Evolution of breast cancer management in Ireland: a decade of change.

Hdl Handle:
http://hdl.handle.net/10147/94020
Title:
Evolution of breast cancer management in Ireland: a decade of change.
Authors:
Heneghan, Helen M; Prichard, Ruth S; Devaney, Amanda; Sweeney, Karl J; Malone, C; McLaughlin, Ray; Kerin, Michael J
Affiliation:
Department of Surgery, National University of Ireland Galway, Ireland. helenheneghan@hotmail.com
Citation:
Evolution of breast cancer management in Ireland: a decade of change. 2009, 9:15 BMC Surg
Journal:
BMC surgery
Issue Date:
2009
URI:
http://hdl.handle.net/10147/94020
DOI:
10.1186/1471-2482-9-15
PubMed ID:
19765289
Abstract:
BACKGROUND: Over the last decade there has been a paradigm shift in the management of breast cancer, subsequent to revised surgical oncology guidelines and consensus statements which were derived in light of landmark breast cancer clinical trials conducted throughout the latter part of the 20th century. However the sheer impact of this paradigm shift upon all modalities of treatment, and the current trends in management of the disease, are largely unknown. We aimed to assess the changing practices of breast cancer management over the last decade within a specialist tertiary referral Breast Cancer Centre. METHODS: Comparative analysis of all aspects of the management of breast cancer patients, who presented to a tertiary referral Breast Cancer Centre in 1995/1996 and 2005/2006, was undertaken and measured against The European Society for Surgical Oncology guidelines for the surgical management of mammographically detected lesions [1998]. RESULTS: 613 patients' case profiles were analysed. Over the last decade we observed a dramatic increase in incidence of breast cancer [>100%], a move to less invasive diagnostic and surgical therapeutic techniques, as well as increased use of adjuvant therapies. We also witnessed the introduction of immediate breast reconstruction as part of routine practice CONCLUSION: We demonstrate that radical changes have occurred in the management of breast cancer in the last decade, in keeping with international guidelines. It remains incumbent upon us to continue to adapt our practice patterns in light of emerging knowledge and best evidence.
Language:
en
MeSH:
Adult; Aged; Aged, 80 and over; Breast Neoplasms; Carcinoma in Situ; Carcinoma, Ductal, Breast; Combined Modality Therapy; Early Diagnosis; Female; Humans; Ireland; Mastectomy; Middle Aged; Neoplasm Staging; Physician's Practice Patterns; Practice Guidelines as Topic; Sentinel Lymph Node Biopsy
ISSN:
1471-2482

Full metadata record

DC FieldValue Language
dc.contributor.authorHeneghan, Helen Men
dc.contributor.authorPrichard, Ruth Sen
dc.contributor.authorDevaney, Amandaen
dc.contributor.authorSweeney, Karl Jen
dc.contributor.authorMalone, Cen
dc.contributor.authorMcLaughlin, Rayen
dc.contributor.authorKerin, Michael Jen
dc.date.accessioned2010-03-10T10:06:52Z-
dc.date.available2010-03-10T10:06:52Z-
dc.date.issued2009-
dc.identifier.citationEvolution of breast cancer management in Ireland: a decade of change. 2009, 9:15 BMC Surgen
dc.identifier.issn1471-2482-
dc.identifier.pmid19765289-
dc.identifier.doi10.1186/1471-2482-9-15-
dc.identifier.urihttp://hdl.handle.net/10147/94020-
dc.description.abstractBACKGROUND: Over the last decade there has been a paradigm shift in the management of breast cancer, subsequent to revised surgical oncology guidelines and consensus statements which were derived in light of landmark breast cancer clinical trials conducted throughout the latter part of the 20th century. However the sheer impact of this paradigm shift upon all modalities of treatment, and the current trends in management of the disease, are largely unknown. We aimed to assess the changing practices of breast cancer management over the last decade within a specialist tertiary referral Breast Cancer Centre. METHODS: Comparative analysis of all aspects of the management of breast cancer patients, who presented to a tertiary referral Breast Cancer Centre in 1995/1996 and 2005/2006, was undertaken and measured against The European Society for Surgical Oncology guidelines for the surgical management of mammographically detected lesions [1998]. RESULTS: 613 patients' case profiles were analysed. Over the last decade we observed a dramatic increase in incidence of breast cancer [>100%], a move to less invasive diagnostic and surgical therapeutic techniques, as well as increased use of adjuvant therapies. We also witnessed the introduction of immediate breast reconstruction as part of routine practice CONCLUSION: We demonstrate that radical changes have occurred in the management of breast cancer in the last decade, in keeping with international guidelines. It remains incumbent upon us to continue to adapt our practice patterns in light of emerging knowledge and best evidence.-
dc.language.isoenen
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAged, 80 and over-
dc.subject.meshBreast Neoplasms-
dc.subject.meshCarcinoma in Situ-
dc.subject.meshCarcinoma, Ductal, Breast-
dc.subject.meshCombined Modality Therapy-
dc.subject.meshEarly Diagnosis-
dc.subject.meshFemale-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshMastectomy-
dc.subject.meshMiddle Aged-
dc.subject.meshNeoplasm Staging-
dc.subject.meshPhysician's Practice Patterns-
dc.subject.meshPractice Guidelines as Topic-
dc.subject.meshSentinel Lymph Node Biopsy-
dc.titleEvolution of breast cancer management in Ireland: a decade of change.en
dc.contributor.departmentDepartment of Surgery, National University of Ireland Galway, Ireland. helenheneghan@hotmail.comen
dc.identifier.journalBMC surgeryen

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