Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Maltais A, Lessard J. La chirurgie mammaire conservatrice guidée par échographie peropératoire. [Intraoperative ultrasound-guided breast-conserving surgery] Quebec: Institut national d'excellence en sante et en services sociaux (INESSS). Note informative. 2015 Authors' conclusions The identified scientific literature on the efficacy of intraoperative ultrasound-guided breast- conserving surgery is sparse. Two systematic reviews with meta-analyses, one randomized clinical trial, seven retrospective cohort studies, and six case series were selected. These studies are of varying quality.
These data lead to the conclusion that intraoperative ultrasound is equivalent to wire-guided localization for the excision of nonpalpable tumours and superior to palpation for palpable tumours in terms of safety and efficacy when this examination is performed by specifically trained surgeons. Further evidence in terms of data quality is, however, needed to provide stronger support for these conclusions. Furthermore, intraoperative ultrasound offers certain other advantages, mainly over wire-guided localization. For example, the omission of the preoperative step necessary for inserting the wire could, among other things, facilitate the medical teams' work organization and reduce patient anxiety. However, these secondary advantages, too, are based on a small body of low-quality data. Indexing Status Subject indexing assigned by CRD MeSH Breast; Breast Neoplasms; Intraoperative Cares; Mastectomy, Segmental; Ultrasonography, Interventional Country of organisation Canada English summary An English language summary is available. Address for correspondence Institut national d'excellence en santé et en services sociaux (INESSS), 1195 avenue Lavigerie, bureau 60 Québec (Québec) Canada, G1V 4N3
Email: inesss@inesss.qc.ca AccessionNumber 32015001022 Date abstract record published 30/09/2015 |