Patient satisfaction with Radioguided Occult Lesion Localisation using iodine-125 seeds ('ROLLIS") versus conventional hookwire localisation

Jeremy Ong, Joelin Teh, Christobel Saunders, Anita Bourke, Catalina Lizama, Jade Newton, Michael Phillips, Donna Taylor

Research output: Contribution to journalArticle

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Abstract

Background Women with impalpable or poorly palpable breast cancer require radiologically guided localisation prior to breast conserving surgery. Radioguided Occult Lesion Localisation using Iodine-125 Seed (ROLLIS) is an emerging alternative to conventional Hookwire Localisation (HWL). We compared ROLLIS with conventional HWL with respect to patient reported stress and discomfort related to the localisation procedure. Patients and methods From September 2013 to January 2016, women who were eligible for breast conserving surgery with impalpable or poorly palpable histologically confirmed invasive or in-situ carcinoma were recruited to the multi-centre ROLLIS randomised controlled trial and underwent either ROLLIS or HWL. Following surgery, a questionnaire was administered to each participant regarding the stress and discomfort related to the localisation procedure. Multivariate analysis was performed to compare the primary outcome of patient-reported stress and discomfort between localisation groups. Results 218 participants with 220 lesions were randomised and underwent breast conserving surgery following localisation. 201 (92.2%) and 202 (92.7%) of participants provided responses to the stress and discomfort components of the questionnaire respectively. HWL was associated with a statistically significant increased odds of greater stress and discomfort when compared to ROLLIS (OR = 2.07, p = 0.01 and OR = 1.94, p = 0.01 respectively). Insertion of multiple localisation devices was also associated with increased stress (OR = 5.68, p < 0.01) and discomfort (OR = 2.96, p < 0.01). Conclusion When compared with conventional HWL, ROLLIS is associated with significantly less stress and discomfort for patients prior to breast conserving surgery.
Original languageEnglish
Pages (from-to)2261-2269
JournalEuropean Journal of Surgical Oncology
Volume43
Issue number12
DOIs
Publication statusPublished - Dec 2017

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Patient Satisfaction
Iodine
Seeds
Segmental Mastectomy
Carcinoma in Situ
Multivariate Analysis
Randomized Controlled Trials
Breast Neoplasms
Equipment and Supplies

Cite this

@article{4140ca9e8dc4429c884d6bd89d18319b,
title = "Patient satisfaction with Radioguided Occult Lesion Localisation using iodine-125 seeds ('ROLLIS{"}) versus conventional hookwire localisation",
abstract = "Background Women with impalpable or poorly palpable breast cancer require radiologically guided localisation prior to breast conserving surgery. Radioguided Occult Lesion Localisation using Iodine-125 Seed (ROLLIS) is an emerging alternative to conventional Hookwire Localisation (HWL). We compared ROLLIS with conventional HWL with respect to patient reported stress and discomfort related to the localisation procedure. Patients and methods From September 2013 to January 2016, women who were eligible for breast conserving surgery with impalpable or poorly palpable histologically confirmed invasive or in-situ carcinoma were recruited to the multi-centre ROLLIS randomised controlled trial and underwent either ROLLIS or HWL. Following surgery, a questionnaire was administered to each participant regarding the stress and discomfort related to the localisation procedure. Multivariate analysis was performed to compare the primary outcome of patient-reported stress and discomfort between localisation groups. Results 218 participants with 220 lesions were randomised and underwent breast conserving surgery following localisation. 201 (92.2{\%}) and 202 (92.7{\%}) of participants provided responses to the stress and discomfort components of the questionnaire respectively. HWL was associated with a statistically significant increased odds of greater stress and discomfort when compared to ROLLIS (OR = 2.07, p = 0.01 and OR = 1.94, p = 0.01 respectively). Insertion of multiple localisation devices was also associated with increased stress (OR = 5.68, p < 0.01) and discomfort (OR = 2.96, p < 0.01). Conclusion When compared with conventional HWL, ROLLIS is associated with significantly less stress and discomfort for patients prior to breast conserving surgery.",
author = "Jeremy Ong and Joelin Teh and Christobel Saunders and Anita Bourke and Catalina Lizama and Jade Newton and Michael Phillips and Donna Taylor",
year = "2017",
month = "12",
doi = "10.1016/j.ejso.2017.09.021",
language = "English",
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pages = "2261--2269",
journal = "European Journal of Surgical Oncology",
issn = "0748-7983",
publisher = "W.B. Saunders Ltd",
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Patient satisfaction with Radioguided Occult Lesion Localisation using iodine-125 seeds ('ROLLIS") versus conventional hookwire localisation. / Ong, Jeremy; Teh, Joelin; Saunders, Christobel; Bourke, Anita; Lizama, Catalina; Newton, Jade; Phillips, Michael; Taylor, Donna.

In: European Journal of Surgical Oncology, Vol. 43, No. 12, 12.2017, p. 2261-2269.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Patient satisfaction with Radioguided Occult Lesion Localisation using iodine-125 seeds ('ROLLIS") versus conventional hookwire localisation

AU - Ong, Jeremy

AU - Teh, Joelin

AU - Saunders, Christobel

AU - Bourke, Anita

AU - Lizama, Catalina

AU - Newton, Jade

AU - Phillips, Michael

AU - Taylor, Donna

PY - 2017/12

Y1 - 2017/12

N2 - Background Women with impalpable or poorly palpable breast cancer require radiologically guided localisation prior to breast conserving surgery. Radioguided Occult Lesion Localisation using Iodine-125 Seed (ROLLIS) is an emerging alternative to conventional Hookwire Localisation (HWL). We compared ROLLIS with conventional HWL with respect to patient reported stress and discomfort related to the localisation procedure. Patients and methods From September 2013 to January 2016, women who were eligible for breast conserving surgery with impalpable or poorly palpable histologically confirmed invasive or in-situ carcinoma were recruited to the multi-centre ROLLIS randomised controlled trial and underwent either ROLLIS or HWL. Following surgery, a questionnaire was administered to each participant regarding the stress and discomfort related to the localisation procedure. Multivariate analysis was performed to compare the primary outcome of patient-reported stress and discomfort between localisation groups. Results 218 participants with 220 lesions were randomised and underwent breast conserving surgery following localisation. 201 (92.2%) and 202 (92.7%) of participants provided responses to the stress and discomfort components of the questionnaire respectively. HWL was associated with a statistically significant increased odds of greater stress and discomfort when compared to ROLLIS (OR = 2.07, p = 0.01 and OR = 1.94, p = 0.01 respectively). Insertion of multiple localisation devices was also associated with increased stress (OR = 5.68, p < 0.01) and discomfort (OR = 2.96, p < 0.01). Conclusion When compared with conventional HWL, ROLLIS is associated with significantly less stress and discomfort for patients prior to breast conserving surgery.

AB - Background Women with impalpable or poorly palpable breast cancer require radiologically guided localisation prior to breast conserving surgery. Radioguided Occult Lesion Localisation using Iodine-125 Seed (ROLLIS) is an emerging alternative to conventional Hookwire Localisation (HWL). We compared ROLLIS with conventional HWL with respect to patient reported stress and discomfort related to the localisation procedure. Patients and methods From September 2013 to January 2016, women who were eligible for breast conserving surgery with impalpable or poorly palpable histologically confirmed invasive or in-situ carcinoma were recruited to the multi-centre ROLLIS randomised controlled trial and underwent either ROLLIS or HWL. Following surgery, a questionnaire was administered to each participant regarding the stress and discomfort related to the localisation procedure. Multivariate analysis was performed to compare the primary outcome of patient-reported stress and discomfort between localisation groups. Results 218 participants with 220 lesions were randomised and underwent breast conserving surgery following localisation. 201 (92.2%) and 202 (92.7%) of participants provided responses to the stress and discomfort components of the questionnaire respectively. HWL was associated with a statistically significant increased odds of greater stress and discomfort when compared to ROLLIS (OR = 2.07, p = 0.01 and OR = 1.94, p = 0.01 respectively). Insertion of multiple localisation devices was also associated with increased stress (OR = 5.68, p < 0.01) and discomfort (OR = 2.96, p < 0.01). Conclusion When compared with conventional HWL, ROLLIS is associated with significantly less stress and discomfort for patients prior to breast conserving surgery.

U2 - 10.1016/j.ejso.2017.09.021

DO - 10.1016/j.ejso.2017.09.021

M3 - Article

VL - 43

SP - 2261

EP - 2269

JO - European Journal of Surgical Oncology

JF - European Journal of Surgical Oncology

SN - 0748-7983

IS - 12

ER -