Turkish national consensus on breast cancer management during temporary state of emergency due to COVID-19 outbreak

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dc.authorid0000-0003-0192-4638
dc.authorid0000-0002-0156-5973
dc.authorid0000-0002-2353-8044
dc.authorid0000-0001-7365-883X
dc.authorid0000-0001-5802-4441
dc.authorscopusid24598133700
dc.authorscopusid8922379100
dc.authorscopusid55663391100
dc.authorscopusid8204207500
dc.authorscopusid16553863200
dc.authorscopusid55892938700
dc.authorscopusid6603910613
dc.authorwosidtopuzlu, cemalettin/AAJ-8962-2021
dc.authorwosidkose, fatih/G-4827-2016
dc.authorwosidErel, Serap/AAI-2387-2019
dc.authorwosidyılmaz, cem/AAK-2948-2021
dc.authorwosidÇakmak, Güldeniz Karadeniz/L-4890-2019
dc.contributor.authorSezer, Atakan
dc.contributor.authorÇiçin, İrfan
dc.contributor.authorKaradeniz Çakmak, Güldeniz
dc.contributor.authorGürbüz, Mehmet Sabri
dc.contributor.authorBaşaran, Gül
dc.contributor.authorOyan, Başak
dc.contributor.authorGüllüoğlu, Bahadır
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.abstractObjective: Cancer care is excessively influenced by the COVID-19 outbreak for various reasons. One of the major concerns is the tendency for delayed surgical treatment of breast cancer patients. The outbreak has urged clinicians to find alternative treatments until surgery is deemed to be feasible and safe. Here in this paper, we report the results of a consensus procedure which aimed to provide an expert opinion-led guideline for breast cancer management during the COVID-19 outbreak in Turkey. Material and Methods: We used the Delphi method with a 9-scale Likert scale on two rounds of voting from 51 experienced surgeons and medical oncologists who had the necessary skills and experience in breast cancer management. Voting was done electronically in which a questionnaire-formatted form was used. Results: Overall, 46 statements on 28 different case scenarios were voted. In the first round, 37 statements reached a consensus as either endorsement or rejection, nine were put into voting in the second round since they did not reach the necessary decision threshold. At the end of two rounds, for 14 cases scenarios, a statement was endorsed as a recommendation for each.Thirty-two statements for the remaining 14 were rejected. Conclusion:There was a general consensus for administering neoadjuvant systemic therapy in patients with node-negative, small-size triple negative, HER2-positive and luminal A-like tumors until conditions are improved for due surgical treatment. Panelists also reached a consensus to extend the systemic treatment for patients with HER2-positive and luminal B-like tumors who had clinical complete response after neoadjuvant systemic therapy.
dc.identifier.doi10.5578/turkjsurg.4815
dc.identifier.endpage163
dc.identifier.issn2564-6850
dc.identifier.issn2564-7032
dc.identifier.issue2en_US
dc.identifier.pmid33015560
dc.identifier.scopus2-s2.0-85090527715
dc.identifier.scopusqualityN/A
dc.identifier.startpage147
dc.identifier.urihttps://doi.org/10.5578/turkjsurg.4815
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8167
dc.identifier.volume36
dc.identifier.wosWOS:000596036900005
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGürdal, Sibel Özkan
dc.language.isoen
dc.publisherTurkish Surgical Assoc
dc.relation.ispartofTurkish Journal of Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectCOVID-19
dc.subjectbreast cancer
dc.subjectbreast surgery
dc.subjectconsensus
dc.subjectDelphi Technique
dc.titleTurkish national consensus on breast cancer management during temporary state of emergency due to COVID-19 outbreak
dc.typeArticle

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