Evidence map›Paper›PMID 40399035›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Wait times for breast cancer surgery in lean and traditional care pathways: a multi-group path analysis.

Tracy A Freeze, Natasha E Hanson, Leanne L Skerry, Morgan E Nesbitt, Patricia L Bryden, Stephen A Smith, Sharon S Y Chiu

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In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Tracy A FreezeFrom Research Services, Horizon Health Network, Saint John, N.B. (Freeze, Hanson, Skerry, Nesbitt); the Dr. E Chalmers Regional Hospital, Horizon Health Network, Fredericton, N.B. (Bryden); the Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Smith, Chiu).
Natasha E HansonFrom Research Services, Horizon Health Network, Saint John, N.B. (Freeze, Hanson, Skerry, Nesbitt); the Dr. E Chalmers Regional Hospital, Horizon Health Network, Fredericton, N.B. (Bryden); the Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Smith, Chiu) natasha.hanson@horizonnb.ca.
Leanne L SkerryFrom Research Services, Horizon Health Network, Saint John, N.B. (Freeze, Hanson, Skerry, Nesbitt); the Dr. E Chalmers Regional Hospital, Horizon Health Network, Fredericton, N.B. (Bryden); the Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Smith, Chiu).
Morgan E NesbittFrom Research Services, Horizon Health Network, Saint John, N.B. (Freeze, Hanson, Skerry, Nesbitt); the Dr. E Chalmers Regional Hospital, Horizon Health Network, Fredericton, N.B. (Bryden); the Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Smith, Chiu).
Patricia L BrydenFrom Research Services, Horizon Health Network, Saint John, N.B. (Freeze, Hanson, Skerry, Nesbitt); the Dr. E Chalmers Regional Hospital, Horizon Health Network, Fredericton, N.B. (Bryden); the Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Smith, Chiu).
Stephen A SmithFrom Research Services, Horizon Health Network, Saint John, N.B. (Freeze, Hanson, Skerry, Nesbitt); the Dr. E Chalmers Regional Hospital, Horizon Health Network, Fredericton, N.B. (Bryden); the Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Smith, Chiu).
Sharon S Y ChiuFrom Research Services, Horizon Health Network, Saint John, N.B. (Freeze, Hanson, Skerry, Nesbitt); the Dr. E Chalmers Regional Hospital, Horizon Health Network, Fredericton, N.B. (Bryden); the Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Smith, Chiu).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResearch examining the impact of different models of care on wait times for breast cancer surgery indicates that organized assessment can reduce wait times, but few researchers have explored different care approaches between care sites serving a mixture of urban and rural patients and breast cancer care outcomes, especially within the Canadian context. Therefore, we sought to explore whether wait times from mammogram to surgery differed between lean referral and traditional referral pathways and what areas of inefficiencies need to be addressed.

methodsWe used a retrospective case review design and collected information on female patients (aged ≥ 19 yr) with stage 0-III breast cancer who were surgically treated between February 2016 and July 2019.

resultsPatients referred in the traditional pathway of care (

conclusionConducting the biopsy immediately after an abnormal mammogram, improving wait times for MRIs, and improving access for rural patients may be important areas of change-related focus. Shorter wait times to breast cancer surgery in the lean pathway support the advantage of a referral system whereby organized navigated systems coordinate all aspects of diagnosis and treatment.

Indexed as

Breast NeoplasmsCritical PathwaysMastectomyTime-to-TreatmentWaiting ListsAdultAgedCanadaFemaleHealth Services AccessibilityHumansMagnetic Resonance ImagingMammographyMiddle AgedReferral and ConsultationRetrospective Studies

Identifiers

PMID40399035
PMCPMC12114113

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Registered trials

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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.