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Status: Bibliographieeintrag

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Verfasst von:Pfob, André [VerfasserIn]   i
 Dubsky, Peter [VerfasserIn]   i
Titel:The underused potential of breast conserving therapy after neoadjuvant system treatment
Titelzusatz:causes and solutions
Verf.angabe:André Pfob, Peter Dubsky
E-Jahr:2023
Jahr:10 February 2023
Umfang:6 S.
Fussnoten:Online verfügbar 17. Januar 2023, Artikelversion 10. Februar 2023 ; Gesehen am 29.03.2023
Titel Quelle:Enthalten in: The breast
Ort Quelle:Amsterdam [u.a.] : Elsevier, 1992
Jahr Quelle:2023
Band/Heft Quelle:67(2023) vom: Feb., Seite 110-115
ISSN Quelle:1532-3080
Abstract:Breast conserving therapy (BCT), consisting of breast conserving surgery and subsequent radiotherapy, is an equivalent option to mastectomy for women with early breast cancer. Although BCT after neoadjuvant systemic treatment (NAST) has been routinely recommend by international guidelines since many years, the rate of BCT worldwide varies largely and its potential is still underused. While the rate of BCT in western countries has increased over the past decades to currently about 70%, the rate of BCT is as low as 10% in other countries. In this review, we will evaluate the underused potential of breast conservation after NAST, identify causes, and discuss possible solutions. We identified clinical and non-clinical causes for the underuse of BCT after NAST including uncertainties within the community regarding oncologic outcomes, the correct tumor localization after NAST, the management of multifocal and multicentric tumors, margin assessment, disparities of socio-economic aspects on a patient and national level, and psychological biases affecting the shared decision-making process between patients and clinicians. Possible solutions to mitigate the underuse of BCT after NAST include interdisciplinary teams that keep the whole patient pathway in mind, optimized treatment counseling and shared decision-making, and targeted financial support to alleviate disparities.
DOI:doi:10.1016/j.breast.2023.01.008
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.breast.2023.01.008
 Volltext: https://www.sciencedirect.com/science/article/pii/S0960977623000085
 DOI: https://doi.org/10.1016/j.breast.2023.01.008
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Breast conserving therapy
 Health equity
 Neoadjuvant systemic treatment
K10plus-PPN:1840456558
Verknüpfungen:→ Zeitschrift

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