Articles producció científica> Ciències Mèdiques Bàsiques

The Assisi Think Tank Meeting and Survey of post MAstectomy Radiation Therapy after breast reconstruction: The ATTM-SMART report.

  • Dades identificatives

    Identificador: imarina:5132745
    Autors:
    Aristei CKaidar-Person OTagliaferri LArenas MColes CEOffersen BVFrezza GLeonardi MCValentini VBourgier CPoortmans PMP.
    Resum:
    PURPOSE: To describe the current European practise on post-mastectomy radiation therapy (PMRT) in relation to breast reconstruction. METHODS: A 21-item questionnaire was distributed online via Survey Monkey. Items referred to 1. general topics (country, centre, years of experience in breast cancer); 2. clinical decision making; 3. RT techniques and dosimetry; 4. dose fractionation. RESULTS: 283 responses were received from 19 countries. Most responders worked in public health services and in academic institutions and had 5-20 years experience. Although many indicated they were consulted about the timing and type of breast reconstructive surgery, final decisions were most often made by surgeons. Immediate reconstruction with expander followed by RT and subsequently permanent reconstruction with prosthesis was recommended by 61.6% of responders. Most (48.4%) adviced a boost only when margins were close or involved with an another 17.7% recommending it in the presence of high-risk features (T3-T4, lympho-vascular involvement). Intensity modulated RT was rarely used by about two-thirds of responders, except when with 3D technique the dose constraints were not achieved or when regional lymph nodes were included. Almost 60% of responders did not use bolus/tissue equivalent material (TEM). The main indication for bolus/TEM use was skin involvement. The majority of responders used 1.8-2 Gy per fraction. CONCLUSIONS: The present survey highlighted controversial areas in clinical practise, confirming the uncertainties about the scheduling of PMRT and breast reconstruction.
  • Altres:

    Autor segons l'article: Aristei C; Kaidar-Person O; Tagliaferri L; Arenas M; Coles CE; Offersen BV; Frezza G; Leonardi MC; Valentini V; Bourgier C; Poortmans PMP.
    Departament: Ciències Mèdiques Bàsiques
    Autor/s de la URV: Arenas Prat, Meritxell
    Paraules clau: Survey Post-mastectomy radiotherapy Breast reconstruction Breast cancer post-mastectomy radiotherapy breast reconstruction breast cancer
    Resum: PURPOSE: To describe the current European practise on post-mastectomy radiation therapy (PMRT) in relation to breast reconstruction. METHODS: A 21-item questionnaire was distributed online via Survey Monkey. Items referred to 1. general topics (country, centre, years of experience in breast cancer); 2. clinical decision making; 3. RT techniques and dosimetry; 4. dose fractionation. RESULTS: 283 responses were received from 19 countries. Most responders worked in public health services and in academic institutions and had 5-20 years experience. Although many indicated they were consulted about the timing and type of breast reconstructive surgery, final decisions were most often made by surgeons. Immediate reconstruction with expander followed by RT and subsequently permanent reconstruction with prosthesis was recommended by 61.6% of responders. Most (48.4%) adviced a boost only when margins were close or involved with an another 17.7% recommending it in the presence of high-risk features (T3-T4, lympho-vascular involvement). Intensity modulated RT was rarely used by about two-thirds of responders, except when with 3D technique the dose constraints were not achieved or when regional lymph nodes were included. Almost 60% of responders did not use bolus/tissue equivalent material (TEM). The main indication for bolus/TEM use was skin involvement. The majority of responders used 1.8-2 Gy per fraction. CONCLUSIONS: The present survey highlighted controversial areas in clinical practise, confirming the uncertainties about the scheduling of PMRT and breast reconstruction.
    Àrees temàtiques: Surgery Oncology Medicine (miscellaneous) Medicina iii Medicina ii Medicina i General medicine Enfermagem
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 07487983
    Adreça de correu electrònic de l'autor: meritxell.arenas@urv.cat
    Identificador de l'autor: 0000-0003-0815-2570
    Data d'alta del registre: 2024-09-07
    Versió de l'article dipositat: info:eu-repo/semantics/acceptedVersion
    Enllaç font original: https://www.ejso.com/article/S0748-7983(18)30039-8/fulltext
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: Ejso. 44 (4): 436-443
    Referència de l'ítem segons les normes APA: Aristei C; Kaidar-Person O; Tagliaferri L; Arenas M; Coles CE; Offersen BV; Frezza G; Leonardi MC; Valentini V; Bourgier C; Poortmans PMP. (2018). The Assisi Think Tank Meeting and Survey of post MAstectomy Radiation Therapy after breast reconstruction: The ATTM-SMART report.. Ejso, 44(4), 436-443. DOI: 10.1016/j.ejso.2018.01.010
    DOI de l'article: 10.1016/j.ejso.2018.01.010
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2018
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Medicine (Miscellaneous),Oncology,Surgery
    Survey
    Post-mastectomy radiotherapy
    Breast reconstruction
    Breast cancer
    post-mastectomy radiotherapy
    breast reconstruction
    breast cancer
    Surgery
    Oncology
    Medicine (miscellaneous)
    Medicina iii
    Medicina ii
    Medicina i
    General medicine
    Enfermagem
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