BCS +/- SLNB as Day Case - Patient’s perception, Uptake and Experience

  • Research type

    Research Study

  • Full title

    Breast Conserving Surgery (BCS) with or without Sentinel Lymph node biopsy (SLNB) as a Day Case Procedure - Patient’s perception, Uptake and Experience.

  • IRAS ID

    198363

  • Contact name

    Richard Johnson

  • Contact email

    Richard.johnson@wales.nhs.uk

  • Sponsor organisation

    Breast Unit. ABM UHB

  • Clinicaltrials.gov Identifier

    198363, IRAS Project ID; 17/EM/0180, REC Reference

  • Duration of Study in the UK

    0 years, 8 months, 1 days

  • Research summary

    Title
    Breast conserving surgery (BCS) with or without Sentinel Lymph node biopsy (SLNB) as a Day Case Procedure - Patient’s perception, Uptake and Experience.

    Background
    The current practice in our hospital is that Breast Conserving Surgery (BCS) with/without Sentinel Lymph Node Biopsy (SLNB) is performed as a one night stay (23 hour) surgery with very few cases of BCS without SLNB performed as day case surgery. The guideline from the British Association of Day Surgery procedure directory is that the percentage of BCS performed as day case / 23 hour / <72 hour procedure should be 15% / 75% / 10% respectively. The percentage of sentinel node mapping and resection performed as day case / 23 hour procedure should be 80% / 10% respectively. Same day discharge gives the patient the opportunity to recover in the comfort of their home and reduces the incidence of complications associated with stay in hospital like hospital acquired infection and deep vein thrombosis.

    In November 2015 it was reported that ‘overspending by NHS trusts in England has risen to £1.6bn for the year as concerns about financial problems grow’. In this financial climate it is important that hospitals improve bed utilization and reduce costs by performing a higher percentage of operations like BCS and SLNB as a day case procedure.

    The purpose of this study is to assess what patients think of having this procedure as day case using some qualitative research methodology and compare it with the views of those who have the procedure as in-patients. The result will help us improve the care provided, the patients’ experience and hopefully uptake of the day case option.

  • REC name

    Yorkshire & The Humber - South Yorkshire Research Ethics Committee

  • REC reference

    17/YH/0189

  • Date of REC Opinion

    13 Jun 2017

  • REC opinion

    Favourable Opinion