Research Article | | Peer-Reviewed

The Feasibility and Safety of Day Case Brain Tumour Biopsy: An Eight-Year Experience in the United Kingdom

Received: 30 August 2023     Accepted: 14 September 2023     Published: 31 October 2023
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Abstract

Purpose: Day-case surgery for selected procedures has the potential to reduce healthcare costs and improve patient experience. In neurosurgery, brain biopsies have been performed as day-case procedures for selected patients. The purpose of this study is to demonstrate the safety and feasibility of a clinical pathway that facilitates day-case brain biopsy surgery to improve the generalisability of the evidence and inform wider adoption of this practice. Materials and methods: A single centre, retrospective study of patients aged ≥18 years requiring a brain biopsy for presumed tumour between November 2009 and December 2017 was performed. All patients received pre-admission radiology imaging +/- trajectory planning (as required), an operation on a morning theatre list and post-biopsy CT head 4-6 hours to rule out haemorrhage or other complications. Discharge was aimed at 6 hours post-biopsy if observations and CT were satisfactory. All data was collected via an institution operative database and descriptive statistical analysis was conducted. Results: A total of 447 brain tumour biopsies performed over the eight-year study period of which a total of n=160 (35.8%) were planned day-case. The proportion of biopsies performed as day-case increased over the study period, from four in 2009 to 33 per annum in 2017, an increase from only 10% (n=4) to 66% (n=33) of the total annual biopsies for this centre. Of the 160 planned day-cases, 135 (84.4%) were actual day-cases and successfully discharged on the same day as the operation. The mean patient age was 58 years. Twenty-five cases had at least one overnight unplanned stay, revealing a failure rate of 15.6%. Conclusions: This study demonstrates the safety of our day-case brain tumour biopsy service and is consistent with other centres’ experiences. This represents an opportunity for neurosurgeons to confidently contribute to an increasing provision of day-case surgery across the service.

Published in International Journal of Neurosurgery (Volume 7, Issue 2)
DOI 10.11648/j.ijn.20230702.16
Page(s) 46-51
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Tumour, Biopsy, Patient Safety, Day-Case Surgery

References
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  • APA Style

    William Bolton, Fozia Saeed, Sandeep Solanki, Gnanamurthy Sivakumar, Robert Corns, et al. (2023). The Feasibility and Safety of Day Case Brain Tumour Biopsy: An Eight-Year Experience in the United Kingdom. International Journal of Neurosurgery, 7(2), 46-51. https://doi.org/10.11648/j.ijn.20230702.16

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    ACS Style

    William Bolton; Fozia Saeed; Sandeep Solanki; Gnanamurthy Sivakumar; Robert Corns, et al. The Feasibility and Safety of Day Case Brain Tumour Biopsy: An Eight-Year Experience in the United Kingdom. Int. J. Neurosurg. 2023, 7(2), 46-51. doi: 10.11648/j.ijn.20230702.16

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    AMA Style

    William Bolton, Fozia Saeed, Sandeep Solanki, Gnanamurthy Sivakumar, Robert Corns, et al. The Feasibility and Safety of Day Case Brain Tumour Biopsy: An Eight-Year Experience in the United Kingdom. Int J Neurosurg. 2023;7(2):46-51. doi: 10.11648/j.ijn.20230702.16

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  • @article{10.11648/j.ijn.20230702.16,
      author = {William Bolton and Fozia Saeed and Sandeep Solanki and Gnanamurthy Sivakumar and Robert Corns and John Goodden and Paul Chumas and Simon Thomson},
      title = {The Feasibility and Safety of Day Case Brain Tumour Biopsy: An Eight-Year Experience in the United Kingdom},
      journal = {International Journal of Neurosurgery},
      volume = {7},
      number = {2},
      pages = {46-51},
      doi = {10.11648/j.ijn.20230702.16},
      url = {https://doi.org/10.11648/j.ijn.20230702.16},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijn.20230702.16},
      abstract = {Purpose: Day-case surgery for selected procedures has the potential to reduce healthcare costs and improve patient experience. In neurosurgery, brain biopsies have been performed as day-case procedures for selected patients. The purpose of this study is to demonstrate the safety and feasibility of a clinical pathway that facilitates day-case brain biopsy surgery to improve the generalisability of the evidence and inform wider adoption of this practice. Materials and methods: A single centre, retrospective study of patients aged ≥18 years requiring a brain biopsy for presumed tumour between November 2009 and December 2017 was performed. All patients received pre-admission radiology imaging +/- trajectory planning (as required), an operation on a morning theatre list and post-biopsy CT head 4-6 hours to rule out haemorrhage or other complications. Discharge was aimed at 6 hours post-biopsy if observations and CT were satisfactory. All data was collected via an institution operative database and descriptive statistical analysis was conducted. Results: A total of 447 brain tumour biopsies performed over the eight-year study period of which a total of n=160 (35.8%) were planned day-case. The proportion of biopsies performed as day-case increased over the study period, from four in 2009 to 33 per annum in 2017, an increase from only 10% (n=4) to 66% (n=33) of the total annual biopsies for this centre. Of the 160 planned day-cases, 135 (84.4%) were actual day-cases and successfully discharged on the same day as the operation. The mean patient age was 58 years. Twenty-five cases had at least one overnight unplanned stay, revealing a failure rate of 15.6%. Conclusions: This study demonstrates the safety of our day-case brain tumour biopsy service and is consistent with other centres’ experiences. This represents an opportunity for neurosurgeons to confidently contribute to an increasing provision of day-case surgery across the service.
    },
     year = {2023}
    }
    

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    T1  - The Feasibility and Safety of Day Case Brain Tumour Biopsy: An Eight-Year Experience in the United Kingdom
    AU  - William Bolton
    AU  - Fozia Saeed
    AU  - Sandeep Solanki
    AU  - Gnanamurthy Sivakumar
    AU  - Robert Corns
    AU  - John Goodden
    AU  - Paul Chumas
    AU  - Simon Thomson
    Y1  - 2023/10/31
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijn.20230702.16
    DO  - 10.11648/j.ijn.20230702.16
    T2  - International Journal of Neurosurgery
    JF  - International Journal of Neurosurgery
    JO  - International Journal of Neurosurgery
    SP  - 46
    EP  - 51
    PB  - Science Publishing Group
    SN  - 2640-1959
    UR  - https://doi.org/10.11648/j.ijn.20230702.16
    AB  - Purpose: Day-case surgery for selected procedures has the potential to reduce healthcare costs and improve patient experience. In neurosurgery, brain biopsies have been performed as day-case procedures for selected patients. The purpose of this study is to demonstrate the safety and feasibility of a clinical pathway that facilitates day-case brain biopsy surgery to improve the generalisability of the evidence and inform wider adoption of this practice. Materials and methods: A single centre, retrospective study of patients aged ≥18 years requiring a brain biopsy for presumed tumour between November 2009 and December 2017 was performed. All patients received pre-admission radiology imaging +/- trajectory planning (as required), an operation on a morning theatre list and post-biopsy CT head 4-6 hours to rule out haemorrhage or other complications. Discharge was aimed at 6 hours post-biopsy if observations and CT were satisfactory. All data was collected via an institution operative database and descriptive statistical analysis was conducted. Results: A total of 447 brain tumour biopsies performed over the eight-year study period of which a total of n=160 (35.8%) were planned day-case. The proportion of biopsies performed as day-case increased over the study period, from four in 2009 to 33 per annum in 2017, an increase from only 10% (n=4) to 66% (n=33) of the total annual biopsies for this centre. Of the 160 planned day-cases, 135 (84.4%) were actual day-cases and successfully discharged on the same day as the operation. The mean patient age was 58 years. Twenty-five cases had at least one overnight unplanned stay, revealing a failure rate of 15.6%. Conclusions: This study demonstrates the safety of our day-case brain tumour biopsy service and is consistent with other centres’ experiences. This represents an opportunity for neurosurgeons to confidently contribute to an increasing provision of day-case surgery across the service.
    
    VL  - 7
    IS  - 2
    ER  - 

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Author Information
  • Department of Neurosurgery, Leeds Teaching Hospitals, Leeds, United Kingdom

  • Department of Neurosurgery, Leeds Teaching Hospitals, Leeds, United Kingdom

  • Department of Neurosurgery, Leeds Teaching Hospitals, Leeds, United Kingdom

  • Department of Neurosurgery, Leeds Teaching Hospitals, Leeds, United Kingdom

  • Department of Neurosurgery, Leeds Teaching Hospitals, Leeds, United Kingdom

  • Department of Neurosurgery, Leeds Teaching Hospitals, Leeds, United Kingdom

  • Department of Neurosurgery, Leeds Teaching Hospitals, Leeds, United Kingdom

  • Department of Neurosurgery, Leeds Teaching Hospitals, Leeds, United Kingdom

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