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dc.contributor.authorHeneghan, Helen M
dc.contributor.authorPrichard, Ruth S
dc.contributor.authorDevaney, Amanda
dc.contributor.authorSweeney, Karl J
dc.contributor.authorMalone, C
dc.contributor.authorMcLaughlin, Ray
dc.contributor.authorKerin, Michael J
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
refterms.dateFOA2018-09-03T10:23:32Z
html.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.


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