-8

doi: 10.1016/j.amjsurg.2007.01.012

The American Journal of Surgery
Volume 193, Issue 5 , Pages 556-560 , May 2007

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