A Study on the Performance of Breast One-Stop Clinic in Queen Elizabeth Hospital

Full Article

WSE Fok, WL Poon, KM Chu, CY Lee, CW Lee, KS Tse, WC Wai, LF Chiu

Hong Kong J Radiol 2015;18:134-40

DOI: 10.12809/hkjr1514243

Objectives: To evaluate the breast One-Stop Clinic (OSC) performance in Queen Elizabeth Hospital from December 2011 to November 2012.

Methods: Patient attendances and clinical data were retrieved from the hospital computer database. Data of patients attending the OSC (the OSC group) were compared with those of a control group attending the regular surgical breast clinic (the non-OSC group). Binary logistic regression was performed to determine the association between a short symptom-to-operation time (within 6 weeks) and the type of clinic attended (OSC or non-OSC), adjusting for patient’s age, symptomatology, and history of contralateral breast cancer. Statistical significance was set at 5%.

Results: A total of 850 patient attendances were reviewed. Cancer detection rates for the OSC and non-OSC groups were 42.7% and 12.1%, respectively. The proportions of patients with a short symptom-to-operation time in the OSC and non-OSC groups were 12.4% and 3.4%, respectively. The OSC group was 22 times more likely to have a short symptom-to-operation time than the non-OSC group (p < 0.05), independent of age, symptomatology, and history of contralateral breast cancer.

Conclusion: The OSC is an effective clinical pathway to identify symptomatic patients for timely operation.








結果:共回顧850例就診病人。癌症檢出率分別為:OSC組42.7%,非OSC組12.1%。從症狀出現至手術時間為6個星期內的,OSC組有12.4%,非OSC組有3.4%;OSC組比非OSC組的比率高出22倍(p < 0.05),這與年齡、症狀和對側乳腺癌的病史無關。