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المؤلفون: Amanda Roberts, Evelyne Guay, Erin Cordeiro
المصدر: Annals of Surgical Oncology. 29:2254-2260
مصطلحات موضوعية: Adult, medicine.medical_specialty, Adolescent, medicine.medical_treatment, Time to treatment, Clinical exam, Breast Neoplasms, Systemic therapy, Time-to-Treatment, Young Adult, Breast cancer chemotherapy, Breast cancer, Surgical oncology, Antineoplastic Combined Chemotherapy Protocols, medicine, Humans, Retrospective Studies, Patterns of care, Chemotherapy, business.industry, medicine.disease, Neoadjuvant Therapy, Surgery, Oncology, Chemotherapy, Adjuvant, Female, business
الوصف: Breast cancer in young women (ages 18–40 years) is rare, yet remains a leading cause of cancer-related death. Time to treatment (TTT) is an increasingly important factor in breast cancer outcomes, specifically time to systemic therapy. Our objective was to review patterns of care for young women presenting with invasive breast cancer and compare TTT for surgery first versus neoadjuvant chemotherapy (NAC). A retrospective chart review of young women with non-metastatic, non-inflammatory invasive breast cancer between 2012 and 2018 at a single institution was completed. The primary outcome was time to first treatment (surgery or NAC). One hundred forty-two young women were treated for invasive breast cancer during the study period. The majority of patients underwent surgery first (57.7%) compared with NAC (42.3%). Women who underwent NAC were more likely to have abnormal lymph nodes on imaging (p = 0.002) and clinical exam (p
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::07dceb16c1fef967482694cd150192e4Test
https://doi.org/10.1245/s10434-021-11102-xTest -
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المؤلفون: Evelyne Guay, Erin Cordeiro, Amanda Roberts
المصدر: Journal of surgical oncologyREFERENCES. 125(5)
مصطلحات موضوعية: Oncology, Chemotherapy, Adjuvant, Antineoplastic Combined Chemotherapy Protocols, Humans, Surgery, Breast Neoplasms, Female, General Medicine, Single-Payer System, Hospitals, Neoadjuvant Therapy, Retrospective Studies, Time-to-Treatment
الوصف: Neoadjuvant chemotherapy (NAC) requires coordination of various services to ensure timely and accurate delivery of care. This can result in multiple hospital visits and extend time to treatment (TTT). The primary purpose of our study was to evaluate time to NAC for patients at a regional cancer centre. Healthcare resource use in the form of hospital visits before NAC was also evaluated.A retrospective chart analysis of patients with invasive breast cancer who underwent NAC between 1 January 2012 and 31 December 2018 was performed.Overall, 286 patients underwent NAC. Median TTT was 22 days (range: 2-105). Median number of visits between first consultation and NAC was 5 (range: 0-12). Majority of additional visits were for diagnostic imaging/interventions, with a median number of 4 visits (range: 0-10). Each additional hospital visit increased time to NAC treatment by 14%.Women undergoing NAC require multiple visits before initiating treatment-the majority of these visits are for diagnostic imaging. These results support the need for the coordination of multidisciplinary care and diagnostic imaging for breast cancer patients undergoing NAC to reduce hospital visits, improve the patient experience, and reduce TTT.
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ba1543954579bbc7fe8e1c4e9bd88be8Test
https://pubmed.ncbi.nlm.nih.gov/34989410Test -
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المؤلفون: Evelyne Guay, Erin Cordeiro, Amanda Roberts
المصدر: Annals of Surgical Oncology. 29:2262-2262
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_________::010322d7f1514031da66d3ab297fdadeTest
https://doi.org/10.1245/s10434-021-11246-wTest -
4
المؤلفون: Erin Cordeiro, Evelyne Guay, Amanda Roberts
المصدر: Annals of Surgical Oncology
مصطلحات موضوعية: Oncology, Humans, Breast Neoplasms, Female, Surgery, Breast, Breast Oncology
الوصف: Background Breast cancer in young women (ages 18–40 years) is rare, yet remains a leading cause of cancer-related death. Time to treatment (TTT) is an increasingly important factor in breast cancer outcomes, specifically time to systemic therapy. Our objective was to review patterns of care for young women presenting with invasive breast cancer and compare TTT for surgery first versus neoadjuvant chemotherapy (NAC). Patients and Methods A retrospective chart review of young women with non-metastatic, non-inflammatory invasive breast cancer between 2012 and 2018 at a single institution was completed. The primary outcome was time to first treatment (surgery or NAC). Results One hundred forty-two young women were treated for invasive breast cancer during the study period. The majority of patients underwent surgery first (57.7%) compared with NAC (42.3%). Women who underwent NAC were more likely to have abnormal lymph nodes on imaging (p = 0.002) and clinical exam (p
الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d2cf33b83482affe88d119a2533329c0Test
https://doi.org/10.1245/s10434-021-11164-xTest