Breast cancer services--a population-based study of service reorganization.

摘要: Background The Calman-Hine Report in England and Wales the Campbell Northern Ireland initiated a major reorganization of cancer services with aim improving provision delivery care to patients. In this paper, breast patients diagnosed 1996 those 2001 are compared order examine extent service change Ireland. Methods Patients living invasive either or were identified from Cancer Registry database. Information relating these was collected by retrospective review their case notes. Results Breast surgery performed fewer hospitals (13 versus 21) surgeons (19 40) 98 per cent operated on designated 2001. Clinically relevant axillary node excision increased 765 (87 cent) having six more nodes excised 515 (67 (p < 0.001). Recording oestrogen receptor (ER) status improved 23 91 0.001) 81 received hormone therapy appropriate ER 6 Communication between GPs also improved. Conclusion A significant has occurred line recommendations report. Further work is underway ascertain which changes may have impacted patient outcomes.