Hospital Universitario de Basurto diagnosed and intervenes for breast cancer in a month

early actions that save lives!

– times reduction has been achieved following the introduction, in 2011, the functional unit of breast to accelerate the diagnosis and the subpoena.

– consultation and diagnosis of malignant pathology is made in 7 days and the surgical waiting list has 23.8 days of delay media.

– over the past year have been addressed 327 processes surgical breast, of which 221 cases have been of major surgery and 106 of minor surgery.

Bilbao, 2012-may The University Hospital Basurto in Bilbao diagnosed and intervenes to patients suffering from breast cancer within a maximum period of one month. These reduced times are achieved following the introduction in January 2011, the functional unit of breast, which consists of a rapid system of diagnosis and summons in patients with malignant pathology consultation.

The unit is headed by the Chief of section of the functional unit of breast, Dr. Julio Moreno Domingo, who explains the implementation of the same has meant an increase of activity in consultation, so that the first consultations have doubled in a year and the successive are double two years ago ”.

This improvement in the healthcare process has managed to carry out consultation and diagnosis of pathology malignant within a maximum of one week, and one takes average of 23.8 days of surgical waiting since the visit in consultation list. Thus, in a month the patients are diagnosed and intercepted.

The creation of the functional unit has meant an increase of activity in consultation. The first consultations have doubled in a year and the successive are twice that makes two. During the year 2011 327 breast surgical processes, have taken care of them major surgery has been 221 cases and surgery less 106.

Also, during the past year, have been addressed 250 new cases of breast carcinoma and 13 recurrence of carcinoma previously treated, which is 263 processes in this first year of work.

Dr. Moreno explains that in those cases that has required the amputation of the breast (mastectomy) for injuries mammary premalignas have made, in collaboration with plastic surgery immediate breast reconstruction. In fact, a single patient rejected the use of immediate breast reconstruction techniques ”.

Rate in cases of breast carcinoma stage I and II breast conservation has been 80%, of what we are pleased because this rate is well above recommended by the Spanish society of Senology and breast pathology (over 65%) to demonstrate a unity of breast as ”explains the head.

The unit the assessment of patients resulting from the program’s screening Osakidetza as well as those patients with mammary pathology both benign as evil requiring hospital control. This multidisciplinary unit is headed by Dr. Julio Moreno Domingo and in the same members of the service of gynaecology, General Surgery and plastic surgery collaborate teamwork, unifying the surgical treatment of the breast carcinoma in a single unit, with a unique portfolio of patients and a single surgical waiting list.

In order to streamline performance circuits and to avoid delays, the patients with suspected malignant pathology are forwarded from Bilbao Comarca the specialized ambulatory care as from the services of emergency room of the Hospital de Basurto, to the image of the breast diagnostic unit, directed by DRA. Elena Cintora in order to carry out the relevant radiological study.

In this respect, the doctor emphasizes that has opted for this system of recruitment of patients, which we call radiological gateway, with which we have managed a weekly management of diagnostic process ”.

This is, the diagnosis of the patients referred for study to the diagnostic unit by image of the breast is done in a week (both radiological tests and the biopsy if necessary). The week after the diagnosis the patient is evaluated in consultation where arises her treatment to follow ”, said.

This treatment is decided in a Committee of breast that performs weekly meetings to study and determine the most appropriate treatment for patients with a new diagnosis of cancer (both received from the diagnostic unit image of the breast of the Hospital Universitario Basurto, since the Osakidetza-dependent breast cancer early diagnosis programme or previously studied in) (the private system who wish to be treated in the Basque health service dependent on our area of coverage).

The meetings that take place weekly, are multidisciplinary. These come the gynecologists, general surgeons, plastic surgeons, radiologists, medical oncologists, radiation and a technician of the Osakidetza population check campaign, all of them involved in the diagnosis, treatment and follow-up of patients with carcinoma of the breast.