Breast diseases

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Breast cancer treatment: surgery, radiotherapy

Australia

• Australian Family Physician
  • Conservation surgery and radiation therapy in early breast cancer – An update [2017]

• Better Safer Care
  • Double mastectomy for cancer in a single breast

• Breast
  • Rates of reoperation after breast conserving cancer surgery in Western Australia before and after publication of the SSO-ASTRO margins guideline [2023]

• Radiotherapy and Oncology
  • Variation in the use of radiotherapy fractionation for breast cancer: Survival outcome and cost implications [2020]

Austria, Germany, Switzerland

• BMC Cancer
  • Are heart toxicities in breast cancer patients important for radiation oncologists? A practice pattern survey in German speaking countries [2017]

Brazil

• Revista da Associação Médica Brasileira
  • Recommendations for hypofractionated whole-breast irradiation [2018]
  • Treatment with intensity-modulated radiation therapy (IMRT) for breast cancer [2014]

Canada

• Breast Cancer Research and Treatment
  • COVID-19 vaccination and breast cancer surgery timing [2021]

• Canadian Agency for Drugs and Technologies in Health
  • Intraoperative Mammography for Breast Cancer Surgery: A Review of Clinical Effectiveness, Cost-Effectiveness, and Guidelines [2019]

• Canadian Family Physician
  • Breast reconstruction [2018]

• CMAJ Open
  • Update to the Canadian clinical practice guideline for best-practice management of breast cancer-related lymphedema: study protocol [2022]

• Current Oncology
  • National Variations in the Work-Up, Investigation, and Surgical Management of Ductal Carcinoma In Situ of the Breast across Canadian Surgeons [2021]
  • Consensus statement on tumour bed localization for radiation after oncoplastic breast surgery [2020]
  • Locoregional therapy of locally advanced breast cancer: a clinical practice guideline [2015]

• Ontario Health
  • Management of Ductal Carcinoma in Situ of the Breast [2024]
  • Management of Ductal Carcinoma In Situ: An Ontario Health (Cancer Care Ontario) Clinical Practice Guideline [2024]
  • Wire-Free, Nonradioactive Localization Techniques to Guide Surgical Excision of Nonpalpable Breast Tumours: A Health Technology Assessment [2023]

Central and Eastern Europe

• Pathology & Oncology Research
  • Radiotherapy of Breast Cancer-Professional Guideline 1st Central-Eastern European Professional Consensus Statement on Breast Cancer [2022]
  • Modern Breast Cancer Surgery 1st Central-Eastern European Professional Consensus Statement on Breast Cancer [2022]

China

• Cancer Management and Research
  • Surgical Management Strategy for Breast Cancer Patients During the COVID-19 Outbreak [2020]

• Chinese Medical Journal
  • Clinical practice guidelines for pre-operative evaluation of breast cancer: Chinese Society of Breast Surgery (CSBrS) practice guidelines 2021 [2021]
  • Clinical practice guidelines for post-mastectomy breast reconstruction: Chinese Society of Breast Surgery (CSBrS) practice guidelines 2021 [2021]
  • Clinical practice guidelines for modified radical mastectomy of breast cancer: Chinese Society of Breast Surgery (CSBrs) practice guidelines 2021 [2021]
  • Clinical practice guidelines for endoscopic breast surgery in patients with early-stage breast cancer: Chinese Society of Breast Surgery (CSBrS) practice guidelines 2021 [2021]
  • Clinical practice guideline for breast-conserving surgery in patients with early-stage breast cancer: Chinese Society of Breast Surgery (CSBrS) practice guidelines 2021 [2021]

• Journal of Cancer
  • Management of early-stage breast cancer patients during the coronavirus disease 2019 (COVID-19) pandemic: The experience in China from a surgical standpoint [2021]

• Oncologist
  • Current Status and Factors Influencing Surgical Options for Breast Cancer in China: A Nationwide Cross-Sectional Survey of 110 Hospitals [2020]

Denmark

• Radiotherapy and Oncology
  • Evaluating Danish Breast Cancer Group locoregional radiotherapy guideline adherence in clinical treatment data 2008-2016: The DBCG RT Nation study [2024]

Denmark, Netherlands

• Breast Cancer Research and Treatment
  • Breast-contour preserving procedures for early-stage breast cancer: a population-based study of the trends, variation in practice and predictive characteristics in Denmark and the Netherlands [2020]

Estonia

• International Journal for Equity in Health
  • The impact of sociodemographic factors on the utilization of radiation therapy in breast cancer patients in Estonia: a register-based study [2021]

Europe

• Breast
  • A multidisciplinary view of mastectomy and breast reconstruction: Understanding the challenges [2021]

• Clinical Oncology
  • Postmastectomy Radiation Therapy Planning After Immediate Implant-based Reconstruction Using the European Society for Radiotherapy and Oncology-Advisory Committee in Radiation Oncology Practice Consensus Guidelines for Target Volume Delineation [2021]

• European Organisation for Research and Treatment of Cancer
  • Patterns of practice of regional nodal irradiation in breast cancer: results of the European Organization for Research and Treatment of Cancer (EORTC) NOdal Radiotherapy (NORA) survey [2015]

• European Society for Radiotherapy and Oncology
  • Essential requirements for reporting radiation therapy in breast cancer clinical trials: An international multi-disciplinary consensus endorsed by the European Society for Radiotherapy and Oncology (ESTRO) [2024]
  • In regard to “The Italian Association of Radiotherapy and Oncology Recommendation for Breast Tumor Recurrence: Grades of Recommendation, Assessment, Development and Evaluation Criteria” [2021]
  • ESTRO-ACROP guideline: Interstitial multi-catheter breast brachytherapy as Accelerated Partial Breast Irradiation alone or as boost – GEC-ESTRO Breast Cancer Working Group practical recommendations [2018]

• European Society of Regional Anaesthesia and Pain Therapy
  • PROSPECT guideline for oncological breast surgery: a systematic review and procedure-specific postoperative pain management recommendations [2020]

• Radiotherapy and Oncology
  • The changing landscape in radiotherapy for breast cancer: Lessons from long term follow-up in some European breast cancer trials [2016]

France

• Cancer/Radiothérapie
  • Institut Curie guidelines on breast target volume delineation for patients treated in lateral position [2020]

• Reports of Practical Oncology and Radiotherapy
  • Should the management of radiation therapy for breast cancer be standardized? Results of a survey on current French practices in breast radiotherapy [2021]

Germany

• Breast Care
  • Breast Cancer Surgery and Financial Reimbursement in Germany [2012]

• Deutsche Gesellschaft für Radioonkologie
  • DEGRO guideline for personalized radiotherapy of brain metastases and leptomeningeal carcinomatosis in patients with breast cancer [2024]
  • Moderate hypofractionation remains the standard of care for whole-breast radiotherapy in breast cancer: Considerations regarding FAST and FAST-Forward [2021]
  • DEGRO practical guideline for partial-breast irradiation [2020]
  • Current controversies in radiotherapy for breast cancer [2017]
  • DEGRO practical guidelines for radiotherapy of breast cancer VI: therapy of locoregional breast cancer recurrences [2016]
  • DEGRO practical guidelines for radiotherapy of breast cancer V: Therapy for locally advanced and inflammatory breast cancer, as well as local therapy in cases with synchronous distant metastases [2015]
  • DEGRO practical guidelines: radiotherapy of breast cancer I [2013]

• Deutsches Ärzteblatt International
  • Case Numbers and Process Quality in Breast Surgery in Germany [2015]

• Institute for Quality and Efficiency in Health Care
  • Relationship between volume of services and quality of treatment outcome in the surgical treatment of breast cancer - rapid report [2020]

• Strahlentherapie und Onkologie
  • Radiotherapy statements of the 18th St. Gallen International Breast Cancer Consensus Conference-a German expert perspective [2024]

Germany, Japan, United States

• Society of Interventional Radiology
  • New Frontiers in the Role of Locoregional Therapies in Breast Cancer: Proceedings from the Society of Interventional Radiology Foundation Research Consensus Panel [2023]

High-income countries

• BMC Cancer
  • A comparison of acellular dermal matrices (ADM) efficacy and complication profile in women undergoing implant-based breast reconstruction: a systematic review and network meta-analysis [2024]

India

• Indian Journal of Medical Research
  • Breast conservation surgery & oncoplasty in India – Current scenario [2021]
  • Adjuvant radiation therapy in breast cancer: Recent advances & Indian data [2021]

International

• Asian Pacific Journal of Cancer Prevention
  • Novel Prevention Approaches of Breast Cancer Surgery Related Complications: Systematic Review and Network Meta-Analysis [2024]

• BMC Women's Health
  • Conservative interventions and clinical outcome measures used in the perioperative rehabilitation of breast cancer patients undergoing mastectomy: a scoping review [2022]

• BMJ Open
  • Evaluation of guidelines regarding surgical treatment of breast cancer using the AGREE Instrument: a systematic review [2017]

• Breast
  • Oncoplastic breast consortium recommendations for mastectomy and whole breast reconstruction in the setting of post-mastectomy radiation therapy [2022]
  • Should oncoplastic breast conserving surgery be used for the treatment of early stage breast cancer? Using the GRADE approach for development of clinical recommendations [2021]

• Breast Cancer Research and Treatment
  • Current clinical practice in the management of phyllodes tumors of the breast: an international cross-sectional study among surgeons and oncologists [2023]
  • Oncoplastic Breast Consortium consensus conference on nipple-sparing mastectomy [2018]

• Breast Journal
  • Preserving Nipple Sensitivity after Breast Cancer Surgery: A Systematic Review and Meta-Analysis [2022]

• Cancer
  • Breast cancer recurrence after immediate and delayed postmastectomy breast reconstruction-A systematic review and meta-analysis [2022]
  • Locoregional treatment of primary breast cancer. Consensus recommendations from an International Expert Panel [2010]

• Cochrane Database of Systematic Reviews
  • Oncoplastic breast-conserving surgery for women with primary breast cancer [2021]

• Enhanced Recovery After Surgery
  • Consensus Review of Optimal Perioperative Care in Breast Reconstruction: Enhanced Recovery after Surgery (ERAS) Society Recommendations [2017]

• Health Expectations
  • Behaviour, barriers and facilitators of shared decision making in breast cancer surgical treatment: A qualitative systematic review using a 'Best Fit' framework approach [2024]

• Journal of Medical Radiation Sciences
  • Use of magnetic resonance image-guided radiotherapy for breast cancer: a scoping review [2022]

• Scientific Reports
  • A systematic review on the techniques, long-term outcomes, and complications of partial breast irradiation after breast-conserving surgery for early-stage breast cancer [2024]

• Senologic International Society
  • The Senologic International Society Survey on Ductal Carcinoma In Situ: Present and Future [2022]

Italy

• Breast
  • Loco-regional adjuvant radiation therapy in breast cancer patients with positive axillary lymph-nodes at diagnosis (CN2) undergoing preoperative chemotherapy and with complete pathological lymph-nodes response. Development of GRADE (Grades of recommendation, assessment, Development and Evaluation) recommendation by the Italian Association of radiation therapy and Clinical Oncology (AIRO) [2021]

• Journal of Breast Cancer
  • The Italian Association of Radiotherapy and Oncology Recommendation for Breast Tumor Recurrence: Grades of Recommendation, Assessment, Development and Evaluation Criteria [2021]

Japan

• Breast Cancer
  • The Japanese breast cancer society clinical practice guidelines for radiation treatment of breast cancer, 2022 edition [2024]
  • The Japanese Breast Cancer Society Clinical Practice Guidelines for surgical treatment of breast cancer, 2022 edition [2024]
  • Impact of immediate breast reconstruction on perioperative therapy: insights from a Japanese Nationwide Registry [2024]
  • The Japanese Breast Cancer Society clinical practice guidelines for surgical treatment of breast cancer, 2018 edition [2020]
  • The Japanese Breast Cancer Society Clinical Practice Guideline for radiation treatment of breast cancer, 2018 edition [2020]

• Scientific Reports
  • Impact of coronavirus disease 2019 pandemic on breast cancer surgery using the National Database of Japan [2023]

Low and middle income countries

• Journal of Patient-Reported Outcomes
  • Use of patient-reported outcome measures after breast reconstruction in low- and middle-income countries: a scoping review [2024]

Netherlands

• BJS
  • Nationwide population-based study of the impact of immediate breast reconstruction after mastectomy on the timing of adjuvant chemotherapy [2019]

• Clinical Oncology
  • Model-Based Selection for Proton Therapy in Breast Cancer: Development of the National Indication Protocol for Proton Therapy and First Clinical Experiences [2022]

• Radiation Oncology
  • Transparency in quality of radiotherapy for breast cancer in the Netherlands: a national registration of radiotherapy-parameters [2022]

Philippines

• Annals of Surgical Oncology
  • Access to Surgical Treatment for Breast Cancer in the Philippines [2022]

Republic of Korea

• British Journal of Cancer
  • A nationwide study of breast reconstruction after mastectomy in patients with breast cancer receiving postmastectomy radiotherapy: comparison of complications according to radiotherapy fractionation and reconstruction procedures [2024]

• Journal of Breast Cancer
  • Patterns of Practice in Radiotherapy for Breast Cancer in Korea [2018]
  • The Practice Patterns and Perceptions of Korean Surgeons Regarding Margin Status after Breast-Conserving Surgery [2017]

• Journal of Korean Medical Science
  • Changes in Korean National Healthcare Insurance Policy and Breast Cancer Surgery Trend in Korea [2021]

• Medicine
  • Trends in the Application of Postmastectomy Radiotherapy for Breast Cancer With 1 to 3 Positive Axillary Nodes and Tumors <=5cm in the Modern Treatment Era [2016]

• PLoS ONE
  • Incidence of hypothyroidism after treatment for breast cancer: A Korean population-based study [2022]

• World Journal of Surgery
  • Psychological Impact of Type of Breast Cancer Surgery: A National Cohort Study [2022]

Spain

• Clinical and Translational Oncology
  • Evidence-based guidelines for hypofractionated radiation in breast cancer: conclusions of the Catalan expert working group [2022]

Sweden

• BJS Open
  • National long-term patient-reported outcomes following mastectomy with or without breast reconstruction: The Swedish Breast Reconstruction Outcome Study Part 2 (SweBRO 2) [2024]

Turkey

• JCO Global Oncology
  • Surgical Trends in Breast Cancer in Turkey: An Increase in Breast-Conserving Surgery [2020]

Uganda

• PLoS ONE
  • Breast cancer care in Uganda: A multicenter study on the frequency of breast cancer surgery in relation to the incidence of breast cancer [2019]

United Kingdom

• Annals of The Royal College of Surgeons of England
  • Guidelines for oncoplastic breast reconstruction [2013]

• Association of Breast Surgery
  • Oncoplastic breast surgery: A guide to good practice [2021]
  • Biological and synthetic mesh assisted breast reconstruction procedures: Joint guidelines from the Association of Breast Surgery and the British Association of Plastic, Reconstructive and Aesthetic Surgeons [2021]

• Breast
  • Expert UK consensus on the definition of high risk of recurrence in HER2-negative early breast cancer: A modified Delphi panel [2023]

• Breast Cancer Research and Treatment
  • Current use of drains and management of seroma following mastectomy and axillary surgery: results of a United Kingdom national practice survey [2024]
  • Current practice and provision of oncoplastic breast-conserving surgery in the UK: results of the ANTHEM national practice questionnaire [2023]
  • Cost-effectiveness of 5 fraction and partial breast radiotherapy for early breast cancer in the UK: model-based multi-trial analysis [2023]

• British Journal of Surgery
  • Ethnicity and the surgical management of early invasive breast cancer in over 164 000 women [2021]

• European Journal of Surgical Oncology
  • The MARECA (national study of management of breast cancer locoregional recurrence and oncological outcomes) study: National practice questionnaire of United Kingdom multi-disciplinary decision making [2022]
  • A scoring system for 3D surface images of breast reconstruction developed using the Delphi consensus process [2020]
  • Adherence to best practice consensus guidelines for implant-based breast reconstruction: Results from the iBRA national practice questionnaire survey [2018]

• Health Technology Assessment
  • One versus three weeks hypofractionated whole breast radiotherapy for early breast cancer treatment: the FAST-Forward phase III RCT [2023]
  • Exercise to prevent shoulder problems after breast cancer surgery: the PROSPER RCT [2022]

• National Institute for Health and Care Excellence
  • Intrabeam radiotherapy system for adjuvant treatment of early breast cancer [2018]
  • AlignRT in breast cancer radiotherapy [2018]
  • L-Dex U400 for lymphoedema after breast cancer treatment [2017]
  • Axxent electronic brachytherapy system for early stage breast cancer [2016]
  • Breast reconstruction using lipomodelling after breast cancer treatment [2012]
  • Endoscopic mastectomy and endoscopic wide local excision for breast cancer [2009]

• NHS England
  • Radiotherapy after primary surgery for breast cancer [2016]

• Royal College of Radiologists
  • Postoperative radiotherapy for breast cancer: hypofractionation RCR consensus statements [2021]
  • Development of Postoperative Radiotherapy for Breast Cancer: UK Consensus Statements - a Model of Patient, Clinical and Commissioner Engagement? [2018]
  • Postoperative radiotherapy for breast cancer: UK consensus statements [2016]

• World Journal of Surgical Oncology
  • The Manchester guidelines for contralateral risk-reducing mastectomy [2015]

United States

• Advances in Radiation Oncology
  • The Association Between Cardiac Mortality and Adjuvant Radiation Therapy Among Older Patients With Stage I Estrogen Positive Breast Cancer: A Surveillance, Epidemiology, and End Results (SEER)–Based Study on Cardiac Mortality and Radiation Therapy [2020]

• Aesthetic Surgery Journal
  • Influencers of Immediate Postmastectomy Reconstruction: A National Cancer Database Analysis [2022]

• Agency for Healthcare Research and Quality
  • Partial Breast Irradiation for Breast Cancer [2023]
  • Breast Reconstruction After Mastectomy [2021]

• American College of Radiology
  • Imaging of Deep Inferior Epigastric Arteries for Surgical Planning (Breast Reconstruction Surgery)
  • Conservative surgery and radiation - stage I and II breast cancer

• American College of Surgeons
  • Risk of Synchronous Distant Recurrence at Time of Locoregional Recurrence in Patients With Stage II and III Breast Cancer (AFT-01) [2018]

• American Physical Therapy Association
  • Interventions for Breast Cancer–Related Lymphedema: Clinical Practice Guideline From the Academy of Oncologic Physical Therapy of APTA [2020]

• American Society for Radiation Oncology
  • Partial Breast Irradiation for Patients With Early-Stage Invasive Breast Cancer or Ductal Carcinoma In Situ: An ASTRO Clinical Practice Guideline [2024]
  • Radiation therapy for the whole breast: Executive summary of an American Society for Radiation Oncology (ASTRO) evidence-based guideline [2018]

• American Society of Breast Surgeons
  • Pain Control in Breast Surgery: Survey of Current Practice and Recommendations for Optimizing Management-American Society of Breast Surgeons Opioid/Pain Control Workgroup [2020]
  • Contralateral Prophylactic Mastectomy (CPM) Consensus Statement from the American Society of Breast Surgeons: Data on CPM Outcomes and Risks [2016]
  • Contralateral Prophylactic Mastectomy Consensus Statement from the American Society of Breast Surgeons: Additional Considerations and a Framework for Shared Decision Making [2016]
  • Toolbox to Reduce Lumpectomy Reoperations and Improve Cosmetic Outcome in Breast Cancer Patients: The American Society of Breast Surgeons Consensus Conference [2015]
  • Official Statements

• American Society of Clinical Oncology
  • Society of Surgical Oncology–American Society for Radiation Oncology–American Society of Clinical Oncology Consensus Guideline on Margins for Breast-Conserving Surgery With Whole-Breast Irradiation in Ductal Carcinoma In Situ [2016]
  • Postmastectomy Radiotherapy: An American Society of Clinical Oncology, American Society for Radiation Oncology, and Society of Surgical Oncology Focused Guideline Update [2016]

• Annals of Surgical Oncology
  • Longitudinal Increases in Time to Surgery for Patients with Breast Cancer: A National Cohort Study [2024]
  • Guideline-Concordant Surgical Care for Lobular Versus Ductal Inflammatory Breast Cancer [2024]
  • Breast Surgical Oncology Epidemiologic Research: A Guide and Comparison of Four National Databases [2023]
  • Assessment of Practice Patterns Following Publication of the SSO–ASTRO Consensus Guideline on Margins for Breast-Conserving Therapy in Stage I and II Invasive Breast Cancer [2015]

• Breast
  • Contralateral prophylactic mastectomy: A narrative review of the evidence and acceptability [2021]

• Breast Cancer Research and Treatment
  • The impact of histologic subtype on primary site surgery in the management of metastatic lobular versus ductal breast cancer: a population based study from the National Cancer Database (NCDB) [2024]
  • Bioimpedance spectroscopy for breast cancer-related lymphedema assessment: clinical practice guidelines [2023]

• Cancer Medicine
  • Rural-urban differences in secular trends of locoregional treatment for ductal carcinoma in situ: A patterns of care analysis [2022]

• Clinical Breast Cancer
  • Invasive Breast Cancer Treatment Patterns in Women Age 80 and Over: A Report from the National Cancer Database [2022]

• Infection Control & Hospital Epidemiology
  • Postdischarge prophylactic antibiotics following mastectomy with and without breast reconstruction [2022]

• JAMA
  • Uptake and Costs of Hypofractionated vs Conventional Whole Breast Irradiation After Breast Conserving Surgery in the United States, 2008–2013 [2014]

• JAMA Oncology
  • Temporal Trends in Post-Mastectomy Radiation Therapy and Breast Reconstruction [2016]

• JAMA Surgery
  • Analysis of a Trend Reversal in US Lumpectomy Rates From 2005 Through 2017 Using 3 Nationwide Data Sets [2022]

• JCO Oncology Practice
  • Disparities at the Intersection of Race and Ethnicity: Examining Trends and Outcomes in Hispanic Women With Breast Cancer [2022]
  • Disaggregation of Asian American and Pacific Islander Women With Stage 0-II Breast Cancer Unmasks Disparities in Survival and Surgery-to-Radiation Intervals: A National Cancer Database Analysis From 2004 to 2017 [2022]

• Journal of Reconstructive Microsurgery
  • Trends in Hospital Billing for Mastectomy and Breast Reconstruction Procedures from 2013 to 2020 [2024]

• Journal of Surgical Oncology
  • Effects of COVID-19 on mastectomy and breast reconstruction rates: A national surgical sample [2022]

• M.D. Anderson Cancer Center
  • Evolution in Surgical Management of Breast Cancer-related Lymphedema: The MD Anderson Cancer Center Experience [2020]
  • DCIS Margins and Breast Conservation: MD Anderson Cancer Center Multidisciplinary Practice Guidelines and Outcomes [2017]
  • Breast reconstruction at the MD Anderson Cancer Center [2016]

• Medicina
  • Post-Mastectomy Breast Reconstruction Disparities: A Systematic Review of Sociodemographic and Economic Barriers [2024]

• Medicine
  • Impact of lack of surgery on outcomes in elderly women with nonmetastatic breast cancer-A surveillance, epidemiology, and end results 18 population based study [2020]

• National Comprehensive Cancer Network
  • Invasive Breast Cancer Version 1.2016, NCCN Clinical Practice Guidelines in Oncology [2016]

• NPJ Breast Cancer
  • Surgical Standards for Management of the Axilla in Breast Cancer Clinical Trials with Pathological Complete Response Endpoint [2018]

• Plastic and Reconstructive Surgery Global Open
  • Breast Reconstruction in Inflammatory Breast Cancer: An Analysis of Predictors, Trends, and Survival from the National Cancer Database [2021]

{Related topics}

• Topic
  • Breast cancer treatment