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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
1997-6-11
|
| pubmed:abstractText |
To see whether personal preferences of surgeons can explain the trends in the use of breast-conserving therapy (BCT) of early breast cancer, questionnaires were sent to the surgeons of seven community hospitals in the south-eastern Netherlands in 1987 and 1995. The answers were set against the actual use of breast-conserving therapy in the hospitals in the period 1984-94, as monitored by the Eindhoven Cancer Registry. The proportion of surgeons who were willing to use BCT for tumours < or =3 cm increased from 43% in 1987 to 93% in 1995. In 1995, the majority of the surgeons considered multicentric tumour growth, diffuse microcalcifications on the mammogram and an extensive intraductal component around the tumour as contraindications for breast-conserving therapy. The proportion of patients with an operable, non-metastasized breast tumour of < or =5 cm in diameter undergoing breast-conservative surgery increased from 31% in 1984 to 60% in 1989 (P<0.01) and remained at that level in 1990 and 1991. Between 1991 and 1993, the proportion receiving breast-conservative surgery decreased significantly for patients younger than 50 years and a tumour 2.1-3.0cm in diameter, and also for those 50-69 years old with a tumour < or =2.0cm or 3.1-5.0cm across. The observed decrease in BCT in the south-eastern Netherlands in some subgroups seems to reflect the growing awareness of potential risk factors for local recurrence following BCT.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Apr
|
| pubmed:issn |
0748-7983
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
23
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
134-8
|
| pubmed:dateRevised |
2008-11-21
|
| pubmed:meshHeading |
pubmed-meshheading:9158187-Adult,
pubmed-meshheading:9158187-Age Factors,
pubmed-meshheading:9158187-Aged,
pubmed-meshheading:9158187-Attitude of Health Personnel,
pubmed-meshheading:9158187-Breast,
pubmed-meshheading:9158187-Breast Neoplasms,
pubmed-meshheading:9158187-Calcinosis,
pubmed-meshheading:9158187-Esthetics,
pubmed-meshheading:9158187-Female,
pubmed-meshheading:9158187-Follow-Up Studies,
pubmed-meshheading:9158187-General Surgery,
pubmed-meshheading:9158187-Hospitals, Community,
pubmed-meshheading:9158187-Humans,
pubmed-meshheading:9158187-Lymph Node Excision,
pubmed-meshheading:9158187-Mammography,
pubmed-meshheading:9158187-Mastectomy, Modified Radical,
pubmed-meshheading:9158187-Mastectomy, Segmental,
pubmed-meshheading:9158187-Middle Aged,
pubmed-meshheading:9158187-Neoplasm Recurrence, Local,
pubmed-meshheading:9158187-Netherlands,
pubmed-meshheading:9158187-Physician's Practice Patterns,
pubmed-meshheading:9158187-Questionnaires,
pubmed-meshheading:9158187-Registries,
pubmed-meshheading:9158187-Risk Factors,
pubmed-meshheading:9158187-Treatment Outcome
|
| pubmed:year |
1997
|
| pubmed:articleTitle |
Changing attitudes towards breast-conserving treatment of early breast cancer in the south-eastern Netherlands: results of a survey among surgeons and a registry-based analysis of patterns of care.
|
| pubmed:affiliation |
Comprehensive Cancer Centre South, Eindhoven, the Netherlands.
|
| pubmed:publicationType |
Journal Article,
Multicenter Study
|