Breast Conservative Surgery for Breast Cancer: Indian Surgeon’s Preferences and Factors Influencing Them
Background It is well established that disease-free survival and overall survival after breast conservation surgery (BCS) followed by radiotherapy are equivalent to that after mastectomy. However, in Asian countries, the rate of BCS continues to remain low. The cause may be multifactorial including...
Gespeichert in:
| Veröffentlicht in: | Indian journal of surgical oncology 2023-03, Vol.14 (1), p.11-17 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 17 |
|---|---|
| container_issue | 1 |
| container_start_page | 11 |
| container_title | Indian journal of surgical oncology |
| container_volume | 14 |
| creator | Dutta, Rohini Mahajan, Anshul Patil, Priti Bhandoria, Geetu Sarang, Bhakti Virk, Sargun Khajanchi, Monty Jain, Samarvir Bains, Lovenish Bhandarkar, Prashant Chatterjee, Shamita Roy, Nobhojit Gadgil, Anita |
| description | Background
It is well established that disease-free survival and overall survival after breast conservation surgery (BCS) followed by radiotherapy are equivalent to that after mastectomy. However, in Asian countries, the rate of BCS continues to remain low. The cause may be multifactorial including the patient’s choice, availability and accessibility of infrastructure, and surgeon’s choice. We aimed to elucidate the Indian surgeons’ perspective while choosing between BCS and mastectomy, in women oncologically eligible for BCS.
Methods
We conducted a survey-based cross-sectional study in January–February 2021. Indian surgeons with general surgical or specialised oncosurgical training, who consented to participate were included in the study. Multinomial logistic regression was performed to assess the effect of study variables on offering mastectomy or BCS.
Results
A total of 347 responses were included. The mean age of the participants was 43 ± 11 years. Sixty-three of the surgeons were in the 25–44 years age group with the majority (80%) being males. 66.4% of surgeons ‘almost always’ offered BCS to oncologically eligible patients. Surgeons who had undergone specialised training in oncosurgery or breast conservation surgery were 35 times more likely to offer BCS (
p
|
| doi_str_mv | 10.1007/s13193-022-01601-y |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_670109</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2785200001</sourcerecordid><originalsourceid>FETCH-LOGICAL-c512t-e0db324b1439965d70ece24474d090ad2aa0a3e017781b594836f44e40a0121d3</originalsourceid><addsrcrecordid>eNp9kcFu1DAQhiMEolXpC3BAkbhwMczYThxzQKIrCpUqFYlytrzJZJslaxc7WbQ3XoPX40lwmm1pOeCLrfm_-W3Pn2XPEV4jgHoTUaAWDDhngCUg2z3KDkGrkpW64I9vzgVTZYEH2XGMa0hLaCFBP80ORFlplBwPs_VJIBuHfOFdpLC1Q7el_MsYVhR2eetDfqtbV1N4m5-5prNuJrz7_fNXzD8HailQ0mNuXZOf2nrwISa07cdU7twqv7yizbPsSWv7SMf7_Sj7evrhcvGJnV98PFu8P2d1gXxgBM1ScLlEKbQui0YB1cSlVLIBDbbh1oIVBKhUhctCy0qUrZQkwQJybMRRxmbf-IOux6W5Dt3Ghp3xtjP70rd0IlMqQNCJfzfzSdlQU5Mbgu0ftD1UXHdlVn5rtK5KUUwGr_YGwX8fKQ5m08Wa-t468mM0XFUFn-aPCX35D7r2Y3BpHBMlUCHqieIzVQcfYxrv3WMQzJS-mdM3KX1zk77ZpaYX979x13KbdQLEfi5Jcingv3f_x_YPTzi8qw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2783171191</pqid></control><display><type>article</type><title>Breast Conservative Surgery for Breast Cancer: Indian Surgeon’s Preferences and Factors Influencing Them</title><source>SWEPUB Freely available online</source><source>SpringerNature Complete Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><creator>Dutta, Rohini ; Mahajan, Anshul ; Patil, Priti ; Bhandoria, Geetu ; Sarang, Bhakti ; Virk, Sargun ; Khajanchi, Monty ; Jain, Samarvir ; Bains, Lovenish ; Bhandarkar, Prashant ; Chatterjee, Shamita ; Roy, Nobhojit ; Gadgil, Anita</creator><creatorcontrib>Dutta, Rohini ; Mahajan, Anshul ; Patil, Priti ; Bhandoria, Geetu ; Sarang, Bhakti ; Virk, Sargun ; Khajanchi, Monty ; Jain, Samarvir ; Bains, Lovenish ; Bhandarkar, Prashant ; Chatterjee, Shamita ; Roy, Nobhojit ; Gadgil, Anita</creatorcontrib><description>Background
It is well established that disease-free survival and overall survival after breast conservation surgery (BCS) followed by radiotherapy are equivalent to that after mastectomy. However, in Asian countries, the rate of BCS continues to remain low. The cause may be multifactorial including the patient’s choice, availability and accessibility of infrastructure, and surgeon’s choice. We aimed to elucidate the Indian surgeons’ perspective while choosing between BCS and mastectomy, in women oncologically eligible for BCS.
Methods
We conducted a survey-based cross-sectional study in January–February 2021. Indian surgeons with general surgical or specialised oncosurgical training, who consented to participate were included in the study. Multinomial logistic regression was performed to assess the effect of study variables on offering mastectomy or BCS.
Results
A total of 347 responses were included. The mean age of the participants was 43 ± 11 years. Sixty-three of the surgeons were in the 25–44 years age group with the majority (80%) being males. 66.4% of surgeons ‘almost always’ offered BCS to oncologically eligible patients. Surgeons who had undergone specialised training in oncosurgery or breast conservation surgery were 35 times more likely to offer BCS (
p
< 0.01). Surgeons working in hospitals with in-house radiation oncology facilities were 9 times more likely to offer BCS (
p
< 0.05). Surgeons’ years of practice, age, sex and hospital setting did not influence the surgery offered.
Conclusion
Two-thirds of Indian surgeons preferred BCS over mastectomy. Lack of radiotherapy facilities and specialised surgical training were deterrents to offering BCS to eligible women.</description><identifier>ISSN: 0975-7651</identifier><identifier>EISSN: 0976-6952</identifier><identifier>DOI: 10.1007/s13193-022-01601-y</identifier><identifier>PMID: 36891421</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Breast cancer ; Cancer surgery ; Mastectomy ; Medicine ; Medicine & Public Health ; Oncology ; Original ; Original Article ; Radiation therapy ; Surgery ; Surgical Oncology</subject><ispartof>Indian journal of surgical oncology, 2023-03, Vol.14 (1), p.11-17</ispartof><rights>The Author(s) 2022</rights><rights>The Author(s) 2022.</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c512t-e0db324b1439965d70ece24474d090ad2aa0a3e017781b594836f44e40a0121d3</citedby><cites>FETCH-LOGICAL-c512t-e0db324b1439965d70ece24474d090ad2aa0a3e017781b594836f44e40a0121d3</cites><orcidid>0000-0003-2022-7416</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9986359/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9986359/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,550,723,776,780,881,27903,27904,41467,42536,51297,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36891421$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:236891421$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Dutta, Rohini</creatorcontrib><creatorcontrib>Mahajan, Anshul</creatorcontrib><creatorcontrib>Patil, Priti</creatorcontrib><creatorcontrib>Bhandoria, Geetu</creatorcontrib><creatorcontrib>Sarang, Bhakti</creatorcontrib><creatorcontrib>Virk, Sargun</creatorcontrib><creatorcontrib>Khajanchi, Monty</creatorcontrib><creatorcontrib>Jain, Samarvir</creatorcontrib><creatorcontrib>Bains, Lovenish</creatorcontrib><creatorcontrib>Bhandarkar, Prashant</creatorcontrib><creatorcontrib>Chatterjee, Shamita</creatorcontrib><creatorcontrib>Roy, Nobhojit</creatorcontrib><creatorcontrib>Gadgil, Anita</creatorcontrib><title>Breast Conservative Surgery for Breast Cancer: Indian Surgeon’s Preferences and Factors Influencing Them</title><title>Indian journal of surgical oncology</title><addtitle>Indian J Surg Oncol</addtitle><addtitle>Indian J Surg Oncol</addtitle><description>Background
It is well established that disease-free survival and overall survival after breast conservation surgery (BCS) followed by radiotherapy are equivalent to that after mastectomy. However, in Asian countries, the rate of BCS continues to remain low. The cause may be multifactorial including the patient’s choice, availability and accessibility of infrastructure, and surgeon’s choice. We aimed to elucidate the Indian surgeons’ perspective while choosing between BCS and mastectomy, in women oncologically eligible for BCS.
Methods
We conducted a survey-based cross-sectional study in January–February 2021. Indian surgeons with general surgical or specialised oncosurgical training, who consented to participate were included in the study. Multinomial logistic regression was performed to assess the effect of study variables on offering mastectomy or BCS.
Results
A total of 347 responses were included. The mean age of the participants was 43 ± 11 years. Sixty-three of the surgeons were in the 25–44 years age group with the majority (80%) being males. 66.4% of surgeons ‘almost always’ offered BCS to oncologically eligible patients. Surgeons who had undergone specialised training in oncosurgery or breast conservation surgery were 35 times more likely to offer BCS (
p
< 0.01). Surgeons working in hospitals with in-house radiation oncology facilities were 9 times more likely to offer BCS (
p
< 0.05). Surgeons’ years of practice, age, sex and hospital setting did not influence the surgery offered.
Conclusion
Two-thirds of Indian surgeons preferred BCS over mastectomy. Lack of radiotherapy facilities and specialised surgical training were deterrents to offering BCS to eligible women.</description><subject>Breast cancer</subject><subject>Cancer surgery</subject><subject>Mastectomy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Oncology</subject><subject>Original</subject><subject>Original Article</subject><subject>Radiation therapy</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><issn>0975-7651</issn><issn>0976-6952</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>D8T</sourceid><recordid>eNp9kcFu1DAQhiMEolXpC3BAkbhwMczYThxzQKIrCpUqFYlytrzJZJslaxc7WbQ3XoPX40lwmm1pOeCLrfm_-W3Pn2XPEV4jgHoTUaAWDDhngCUg2z3KDkGrkpW64I9vzgVTZYEH2XGMa0hLaCFBP80ORFlplBwPs_VJIBuHfOFdpLC1Q7el_MsYVhR2eetDfqtbV1N4m5-5prNuJrz7_fNXzD8HailQ0mNuXZOf2nrwISa07cdU7twqv7yizbPsSWv7SMf7_Sj7evrhcvGJnV98PFu8P2d1gXxgBM1ScLlEKbQui0YB1cSlVLIBDbbh1oIVBKhUhctCy0qUrZQkwQJybMRRxmbf-IOux6W5Dt3Ghp3xtjP70rd0IlMqQNCJfzfzSdlQU5Mbgu0ftD1UXHdlVn5rtK5KUUwGr_YGwX8fKQ5m08Wa-t468mM0XFUFn-aPCX35D7r2Y3BpHBMlUCHqieIzVQcfYxrv3WMQzJS-mdM3KX1zk77ZpaYX979x13KbdQLEfi5Jcingv3f_x_YPTzi8qw</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Dutta, Rohini</creator><creator>Mahajan, Anshul</creator><creator>Patil, Priti</creator><creator>Bhandoria, Geetu</creator><creator>Sarang, Bhakti</creator><creator>Virk, Sargun</creator><creator>Khajanchi, Monty</creator><creator>Jain, Samarvir</creator><creator>Bains, Lovenish</creator><creator>Bhandarkar, Prashant</creator><creator>Chatterjee, Shamita</creator><creator>Roy, Nobhojit</creator><creator>Gadgil, Anita</creator><general>Springer India</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><orcidid>https://orcid.org/0000-0003-2022-7416</orcidid></search><sort><creationdate>20230301</creationdate><title>Breast Conservative Surgery for Breast Cancer: Indian Surgeon’s Preferences and Factors Influencing Them</title><author>Dutta, Rohini ; Mahajan, Anshul ; Patil, Priti ; Bhandoria, Geetu ; Sarang, Bhakti ; Virk, Sargun ; Khajanchi, Monty ; Jain, Samarvir ; Bains, Lovenish ; Bhandarkar, Prashant ; Chatterjee, Shamita ; Roy, Nobhojit ; Gadgil, Anita</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c512t-e0db324b1439965d70ece24474d090ad2aa0a3e017781b594836f44e40a0121d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Breast cancer</topic><topic>Cancer surgery</topic><topic>Mastectomy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Oncology</topic><topic>Original</topic><topic>Original Article</topic><topic>Radiation therapy</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dutta, Rohini</creatorcontrib><creatorcontrib>Mahajan, Anshul</creatorcontrib><creatorcontrib>Patil, Priti</creatorcontrib><creatorcontrib>Bhandoria, Geetu</creatorcontrib><creatorcontrib>Sarang, Bhakti</creatorcontrib><creatorcontrib>Virk, Sargun</creatorcontrib><creatorcontrib>Khajanchi, Monty</creatorcontrib><creatorcontrib>Jain, Samarvir</creatorcontrib><creatorcontrib>Bains, Lovenish</creatorcontrib><creatorcontrib>Bhandarkar, Prashant</creatorcontrib><creatorcontrib>Chatterjee, Shamita</creatorcontrib><creatorcontrib>Roy, Nobhojit</creatorcontrib><creatorcontrib>Gadgil, Anita</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>Indian journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dutta, Rohini</au><au>Mahajan, Anshul</au><au>Patil, Priti</au><au>Bhandoria, Geetu</au><au>Sarang, Bhakti</au><au>Virk, Sargun</au><au>Khajanchi, Monty</au><au>Jain, Samarvir</au><au>Bains, Lovenish</au><au>Bhandarkar, Prashant</au><au>Chatterjee, Shamita</au><au>Roy, Nobhojit</au><au>Gadgil, Anita</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Breast Conservative Surgery for Breast Cancer: Indian Surgeon’s Preferences and Factors Influencing Them</atitle><jtitle>Indian journal of surgical oncology</jtitle><stitle>Indian J Surg Oncol</stitle><addtitle>Indian J Surg Oncol</addtitle><date>2023-03-01</date><risdate>2023</risdate><volume>14</volume><issue>1</issue><spage>11</spage><epage>17</epage><pages>11-17</pages><issn>0975-7651</issn><eissn>0976-6952</eissn><abstract>Background
It is well established that disease-free survival and overall survival after breast conservation surgery (BCS) followed by radiotherapy are equivalent to that after mastectomy. However, in Asian countries, the rate of BCS continues to remain low. The cause may be multifactorial including the patient’s choice, availability and accessibility of infrastructure, and surgeon’s choice. We aimed to elucidate the Indian surgeons’ perspective while choosing between BCS and mastectomy, in women oncologically eligible for BCS.
Methods
We conducted a survey-based cross-sectional study in January–February 2021. Indian surgeons with general surgical or specialised oncosurgical training, who consented to participate were included in the study. Multinomial logistic regression was performed to assess the effect of study variables on offering mastectomy or BCS.
Results
A total of 347 responses were included. The mean age of the participants was 43 ± 11 years. Sixty-three of the surgeons were in the 25–44 years age group with the majority (80%) being males. 66.4% of surgeons ‘almost always’ offered BCS to oncologically eligible patients. Surgeons who had undergone specialised training in oncosurgery or breast conservation surgery were 35 times more likely to offer BCS (
p
< 0.01). Surgeons working in hospitals with in-house radiation oncology facilities were 9 times more likely to offer BCS (
p
< 0.05). Surgeons’ years of practice, age, sex and hospital setting did not influence the surgery offered.
Conclusion
Two-thirds of Indian surgeons preferred BCS over mastectomy. Lack of radiotherapy facilities and specialised surgical training were deterrents to offering BCS to eligible women.</abstract><cop>New Delhi</cop><pub>Springer India</pub><pmid>36891421</pmid><doi>10.1007/s13193-022-01601-y</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-2022-7416</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0975-7651 |
| ispartof | Indian journal of surgical oncology, 2023-03, Vol.14 (1), p.11-17 |
| issn | 0975-7651 0976-6952 |
| language | eng |
| recordid | cdi_swepub_primary_oai_swepub_ki_se_670109 |
| source | SWEPUB Freely available online; SpringerNature Complete Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Breast cancer Cancer surgery Mastectomy Medicine Medicine & Public Health Oncology Original Original Article Radiation therapy Surgery Surgical Oncology |
| title | Breast Conservative Surgery for Breast Cancer: Indian Surgeon’s Preferences and Factors Influencing Them |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-24T08%3A51%3A34IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_swepu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Breast%20Conservative%20Surgery%20for%20Breast%20Cancer:%20Indian%20Surgeon%E2%80%99s%20Preferences%20and%20Factors%20Influencing%20Them&rft.jtitle=Indian%20journal%20of%20surgical%20oncology&rft.au=Dutta,%20Rohini&rft.date=2023-03-01&rft.volume=14&rft.issue=1&rft.spage=11&rft.epage=17&rft.pages=11-17&rft.issn=0975-7651&rft.eissn=0976-6952&rft_id=info:doi/10.1007/s13193-022-01601-y&rft_dat=%3Cproquest_swepu%3E2785200001%3C/proquest_swepu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2783171191&rft_id=info:pmid/36891421&rfr_iscdi=true |