Department of Medical Imaging, The Ottawa Hospital, 501 Smyth Rd, Ottawa, ON, K1H 8L6, Canada.
Ottawa Hospital Research Institute, Ottawa, ON, Canada.
Eur Radiol. 2017 Nov;27(11):4804-4811. doi: 10.1007/s00330-017-4872-2. Epub 2017 May 22.
Percutaneous breast biopsy in a tertiary referral high volume breast centre: can we improve the patient experience?
The study was performed to evaluate patient experience during ultrasound-guided (UGB) and vacuum-assisted stereotactic breast biopsy (SBB) and determine what factors could improve the patient experience.
Consecutive patients who underwent image guided breast biopsy from 01- 05/30, 2015 were approached in a structured telephone interview to evaluate pain and bruising from the procedure. Three hundred and fifty-one patients were interviewed (116 SBB and 235 UGB). Information about the radiologist performing the biopsy, biopsy type, needle gauge, and number of cores was collected from the biopsy reports. Correlation was done using Spearman rank test.
Average patient scores of pain with UGB and SBB were 2.3 and 3.1 (out of 10). There was a significant correlation between pain during SBB and physician experience (p = 0.013), and no correlation with pain during UGB (p > 0.05). No correlation was found between needle gauge and pain experienced during breast biopsy or between numbers of cores and pain (p > 0.05). Body position during SBB was mentioned to cause discomfort and pain in 28% of patients while during UGB was mentioned by 0.4% of patients.
SBB was inferior to UGB for patient experience, but years of radiologists' experience correlated with improved patient scores of pain for SBB.
• To achieve high quality, an institution must emphasise patient-centred care. • Increased radiologist training with stereotactic biopsy may contribute to improved patient experience. • Stereotactic breast biopsy was inferior to ultrasound biopsy for patient experience. • Radiologists' experience correlated with improved patient scores of pain for stereotactic biopsy.
在一家三级转诊的大容量乳房中心进行经皮乳房活检：我们能否改善患者体验？
本研究旨在评估超声引导（UGB）和真空辅助立体定向乳房活检（SBB）期间患者的体验，并确定哪些因素可以改善患者的体验。
在 2015 年 5 月 30 日之前，对在图像引导下进行乳房活检的连续患者进行了结构化电话访谈，以评估该程序引起的疼痛和瘀伤。共对 351 名患者进行了访谈（116 例 SBB 和 235 例 UGB）。从活检报告中收集了进行活检的放射科医生、活检类型、活检针规格和芯数等信息。使用 Spearman 秩检验进行相关性分析。
UGB 和 SBB 患者的平均疼痛评分分别为 2.3 和 3.1（满分 10 分）。SBB 期间的疼痛与医生经验呈显著相关（p = 0.013），而 UGB 期间的疼痛与医生经验无相关性（p > 0.05）。未发现活检针规格与乳房活检期间的疼痛或活检芯数与疼痛之间存在相关性（p > 0.05）。28%的患者在进行 SBB 时提到体位不舒服和疼痛，而 0.4%的患者在进行 UGB 时提到体位不舒服和疼痛。
SBB 患者体验较 UGB 差，但放射科医生的经验与 SBB 患者疼痛评分的改善相关。
为了达到高质量，医疗机构必须强调以患者为中心的护理。
增加立体定向活检的放射科医生培训可能有助于改善患者体验。
立体定向乳房活检在患者体验方面劣于超声活检。
放射科医生的经验与立体定向活检患者疼痛评分的改善相关。
