Knowledge gaps in oncoplastic breast surgery.

Breast Neoplasms / surgery Female Humans Mammaplasty

Journal

The Lancet. Oncology
ISSN: 1474-5488
Titre abrégé: Lancet Oncol
Pays: England
ID NLM: 100957246

Informations de publication

Date de publication:
08 2020
Historique:
received: 03 12 2019
revised: 03 02 2020
accepted: 04 02 2020
entrez: 8 8 2020
pubmed: 8 8 2020
medline: 22 8 2020
Statut: ppublish

Résumé

The aims of the Oncoplastic Breast Consortium initiative were to identify important knowledge gaps in the field of oncoplastic breast-conserving surgery and nipple-sparing or skin-sparing mastectomy with immediate breast reconstruction, and to recommend appropriate research strategies to address these gaps. A total of 212 surgeons and 26 patient advocates from 55 countries prioritised the 15 most important knowledge gaps from a list of 38 in two electronic Delphi rounds. An interdisciplinary panel of the Oncoplastic Breast Consortium consisting of 63 stakeholders from 20 countries obtained consensus during an in-person meeting to select seven of these 15 knowledge gaps as research priorities. Three key recommendations emerged from the meeting. First, the effect of oncoplastic breast-conserving surgery on quality of life and the optimal type and timing of reconstruction after nipple-sparing or skin-sparing mastectomy with planned radiotherapy should be addressed by prospective cohort studies at an international level. Second, the role of adjunctive mesh and the positioning of implants during implant-based breast reconstruction should ideally be investigated by randomised controlled trials of pragmatic design. Finally, the BREAST-Q questionnaire is a suitable tool to assess primary outcomes in these studies, but other metrics to measure patient-reported outcomes should be systematically evaluated and quality indicators of surgical morbidity should be further assessed.

Identifiants

DOI: 10.1016/S1470-2045(20)30084-X PMID: 32758475
pubmed: 32758475
pii: S1470-2045(20)30084-X
doi: 10.1016/S1470-2045(20)30084-X
pii:
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e375-e385

Investigateurs

Eduardo González (E)
Mona Elzayat (M)
Rupert Koller (R)
Michael Gnant (M)
Fabricio Brenelli (F)
Regis Resende Paulinelli (RR)
Vappu Zobel (V)
Sarianna Joukainen (S)
Ulla Karhunen-Enckell (U)
Susanna Kauhanen (S)
Jean-Marc Piat (JM)
Vesna Bjelic-Radisic (V)
Andree Faridi (A)
Christoph Heitmann (C)
Juergen Hoffmann (J)
Ulrich Kneser (U)
Sherko Kümmel (S)
Thorsten Kühn (T)
Michalis Kontos (M)
Ekaterini Christina Tampaki (EC)
Mitchel Barry (M)
Tanir M Allweis (TM)
Moshe Carmon (M)
Tal Hadar (T)
Giuseppe Catanuto (G)
Carlos A Garcia-Etienne (CA)
Oreste D Gentilini (OD)
Susan Knox (S)
Barbara Klein (B)
Linetta Koppert (L)
Pedro F Gouveia (PF)
Tor Svensjö (T)
Heiner C Bucher (HC)
Silvia Ess (S)
Ursula Ganz-Blättler (U)
Andreas Günthert (A)
Nik Hauser (N)
Nancy Hynes (N)
Michael Knauer (M)
Marlen Pfeiffer (M)
Christoph Rochlitz (C)
Christoph Tausch (C)
Yves Harder (Y)
Frank Zimmermann (F)
Fabienne D Schwab (FD)
Veronica D'Amico (V)
Savas D Soysal (SD)
Liliana Castrezana Lopez (L)
Ilario Fulco (I)
Lars G Hemkens (LG)
Visnu Lohsiriwat (V)
Bahadir M Gulluoglu (BM)
Guldeniz Karadeniz (G)
Hasan Karanlik (H)
Atakan Sezer (A)
Mehmet Ali Gulcelik (MA)
Mustafa Emiroglu (M)
Tibor Kovacs (T)
Tim Rattay (T)
Laszlo Romics (L)
Raghavan Vidya (R)
Lynda Wyld (L)
Mahmoud El-Tamer (M)
Virgilio Sacchini (V)

Informations de copyright

Copyright © 2020 Elsevier Ltd. All rights reserved.

Auteurs

Walter P Weber (WP)

Breast Center, University Hospital Basel and University of Basel, Basel, Switzerland; Department of Surgery, University Hospital Basel and University of Basel, Basel, Switzerland. Electronic address: walter.weber@usb.ch.

Monica Morrow (M)

Breast Surgery Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Jana de Boniface (J)

Department of Surgery, Capio Saint Göran's Hospital, Stockholm, Sweden; Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.

Andrea Pusic (A)

Division of Plastic and Reconstructive Surgery, Department of Surgery, Brigham and Women's Hospital, Boston, MA, USA.

Giacomo Montagna (G)

Breast Center, University Hospital Basel and University of Basel, Basel, Switzerland; Department of Gynecology and Obstetrics, University Hospital Basel and University of Basel, Basel, Switzerland; Breast Surgery Service, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

Elisabeth A Kappos (EA)

Breast Center, University Hospital Basel and University of Basel, Basel, Switzerland; Department of Surgery, University Hospital Basel and University of Basel, Basel, Switzerland.

Mathilde Ritter (M)

Breast Center, University Hospital Basel and University of Basel, Basel, Switzerland; Department of Surgery, University Hospital Basel and University of Basel, Basel, Switzerland.

Martin Haug (M)

Breast Center, University Hospital Basel and University of Basel, Basel, Switzerland; Department of Surgery, University Hospital Basel and University of Basel, Basel, Switzerland.

Christian Kurzeder (C)

Breast Center, University Hospital Basel and University of Basel, Basel, Switzerland; Department of Gynecology and Obstetrics, University Hospital Basel and University of Basel, Basel, Switzerland.

Ramon Saccilotto (R)

Department of Clinical Research, University Hospital Basel and University of Basel, Basel, Switzerland.

Alexandra Schulz (A)

Department of Clinical Research, University Hospital Basel and University of Basel, Basel, Switzerland.

John Benson (J)

Cambridge Breast Unit, Addenbrooke's Hospital Cambridge, Cambridge, UK; School of Medicine, Anglia Ruskin University, Cambridge, UK.

Florian Fitzal (F)

Department of Surgery and Breast Health Center, Comprehensive Cancer Center, Medical University Vienna, Vienna, Austria.

Zoltan Matrai (Z)

Department of Breast and Sarcoma Surgery, National Institute of Oncology, Budapest, Hungary.

Jane Shaw (J)

Patient Advocacy Group, Oncoplastic Breast Consortium, Basel, Switzerland.

Marie-Jeanne Vrancken Peeters (MV)

Department of Surgery, Netherlands Cancer Institute, Amsterdam, Netherlands.

Shelley Potter (S)

Centre for Surgical Research, Bristol Medical School, Bristol, UK; Bristol Breast Care Centre, North Bristol National Health Service Trust, Bristol, UK.

Joerg Heil (J)

Department of Obstetrics and Gynecology, University Breast Unit, University Women's Hospital Heidelberg, Heidelberg, Germany.

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Classifications MeSH

questionsmedicales.fr › Maladies de la peau et du tissu conjonctif › Maladies de la peau › Maladies du sein › Tumeurs du sein › Knowledge gaps in oncoplastic breast surgery.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Knowledge gaps in oncoplastic breast surgery.
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie reconstructive › Mammoplastie › Knowledge gaps in oncoplastic breast surgery.