Evidence map›Paper›PMID 38407698›Full record

ArticleIrish journal of medical science2024

Effectiveness of a novel consultant nurse-led breast pain clinic in secondary care.

Zaid Al-Ishaq, Saima Taj, Caroline Jones, Hamed Hajiesmaeli, Ehsanur Rahman, Samantha Bullows, Raghavan Vidya, Tapan Sircar

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Article in Irish journal of medical science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Zaid Al-IshaqSultan Qaboos Comprehensive Cancer Research and Care Centre, Muscat, Oman. mr.zaidraouf@gmail.com.
Saima TajRoyal Wolverhampton NHS Trust, Wolverhampton, UK.
Caroline JonesRoyal Wolverhampton NHS Trust, Wolverhampton, UK.
Hamed HajiesmaeliRoyal Wolverhampton NHS Trust, Wolverhampton, UK.
Ehsanur RahmanRoyal Wolverhampton NHS Trust, Wolverhampton, UK.
Samantha BullowsRoyal Wolverhampton NHS Trust, Wolverhampton, UK.
Raghavan VidyaRoyal Wolverhampton NHS Trust, Wolverhampton, UK.
Tapan SircarRoyal Wolverhampton NHS Trust, Wolverhampton, UK.
The Royal Wolverhampton NHS Trust · GBSultan Qaboos University · OM

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with breast pain are usually seen in 'one-stop clinic' (OSC) with breast imaging. In the absence of associated red flag features, the incidence of breast cancer is extremely low. With increase in referrals the OSC capacity is over-stretched. We developed a consultant nurse-led dedicated 'breast pain clinic' in September 2021 without routine breast imaging. After meticulous history and examination, patients obtained detailed counselling and advice regarding breast pain management. If any abnormality was noted then appointment was given for OSC.

aimTo assess the effectiveness of a consultant nurse-led dedicated 'breast pain clinic'.

methodsA prospective study of all consecutive patients seen in 'breast pain clinic' from September 2021 until September 2022. Feedback was sought from all patients.

resultsAltogether 429 patients were seen. The mean age was 48.7 years (range 18-86). 87.6% (n = 376) patients required no breast imaging. Only 12.4% (n = 53) patients needed referral to OSC and subsequently 2 patients (0.46%) were diagnosed with breast cancer. Ninety-eight percent of patients felt reassured and 99.2% patients were extremely likely/likely to recommend this service to family and friends. Out of 376 patients who were discharged from breast pain clinic, 12 patients were referred again over a median follow-up period of 15 months, and 2 out of them were diagnosed with breast cancer.

conclusionA consultant nurse-led 'breast pain clinic' provides service improvement as it eases the pressure on the OSC. Most patients were managed without breast imaging with high level of patient satisfaction and low rereferral rate.

Indexed as

MastodyniaReferral and ConsultationAdolescentAdultAgedAged, 80 and overBreast NeoplasmsConsultantsFemaleHumansMiddle AgedPain ClinicsPatient SatisfactionProspective StudiesSecondary Health CareYoung AdultBreast cancerBreast painClinicNurse-led

Identifiers

PMID38407698
OpenAlexW4392165431

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.