Gynecologie, obstetrique, fertilite & senologie · 2026
[Impact of a dedicated day-hospital on breast cancer care timelines: A before-after study].
СтатьяНаблюдательное исследованиеАннотация на английскомНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sellier Julie, Mutamba William, Gassian Noémie, Borraccino Baptiste
Аннотация
OBJECTIVE: To assess the organizational impact of the UnyonSein Day Hospital at the Auxerre General Hospital on diagnostic and therapeutic timelines for patients with breast cancer.
METHODS: A retrospective observational before/after study was conducted comparing two periods: 2024 (standard pathway) and 2025 (structured HDJ pathway). Eleven key time intervals (D1 to D11) were analyzed. Results were expressed as medians (IQR) and compared using the Mann-Whitney test.
RESULTS: Two time intervals significantly improved after implementation of the HDJ: time from appointment request to surgical consultation (D1) and time from surgical consultation to operating room (D6). Diagnostic timelines (radiology, biopsy, pathology) remained stable. Timelines related to chemotherapy showed no improvement.
CONCLUSION: The UnyonSein Day Hospital significantly enhances the fluidity of the initial surgical pathway. Extending this model to the oncological pathway appears essential to optimize chemotherapy initiation timelines.
METHODS: A retrospective observational before/after study was conducted comparing two periods: 2024 (standard pathway) and 2025 (structured HDJ pathway). Eleven key time intervals (D1 to D11) were analyzed. Results were expressed as medians (IQR) and compared using the Mann-Whitney test.
RESULTS: Two time intervals significantly improved after implementation of the HDJ: time from appointment request to surgical consultation (D1) and time from surgical consultation to operating room (D6). Diagnostic timelines (radiology, biopsy, pathology) remained stable. Timelines related to chemotherapy showed no improvement.
CONCLUSION: The UnyonSein Day Hospital significantly enhances the fluidity of the initial surgical pathway. Extending this model to the oncological pathway appears essential to optimize chemotherapy initiation timelines.