Training in oncoplastic surgery: An international consensus. The 7th Portuguese Senology Congress, Vilamoura, 2009

Cardoso, M.J.; Macmillan, R. Douglas; Merck, Belén; Munhoz, Alexandre Mendonça; Rainsbury, Richard

doi:10.1016/j.breast.2010.03.030

Cited by 35 publications

(35 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

Section: Discussionmentioning

confidence: 99%

“…Important differences in OBS training between countries, institutions, doctors and patients were noted at the Senology Conference in Portugal in 2009 (15). In many countries OBS procedures vary tremendously (3,15). In 2010, at a meeting of 11 OBS experts in the United Kingdom, surgical teamwork, institutional and individual practice work standards in Europe were discussed and defined (3).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Approach of General Surgeons to Oncoplastic and Reconstructive Breast Surgery in Turkey: A Survey of Practice Patterns

Emiroğlu¹,

Sert

Inal

et al. 2015

Balkan Med J

View full text Add to dashboard Cite

With the wide acceptance of Fisher's theory that breast cancer is a systemic disease from the start and in the light of improvements in adjuvant treatment, the role of surgery in the treatment of cancer was expected to gradually decrease (1). However today's surgical treatment of breast cancer has developed into oncoplastic and reconstructive surgery (Oncoplastic Breast Surgery (OBS) + Reconstructive Breast Surgery (RBS) = ORBS). Besides establishing ideal regional oncological control, surgeons are often faced with the difficulties of conserving breast aesthetics or achieving optimal results. In a meta-analysis, Losken et al. reported that the rate of surgical margin involvement was 12.3% and 20.6% for patients who underwent OBS and Breast Conserving Surgery (BCS), respectively. In addition, they reported local recurrence rates of 3.6-4.7% and 7% for OBS and BCS, respectively (2). In another study comparing oncological outcomes for BCS and OBS, they reported tumour sizes of 17 mm and 24 mm, surgical margins of 6 mm and 14 mm, and rates of re-excision of 29% and 5.4%, respectively. They suggested that OBS has a positive effect on oncological perspective in breast cancer surgery (3).The Turkish Federation of Breast Disease Societies (TFBDS) made recommendations regarding ORBS at their first Breast Cancer Consensus Meeting in 2006 (4). In TurBackground: Oncoplastic Breast Surgery (OBS), which is a combination of oncological procedures and plastic surgery techniques, has recently gained widespread use. Aims: To assess the experiences, practice patterns and preferred approaches to Oncoplastic and Reconstructive Breast Surgery (ORBS) undertaken by general surgeons specializing in breast surgery in Turkey. Study Design: Cross-sectional study. Methods: Between December 2013 and February 2014, an elevenquestion survey was distributed among 208 general surgeons specializing in breast surgery. The questions focused on the attitudes of general surgeons toward performing oncoplastic breast surgery (OBS), the role of the general surgeon in OBS and their training for it as well as their approaches to evaluating cosmetic outcomes in Breast Conserving Surgery (BCS) and informing patients about ORBS preoperatively. Results:Responses from all 208 surgeons indicated that 79.8% evaluated the cosmetic outcomes of BCS, while 94.2% informed their patients preoperatively about ORBS. 52.5% performed BCS (31.3% themselves, 21.1% together with a plastic surgeon). 53.8% emphasized that general surgeons should carry out OBS themselves. 36.1% of respondents suggested that OBS training should be included within mainstream surgical training, whereas 27.4% believed this training should be conducted by specialised centres. Conclusion: Although OBS procedure rates are low in Turkey, it is encouraging to see general surgeons practicing ORBS themselves. The survey demonstrates that our general surgeons aspire to learn and utilize OBS techniques.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Approach of General Surgeons to Oncoplastic and Reconstructive Breast Surgery in Turkey: A Survey of Practice Patterns

Emiroğlu¹,

Sert

Inal

et al. 2015

Balkan Med J

View full text Add to dashboard Cite

show abstract

“…The 7th Portuguese Senology Congress focused on the provision of ops and the availability of training in various countries 10 . In Portugal, specialty breast training is in a reorganizational phase, with plans for the development of a breast-specific curriculum, with formal examination for general and plastic surgery trainees and for gynecologists.…”

Section: International Ops Trainingmentioning

confidence: 99%

“…A Spanish consensus statement mandating that ops be offered to breast care patients has led to the ongoing development of training programs in that country 10 .…”

Section: International Ops Trainingmentioning

confidence: 99%

See 1 more Smart Citation

Training Oncoplastic Breast Surgeons: The Canadian Fellowship Experience

et al. 2017

View full text Add to dashboard Cite

show abstract

National study of the impact of patient information and involvement in decision-making on immediate breast reconstruction rates

Frisell

Lagergren

Boniface

2016

British Journal of Surgery

View full text Add to dashboard Cite

BackgroundReconstructive alternatives should be discussed with women facing mastectomy for breast cancer. These include immediate and delayed reconstruction, which both have inherent advantages and disadvantages. Immediate reconstruction rates vary considerably in Swedish healthcare regions, and the aim of the study was to analyse reasons for this disparity.MethodsAll women who underwent mastectomy for primary breast cancer in Sweden in 2013 were included. Tumour data were retrieved from the Swedish National Breast Cancer Registry and from questionnaires regarding patient information and involvement in preoperative decision‐making sent to women who were still alive in 2015.ResultsOf 2929 women who had undergone 2996 mastectomies, 2906 were still alive. The questionnaire response rate was 76·3 per cent. Immediate reconstruction rates varied regionally, between 3·0 and 26·4 per cent. Tumour characteristics impacted on reconstruction rates but did not explain regional differences. Patient participation in decision‐making, availability of plastic surgery services and patient information, however, were independent predictors of immediate breast reconstruction, and varied significantly between regions. Even in younger patients with low‐risk tumours, rates of patient information ranged between 34·3 and 83·3 per cent.ConclusionSignificant regional differences in immediate reconstruction rates were not explained by differences in tumour characteristics, but by disparities in patient information, availability of plastic surgery services and involvement in decision‐making.

show abstract

Training in oncoplastic surgery: An international consensus. The 7th Portuguese Senology Congress, Vilamoura, 2009

Cited by 35 publications

References 1 publication

The Approach of General Surgeons to Oncoplastic and Reconstructive Breast Surgery in Turkey: A Survey of Practice Patterns

The Approach of General Surgeons to Oncoplastic and Reconstructive Breast Surgery in Turkey: A Survey of Practice Patterns

Training Oncoplastic Breast Surgeons: The Canadian Fellowship Experience

National study of the impact of patient information and involvement in decision-making on immediate breast reconstruction rates

Contact Info

Product

Resources

About