Multi-disciplinary pre-therapeutic consultation significantly improves management of breast cancer patients
| العنوان: | Multi-disciplinary pre-therapeutic consultation significantly improves management of breast cancer patients |
|---|---|
| المؤلفون: | Elisabetta Rapiti, Georges Vlastos, Pamela W. Schaefer, Christine Bouchardy, Gérald Fioretta, N Ciobotariu, S. Balmer-Majno, André-Pascal Sappino, I. Neyroud |
| المصدر: | Cancer Research. 69:6151 |
| بيانات النشر: | American Association for Cancer Research (AACR), 2009. |
| سنة النشر: | 2009 |
| مصطلحات موضوعية: | Cancer Research, education.field_of_study, medicine.medical_specialty, Reconstructive surgery, business.industry, Standard treatment, General surgery, Concordance, Population, Cancer, Logistic regression, medicine.disease, Surgery, Breast cancer, Oncology, Health care, medicine, education, business |
| الوصف: | Abstract #6151 Introduction Modern therapeutic management of breast cancer requires a multidisciplinary approach. Since 2001, the Geneva University Hospitals has set up a pre-therapeutic consultation (COSP) involving gynaecologists, medical oncologists, radiation therapists, as well as radiologists, pathologists, plastic surgeons, and nurses. The COSP team discusses and provides therapeutic recommendations for newly diagnosed breast cancer patients seen in our institution. This study evaluates the impact of COSP on patient's management. Patients and methods Between 2001-2005, 1771 patients had breast cancer diagnosis among the resident population: 750 patients were referred to the COSP and 1021 were not. We compared patients and tumours characteristics between these two groups by logistic regression. We compared concordance between initial proposed therapeutic option and final COSP treatment recommendation by heterogeneity test. Changes in treatment were considered as major if they concerned type of surgery, or the addition of systemic neo-adjuvant treatments. Other changes were coded as minor. Trend tests were calculated to evaluate management changes over time. Results Patients referred to the COSP were significantly younger, more often of low socio-economic status, foreigners, divorced, and treated in public sector. They were less frequently diagnosed through screening, and had more advanced stage at diagnosis. Complete initial treatment recommendation was available for 654 patients. For 109 (17%) patients, COSP dramatically changed the initial therapeutic propositions. For 169 (26%) patients, COSP proposed only minor changes. Among patients referred to the COSP, we observed a significant increase of immediate reconstructive surgery (p Citation Information: Cancer Res 2009;69(2 Suppl):Abstract nr 6151. |
| تدمد: | 1538-7445 0008-5472 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::1e3d4a29eee36f2a7741566325edb808Test https://doi.org/10.1158/0008-5472.sabcs-6151Test |
| رقم الانضمام: | edsair.doi...........1e3d4a29eee36f2a7741566325edb808 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15387445 00085472 |
|---|