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.

  • Datos identificativos

    Identificador: imarina:5132745
    Autores:
    Aristei CKaidar-Person OTagliaferri LArenas MColes CEOffersen BVFrezza GLeonardi MCValentini VBourgier CPoortmans PMP.
    Resumen:
    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.
  • Otros:

    Autor según el artículo: Aristei C; Kaidar-Person O; Tagliaferri L; Arenas M; Coles CE; Offersen BV; Frezza G; Leonardi MC; Valentini V; Bourgier C; Poortmans PMP.
    Departamento: Ciències Mèdiques Bàsiques
    Autor/es de la URV: Arenas Prat, Meritxell
    Palabras clave: Survey Post-mastectomy radiotherapy Breast reconstruction Breast cancer post-mastectomy radiotherapy breast reconstruction breast cancer
    Resumen: 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.
    Áreas temáticas: Surgery Oncology Medicine (miscellaneous) Medicina iii Medicina ii Medicina i General medicine Enfermagem
    Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 07487983
    Direcció de correo del autor: meritxell.arenas@urv.cat
    Identificador del autor: 0000-0003-0815-2570
    Fecha de alta del registro: 2024-09-07
    Versión del articulo depositado: info:eu-repo/semantics/acceptedVersion
    Enlace a la fuente original: https://www.ejso.com/article/S0748-7983(18)30039-8/fulltext
    URL Documento de licencia: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referencia al articulo segun fuente origial: Ejso. 44 (4): 436-443
    Referencia 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 del artículo: 10.1016/j.ejso.2018.01.010
    Entidad: Universitat Rovira i Virgili
    Año de publicación de la revista: 2018
    Tipo de publicación: Journal Publications
  • Palabras clave:

    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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