Surgical Trends in Breast Cancer in Turkey: An Increase in Breast-Conserving Surgery

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dc.authorid0000-0002-8019-8015
dc.authorid0000-0003-4638-1059
dc.authorid0000-0001-5802-4441
dc.authorscopusid55663391100
dc.authorscopusid57207937790
dc.authorscopusid24598133700
dc.authorscopusid35570698200
dc.authorscopusid6503979172
dc.authorscopusid7003782364
dc.authorscopusid6508305875
dc.authorwosidOzbas, Serdar/ABI-5204-2020
dc.authorwosidÇalık, Adnan/AAR-7793-2020
dc.authorwosidGurdal, Sibel Ozkan/ABA-3882-2020
dc.authorwosiducuncu, Muhammed zubeyr/B-3397-2018
dc.authorwosidSoyder, Aykut/AAE-1969-2022
dc.authorwosidOzmen, Vahit/AAE-3904-2020
dc.authorwosidCanturk, Nuh/AAS-3915-2020
dc.contributor.authorÇakmak, Güldeniz Karadeniz
dc.contributor.authorEmiroglu, Selman
dc.contributor.authorSezer, Atakan
dc.contributor.authorCantürk, Nuh Zafer
dc.contributor.authorYeniay, Levent
dc.contributor.authorKuru, Bekir
dc.contributor.authorÖzmen, Vahit
dc.contributor.authorGürdal, Sibel Özkan
dc.date.accessioned2022-05-11T14:35:00Z
dc.date.available2022-05-11T14:35:00Z
dc.date.issued2020
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractPURPOSEBreast cancer is the most frequent cancer in women, and there is a great variability in surgical practice for treating that cancer in different countries. The aims of this study were to analyze the effect of guidelines from the Turkish Federation of Breast Diseases Societies on academic institutions that have breast centers and to evaluate surgical practice in Turkey in 2018.PATIENTS AND METHODSBetween January and March 2019, a survey was sent to breast surgeons who were working in breast centers in academic institutions. The sampling frame included 24 academic institutions with breast centers in 18 cities in Turkey to evaluate interdisciplinary differences among breast centers and seven regions in Turkey regarding patients' choices, surgical approaches, and academic institutions.RESULTSAll surgeons responded to the survey, and all 4,381 patients were included. Most of the surgeons (73.9%) were working in a breast center. Multidisciplinary tumor boards were performed in 87% of the breast centers. The average time between clinical evaluation and initiation of treatment was 29 days; the longest time was in Southeast Anatolia (66 days). Only 6% of patients had ductal carcinoma in situ. Sentinel lymph node biopsy was available in every region across the country and was performed in 64.5% of the patients. In 2018, the overall breast-conserving surgery rate was 57.3% in Turkey, and it varied from 72.2% in the Black Sea region to 33.5% in Central Anatolia (P < .001). Oncoplastic breast surgery options were available at all breast centers. However, 25% of the breast centers from the Black Sea region and half the breast centers from Eastern Anatolia and the Mediterranean region did not perform this type of surgery.CONCLUSIONIncreasing rates of nonpalpable breast cancer and decreasing rates of locoregional recurrences favored breast-conserving surgery, especially in developed countries. Guidelines from the Turkish Federation of Breast Diseases Societies resulted in more comprehensive breast centers and improved breast health in Turkey.
dc.identifier.doi10.1200/JGO.19.00275
dc.identifier.endpage292
dc.identifier.issn2687-8941
dc.identifier.pmid32109157
dc.identifier.scopus2-s2.0-85082945167
dc.identifier.scopusqualityQ1
dc.identifier.startpage285
dc.identifier.urihttps://doi.org/10.1200/JGO.19.00275
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8166
dc.identifier.volume6
dc.identifier.wosWOS:000524896400013
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGürdal, Sibel Özkan
dc.language.isoen
dc.publisherAmer Soc Clinical Oncology
dc.relation.ispartofJco Global Oncology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectGeographic-Variation
dc.subjectSentinel Node
dc.subjectMastectomy
dc.subjectWomen
dc.titleSurgical Trends in Breast Cancer in Turkey: An Increase in Breast-Conserving Surgery
dc.typeArticle

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