Six years after its inception, the consultation of “diagnosis in 1 day” meeting a true success with women having a suspicion of breast cancer. According to a report presented by the Institut Gustave Roussy (Villejuif), this procedure has helped 75% of women considered to leave the same evening with a definite diagnosis.
Organized on Mondays, the consultation of ‘diagnosis in 1 day’ receives between 30 and 40 women with a suspicion of cancer of the breast following a mammogram performed in the city. A battery of examinations and consultations will punctuate the day, leading to a sure diagnosis. The goal is simple: reduce the time of doubt and diagnostic wandering.
Breast cancer: a positive diagnosis in a day. With nearly 9,000 women views this day since 2004, the balance sheet of the “diagnosis in 1 day” of breast cancer is more than positive, welcomes Dr. Suzette Delaloge, cancer specialist and head of the Committee of breast pathologies at the Cancer Institute Gustave Roussy (Villejuif). Is to be the initiative of this procedure, which aims to reduce the time of diagnosis and support, generating anxiety.
Since its inception in 2004, 8 896 women have benefited from this unique support in France. Quarters received a diagnosis in the day.Others had to wait 15 days to see the final result of all of the examinations carried out: they did not decide either they required a period of achievement, reading and longer analysis (biopsy under ultrasound or snare Stereotactic for example).
The day is as follows: a woman on 4 realizes a mammography, a little more than half an ultrasound (53%) and close quarters an intended or a biopsy. 28% Of women, a single review of imaging enough to make a diagnosis. But for the half, an additional intended is necessary, while 12% must also undergo a biopsy under ultrasound or Stereotactic snare. For slightly less than half of women (45%), this series of examinations in one day has unfortunately confirmed a diagnosis of cancer. For others, it was a benign disease. “On average, each patient has seen two doctors, but of course, the doctors talk to each other examinations, diagnosis and therapeutic proposals for each patient, in a multidisciplinary manner, thanks to the unit, place and time of this organization,” said Dr. Delaloge.
Women integrate the information provided
Subject of concern during the establishment of this day of diagnosis in one day, the assimilation of the information has not been problems. As proof, 70-80% of women interviewed two days after had fully integrated data which had been issued to them. “These are good results, we were afraid that patients receive too much information in a single day and do not retain” comments Delaloge Pr.
Detailed analysis of the survey of 433 women by the service of psycho-Oncology of the IGR, led by Dr. Sarah Dauchy, shows that the fact to face a day of examinations is not the origin of the anxiety felt by 40% of women. The fear of the diagnosis it is far more. This procedure of announcement condensed in time is therefore globally well supported on the time as well as in the days that followed. For the IGR, “the fact that the patient is to immediately, as soon as the diagnosis, informed of the possible modalities of the treatment of the disease, is also a major element of reinsurance”. Note however, over 1/4 keep the traumatic memories of this day still 3 months after, and this, whatever the outcome.
Building on this success, the TMF has extended experience by opening on September 28, 2010 weekly half-day additional, specially dedicated to women in need of urgent diagnostic support (tumor size or ongoing pregnancy, for example). And since 2008, a consultation of the same type exist for screening for cancer of the thyroid.