De-escalation in breast cancer surgery COMMENT

被引：29
|
作者：
Shubeck, Sarah P. [1 ]
Morrow, Monica [1 ]
Dossett, Lesly A. [2 ]
机构：
[1] Mem Sloan Kettering Canc Ctr, Dept Surg, Breast Serv, 1275 York Ave, New York, NY 10021 USA
[2] Univ Michigan, Dept Surg, Div Surg Oncol, Ann Arbor, MI 48109 USA
来源：
NPJ BREAST CANCER | 2022年 / 8卷 / 01期
关键词：
CONTRALATERAL PROPHYLACTIC MASTECTOMY; LUMPECTOMY PLUS TAMOXIFEN; SURGICAL ONCOLOGY; WOMEN; IRRADIATION; IMPLEMENTATION; OVERTREATMENT; THERAPY; SOCIETY; TRENDS;
D O I：
10.1038/s41523-022-00383-4
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
In recent years, several trials of breast cancer treatment have failed to demonstrate a survival benefit for some previously routine surgical therapies in selected patient groups. As each of these therapeutic approaches has been deemed of low value deimplementation has varied significantly. This demonstrates that effective de-escalation in breast cancer surgery relies on more than the availability of data from randomized controlled trials and other high-quality evidence, but is also influenced by various stakeholders, social expectations, and environmental contexts.
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页数：4
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