World Journal of Surgery

, Volume 37, Issue 9, pp 2148–2154 | Cite as

Evaluation of Office Ultrasound Usage among Australian and New Zealand Breast Surgeons

Article

Abstract

Background

Surgeon performed ultrasound (US) is being increasingly embraced by breast surgeons worldwide as an integral part of patient assessment. The extent of its application within Australia and New Zealand is not well documented. The present study aimed to evaluate its current usage patterns and to determine suitable future training models.

Methods

An online survey was sent to members of Breast Surgeons of Australia and New Zealand (BreastSurgANZ) between July and September 2010, with emphases on practice demographics, access to US equipment, usage, biopsy patterns, and training.

Results

Of the 126 surveys sent, 59 were returned. The majority of respondents were metropolitan based (64 %), worked in both public and private sectors (71 %), and practiced endocrine or general surgery (85 %), as well as breast surgery. A preponderance of surgeons had access to equipment (63 %), performed at least 1 US monthly (63 %), but did not perform regular guided biopsies. Rural practice did not affect access or usage patterns. Most respondents underwent structured US training (73 %), which was associated with greater US and biopsy usage, biopsy complexity, intraoperative applications, and cross discipline applications (p < 0.03). Most surgeons favored a structured training program for future trainees (83 %).

Conclusions

The majority of breast surgeons from Australia and New Zealand have adopted office US to varying degrees. Geographic variation did not lead to access inequity and variation in scanning patterns. Formal US training may result in a wider scope of clinical applications by increasing operator confidence and is the preferred model within a specialist breast surgical curriculum.

References

  1. 1.
    Dixon MJ, Macaskill EJ (2007) For the use of ultrasound by surgeons. Breast Cancer Online 10(1–3):e5CrossRefGoogle Scholar
  2. 2.
    Donaldson LA, Cliff A, Gardiner L et al (2003) Surgeon-controlled ultrasound-guided core biopsies in the breast. Eur J Surg Oncol 29:139–142PubMedCrossRefGoogle Scholar
  3. 3.
    Whitehouse PA, Baber Y, Brown G et al (2001) The use of ultrasound by breast surgeons in outpatients: an accurate extension of clinical diagnosis. Eur J Surg Oncol 27:611–616PubMedCrossRefGoogle Scholar
  4. 4.
    Staren ED, Knudson MM, Rozycki GS et al (2006) An evaluation of the American College of Surgeons’ Ultrasound Education Program. Am J Surg 191:489–496PubMedCrossRefGoogle Scholar
  5. 5.
    Rahman RL, Crawford S, Hall T et al (2008) Surgical-office-based versus radiology-referral-based breast ultrasonography: a comparison of efficiency, cost, and patient satisfaction. J Am Coll Surg 207:763–766CrossRefGoogle Scholar
  6. 6.
    Bennett IC (2009) BS04 what is the place of office ultrasound in a breast surgeon’s practice. ANZ J Surg 79:A4CrossRefGoogle Scholar
  7. 7.
    Landercasper J, Linebarger JH (2011) Contemporary breast imaging and concordance assessment: a surgical perspective. Surg Clin North Am 91:33–58PubMedCrossRefGoogle Scholar
  8. 8.
    Talley BE, Ginde AA, Raja AS et al (2011) Variable access to immediate bedside ultrasound in the emergency department. West J Emerg Med 12:96–99PubMedGoogle Scholar
  9. 9.
    Cabasares HV (2007) Office-based breast ultrasonography in a small community surgical practice. Am Surg 63:716–719Google Scholar
  10. 10.
    Heiken TJ, Velasco HM (1998) A prospective analysis of office-based breast ultrasound. Arch Surg 133:504–508CrossRefGoogle Scholar
  11. 11.
    Silverstein MJ, Lagios MD, Recht A et al (2005) Image-detected breast cancer: state of the art diagnosis and treatment. J Am Coll Surg 201:586–597PubMedCrossRefGoogle Scholar
  12. 12.
    Holloway CMB, Gagliardi AR (2009) Percutaneous needle biopsy for breast diagnosis: how do surgeons decide? Ann Surg Oncol 16:1929–2636CrossRefGoogle Scholar
  13. 13.
    Australian Society of Ultrasound in Medicine, Policy and Statement D4, Breast Ultrasound Examination and Reporting, March 2012Google Scholar
  14. 14.
    Hoover SJ, Berry MP, Rossick L et al (2008) Ultrasound-guided breast biopsy curriculum for surgical residents. Surg Innov 15:52–58PubMedCrossRefGoogle Scholar
  15. 15.
    Hassard MK, McCurday LI, Williams JCA et al (2003) Training module to teach ultrasound-guided breast biopsy skills to residents improves accuracy. Can Assoc Radiol J 54:155–159PubMedGoogle Scholar
  16. 16.
    Law MT, Bennett IC (2010) Structured ultrasound workshop for breast surgeons: is it an effective training tool? World J Surg 34:549–554. doi:10.1007/s00268-009-0342-6 PubMedCrossRefGoogle Scholar
  17. 17.
    Australian Society for Ultrasound in Medicine website. http://www.asum.com.au/newsite/Resources.php?p=Policy. Accessed 3 May 2013
  18. 18.
    American College of Radiology (2006) ACR practice guideline for the performance of ultrasound-guided percutaneous breast interventional procedures. Reston, VAGoogle Scholar

Copyright information

© Société Internationale de Chirurgie 2013

Authors and Affiliations

  1. 1.Breast and Endocrine Surgery UnitMaroondah HospitalMelbourneAustralia
  2. 2.Department of SurgeryRoyal Adelaide Hospital and Adelaide UniversityAdelaideAustralia
  3. 3.Breast and Endocrine UnitPrincess Alexandra HospitalBrisbaneAustralia

Personalised recommendations