Page 7 - CAN-16-26153 - Cancer Institute 2015 Outcomes Report
P. 7
Process Data
Implementation of RSL for image-guided Of 60 RSL cases completed by October 15,
breast surgery required one year of 2015, all 67 seeds have been recovered.
preparation and included: The average number of days between
• Approval for use of the seeds seed placement and seed recovery
• Development of a tracking system for is 1, range 0-4. The cases have been
performed by five radiologists, four
the seeds surgeons and eight pathologists.
• Extensive training of all participating
The rate of positive margins requiring
providers and staff re-excision is 5/60, 8.3%.
Our first cases were performed on Action Plan/Interventions/
May 8, 2015. We were the first hospital Recommendations
in northeast Ohio to implement this
procedure. By January 2016, all image- Ongoing monitoring is required for
guided breast operations have been compliance with standards set by the
converted to RSL procedures. Ohio Department of Health for use of
radioactive seeds.
Individual patient level data will continue
to be monitored. We are maintaining
patient level data including pathology
reports, timeliness of care, and surgical
operative reports for patients requiring
reoperation for positive margins. The
primary measures we are tracking are seed
recovery and positive margin rates.
2015 Outcomes Report 7
