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Breast conserving surgery versus mastectomy: cancer practice by general surgeons in Iran
There appear to be geographical differences in decisions to perform mastectomy or breast conserving surgery for early-stage breast cancer. This study was carried out to evaluate general surgeons' preferences in breast cancer surgery and to assess the factors predicting cancer practice in Iran....
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Published in: | BMC cancer 2005-04, Vol.5 (1), p.35-35, Article 35 |
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creator | Najafi, Massoome Ebrahimi, Mandana Kaviani, Ahmad Hashemi, Esmat Montazeri, Ali |
description | There appear to be geographical differences in decisions to perform mastectomy or breast conserving surgery for early-stage breast cancer. This study was carried out to evaluate general surgeons' preferences in breast cancer surgery and to assess the factors predicting cancer practice in Iran.
A structured questionnaire was mailed to 235 general surgeons chosen from the address list of the Iranian Medical Council. The questionnaire elicited information about the general surgeons' characteristics and about their work experience, posts they have held, number of breast cancer operations performed per year, preferences for mastectomy or breast conserving surgery, and the reasons for these preferences.
In all, 83 surgeons returned the completed questionnaire. The results indicated that only 19% of the surgeons routinely performed breast conserving surgery (BCS) and this was significantly associated with their breast cancer case load (P < 0.01). There were no associations between BCS practice and the other variables studied. The most frequent reasons for not performing BCS were uncertainty about conservative therapy results (46%), uncertainty about the quality of available radiotherapy services (32%), and the probability of patients' non-compliance in radiotherapy (32%).
The findings indicate that Iranian surgeons do not routinely perform BCS as the first and the best treatment modality. Further research is recommended to evaluate patients' outcomes after BCS treatment in Iran, with regard to available radiotherapy facilities and cultural factors (patients' compliance). |
doi_str_mv | 10.1186/1471-2407-5-35 |
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A structured questionnaire was mailed to 235 general surgeons chosen from the address list of the Iranian Medical Council. The questionnaire elicited information about the general surgeons' characteristics and about their work experience, posts they have held, number of breast cancer operations performed per year, preferences for mastectomy or breast conserving surgery, and the reasons for these preferences.
In all, 83 surgeons returned the completed questionnaire. The results indicated that only 19% of the surgeons routinely performed breast conserving surgery (BCS) and this was significantly associated with their breast cancer case load (P < 0.01). There were no associations between BCS practice and the other variables studied. The most frequent reasons for not performing BCS were uncertainty about conservative therapy results (46%), uncertainty about the quality of available radiotherapy services (32%), and the probability of patients' non-compliance in radiotherapy (32%).
The findings indicate that Iranian surgeons do not routinely perform BCS as the first and the best treatment modality. Further research is recommended to evaluate patients' outcomes after BCS treatment in Iran, with regard to available radiotherapy facilities and cultural factors (patients' compliance).</description><identifier>ISSN: 1471-2407</identifier><identifier>EISSN: 1471-2407</identifier><identifier>DOI: 10.1186/1471-2407-5-35</identifier><identifier>PMID: 15811187</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Breast Neoplasms - radiotherapy ; Breast Neoplasms - surgery ; Clinical Trials as Topic ; Decision Making ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Iran ; Male ; Mastectomy - methods ; Mastectomy - utilization ; Mastectomy, Segmental - methods ; Mastectomy, Segmental - utilization ; Medical Staff, Hospital ; Middle Aged ; Models, Statistical ; Patient Compliance ; Radiotherapy - methods ; Radiotherapy - utilization ; Surveys and Questionnaires ; Treatment Outcome</subject><ispartof>BMC cancer, 2005-04, Vol.5 (1), p.35-35, Article 35</ispartof><rights>Copyright © 2005 Najafi et al; licensee BioMed Central Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b512t-48b8645c8552e74492c8e20f6ccc0553a058618c679f766b41be1bb782d8f3dd3</citedby><cites>FETCH-LOGICAL-b512t-48b8645c8552e74492c8e20f6ccc0553a058618c679f766b41be1bb782d8f3dd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1087478/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1087478/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15811187$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Najafi, Massoome</creatorcontrib><creatorcontrib>Ebrahimi, Mandana</creatorcontrib><creatorcontrib>Kaviani, Ahmad</creatorcontrib><creatorcontrib>Hashemi, Esmat</creatorcontrib><creatorcontrib>Montazeri, Ali</creatorcontrib><title>Breast conserving surgery versus mastectomy: cancer practice by general surgeons in Iran</title><title>BMC cancer</title><addtitle>BMC Cancer</addtitle><description>There appear to be geographical differences in decisions to perform mastectomy or breast conserving surgery for early-stage breast cancer. This study was carried out to evaluate general surgeons' preferences in breast cancer surgery and to assess the factors predicting cancer practice in Iran.
A structured questionnaire was mailed to 235 general surgeons chosen from the address list of the Iranian Medical Council. The questionnaire elicited information about the general surgeons' characteristics and about their work experience, posts they have held, number of breast cancer operations performed per year, preferences for mastectomy or breast conserving surgery, and the reasons for these preferences.
In all, 83 surgeons returned the completed questionnaire. The results indicated that only 19% of the surgeons routinely performed breast conserving surgery (BCS) and this was significantly associated with their breast cancer case load (P < 0.01). There were no associations between BCS practice and the other variables studied. The most frequent reasons for not performing BCS were uncertainty about conservative therapy results (46%), uncertainty about the quality of available radiotherapy services (32%), and the probability of patients' non-compliance in radiotherapy (32%).
The findings indicate that Iranian surgeons do not routinely perform BCS as the first and the best treatment modality. Further research is recommended to evaluate patients' outcomes after BCS treatment in Iran, with regard to available radiotherapy facilities and cultural factors (patients' compliance).</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Breast Neoplasms - radiotherapy</subject><subject>Breast Neoplasms - surgery</subject><subject>Clinical Trials as Topic</subject><subject>Decision Making</subject><subject>Female</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>Iran</subject><subject>Male</subject><subject>Mastectomy - methods</subject><subject>Mastectomy - utilization</subject><subject>Mastectomy, Segmental - methods</subject><subject>Mastectomy, Segmental - utilization</subject><subject>Medical Staff, Hospital</subject><subject>Middle Aged</subject><subject>Models, Statistical</subject><subject>Patient Compliance</subject><subject>Radiotherapy - methods</subject><subject>Radiotherapy - utilization</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><issn>1471-2407</issn><issn>1471-2407</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp1kstv1DAQhyMEog-4ckQ-cUvx2w4HpLaCslIlLiBxs2xnElIl9mInK-1_j5esSleIk635zXzzrKo3BF8RouV7whWpKceqFjUTz6rzR8PzJ_-z6iLnB4yJ0li_rM6I0KSEq_Pqx00Cm2fkY8iQdkPoUV5SD2mPdpDyktFUZPBznPYfkLfBQ0LbZP08eEBuj3oIkOy4RhUIGgLaJBteVS86O2Z4fXwvq--fP327_VLff73b3F7f104QOtdcOy258FoICorzhnoNFHfSe4-FYBYLLYn2UjWdktJx4oA4pzRtdcfall1Wm5XbRvtgtmmYbNqbaAfzxxBTb2wqxY5gqHPQUCbLHDhnstGt9aIkkxIzLZgqrI8ra7u4CVoPYS6tnUBPlTD8NH3cGYK14koXwPUKcEP8D-BU8XEyhy2Zw5aMMEwUxrtjESn-WiDPZhqyh3G0AeKSjVRKa9ocHK9WR59izgm6xzwEm8Nx_Et--7S9v-7Ha2C_AdIstcw</recordid><startdate>20050405</startdate><enddate>20050405</enddate><creator>Najafi, Massoome</creator><creator>Ebrahimi, Mandana</creator><creator>Kaviani, Ahmad</creator><creator>Hashemi, Esmat</creator><creator>Montazeri, Ali</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><general>BMC</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20050405</creationdate><title>Breast conserving surgery versus mastectomy: cancer practice by general surgeons in Iran</title><author>Najafi, Massoome ; Ebrahimi, Mandana ; Kaviani, Ahmad ; Hashemi, Esmat ; Montazeri, Ali</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b512t-48b8645c8552e74492c8e20f6ccc0553a058618c679f766b41be1bb782d8f3dd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Breast Neoplasms - radiotherapy</topic><topic>Breast Neoplasms - surgery</topic><topic>Clinical Trials as Topic</topic><topic>Decision Making</topic><topic>Female</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>Iran</topic><topic>Male</topic><topic>Mastectomy - methods</topic><topic>Mastectomy - utilization</topic><topic>Mastectomy, Segmental - methods</topic><topic>Mastectomy, Segmental - utilization</topic><topic>Medical Staff, Hospital</topic><topic>Middle Aged</topic><topic>Models, Statistical</topic><topic>Patient Compliance</topic><topic>Radiotherapy - methods</topic><topic>Radiotherapy - utilization</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Najafi, Massoome</creatorcontrib><creatorcontrib>Ebrahimi, Mandana</creatorcontrib><creatorcontrib>Kaviani, Ahmad</creatorcontrib><creatorcontrib>Hashemi, Esmat</creatorcontrib><creatorcontrib>Montazeri, Ali</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>BMC cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Najafi, Massoome</au><au>Ebrahimi, Mandana</au><au>Kaviani, Ahmad</au><au>Hashemi, Esmat</au><au>Montazeri, Ali</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Breast conserving surgery versus mastectomy: cancer practice by general surgeons in Iran</atitle><jtitle>BMC cancer</jtitle><addtitle>BMC Cancer</addtitle><date>2005-04-05</date><risdate>2005</risdate><volume>5</volume><issue>1</issue><spage>35</spage><epage>35</epage><pages>35-35</pages><artnum>35</artnum><issn>1471-2407</issn><eissn>1471-2407</eissn><abstract>There appear to be geographical differences in decisions to perform mastectomy or breast conserving surgery for early-stage breast cancer. This study was carried out to evaluate general surgeons' preferences in breast cancer surgery and to assess the factors predicting cancer practice in Iran.
A structured questionnaire was mailed to 235 general surgeons chosen from the address list of the Iranian Medical Council. The questionnaire elicited information about the general surgeons' characteristics and about their work experience, posts they have held, number of breast cancer operations performed per year, preferences for mastectomy or breast conserving surgery, and the reasons for these preferences.
In all, 83 surgeons returned the completed questionnaire. The results indicated that only 19% of the surgeons routinely performed breast conserving surgery (BCS) and this was significantly associated with their breast cancer case load (P < 0.01). There were no associations between BCS practice and the other variables studied. The most frequent reasons for not performing BCS were uncertainty about conservative therapy results (46%), uncertainty about the quality of available radiotherapy services (32%), and the probability of patients' non-compliance in radiotherapy (32%).
The findings indicate that Iranian surgeons do not routinely perform BCS as the first and the best treatment modality. Further research is recommended to evaluate patients' outcomes after BCS treatment in Iran, with regard to available radiotherapy facilities and cultural factors (patients' compliance).</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>15811187</pmid><doi>10.1186/1471-2407-5-35</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Aged, 80 and over Breast Neoplasms - radiotherapy Breast Neoplasms - surgery Clinical Trials as Topic Decision Making Female Health Knowledge, Attitudes, Practice Humans Iran Male Mastectomy - methods Mastectomy - utilization Mastectomy, Segmental - methods Mastectomy, Segmental - utilization Medical Staff, Hospital Middle Aged Models, Statistical Patient Compliance Radiotherapy - methods Radiotherapy - utilization Surveys and Questionnaires Treatment Outcome |
title | Breast conserving surgery versus mastectomy: cancer practice by general surgeons in Iran |
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