ArticleJournal of surgical education
Impact of Resident and Fellow Participation on Surgical Outcomes in Breast Conserving Surgery for Invasive Breast Cancer.
Article in Journal of surgical education. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Bracketed Lumpectomy: A Comparison of Radiofrequency Identification Tag Localization to Wire Localization.Annals of surgical oncology · 2026Article
- Surgeon seniority and performance in breast-conserving surgery for non-palpable lesions: evidence from a multicenter study.Breast (Edinburgh, Scotland) · 2026Article
- Shaping the future of breast surgery training in Italy: insights from a national survey.Updates in surgery · 2026Article
- A propensity score matching analysis: Impact of senior resident versus fellow participation on outcomes of complex surgical oncology.Surgical oncology · 2023Article
- Trainees participation in breast cancer surgery: an assistance or a hinderance?Gland surgery · 2019Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveFew studies examine the impact of surgical trainee involvement on tumor-free margins in breast conserving surgery (BCS). Our objective was to investigate the impact of resident and fellow involvement on positive margins rates following BCS for invasive breast cancer (BC).
designWe identified female patients who had BCS for BC between January 2005 to December 2015.
settingTertiary care hospital.
participantsAround 1089 patients were identified from a prospectively maintained database.
resultsOf 1089 patients, mean age was 63 (range 43-99) years. Around 768 patients (70.1%) required preoperative localization, and 328 patients (29.9%) had a palpable cancer. Nonpalpable cancers had a smaller volume of specimen tissue excised (p = 0.0005) compared to palpable cancers, and no significant difference was observed in the positive margin rate between the nonpalpable group compared to the palpable group (24.7% nonpalpable vs. 25.3% palpable, p = 0.88). Nonpalpable cancer positive margin rates were 23.9% (n = 102/427) for cases performed by an attending surgeon, 25.0% (n = 15/60) with a junior resident (PGY 2-3), 28.6% (n = 8/28) with a senior resident (PGY 4-5), and 25.7% (n = 65/253) with a fellow, which were not statistically significant (p = 0.89). Palpable cancer positive margin rates were 27.6% (n = 47/170) for cases performed by an attending, 13.9% (n = 5/36) with an intern (PGY-1), 40.9% (n = 9/22) with a junior resident, 0% (n = 0/8) with a senior resident, and 23.9% (n = 22/92) with a fellow, which were also not significantly different (p = 0.07).
conclusionResident and fellow participation in BCS for BC does not appear to impact the rate of positive margins.
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