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. 2016 Sep;59(5):358-60.
doi: 10.1503/cjs.000516.

Predicting which patients actually receive radiation following breast conserving therapy in Canadian populations

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Predicting which patients actually receive radiation following breast conserving therapy in Canadian populations

Keegan Guidolin et al. Can J Surg. 2016 Sep.

Abstract

Canadian women with breast cancer may choose breast conserving therapy as their course of treatment, requiring both breast conserving surgery and adjuvant radiation therapy. However, more than 15% of Canadian women fail to receive the appropriate radiation therapy, putting them at increased risk for recurrence. Age, distance from their radiation therapy centre and stage of disease affect patients' likelihood of receiving prescribed radiation therapy. We propose a nomogram that allows physicians to predict which patients will and will not receive radiation. This nomogram, once validated, could be used to guide decision making when choosing between breast conserving therapy and mastectomy as the treatment course and thereby change the practice of breast cancer management.

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Figures

Fig. 1
Fig. 1
Nomogram for calculating the probability that a patient will receive adjuvant radiotherapy (RT).

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References

    1. Fisher B, Jeong J-H, Anderson S, et al. Twenty-five-year follow-up of a randomized trial comparing radical mastectomy, total mastectomy, and total mastectomy followed by irradiation. N Engl J Med. 2002;347:567–75. - PubMed
    1. Vinh-Hung V, Verschraegen C. Breast-conserving surgery with or without radiotherapy: pooled-analysis for risks of ipsilateral breast tumor recurrence and mortality. J Natl Cancer Inst. 2004;96:115–21. - PubMed
    1. Pan IW, Smith BD, Shih YCT. Factors contributing to underuse of radiation among younger women with breast cancer. J Natl Cancer Inst. 2014;106:1–10. - PMC - PubMed
    1. Tuttle TM, Jarosek S, Habermann EB, et al. Omission of radiation therapy after breast-conserving surgery in the United States: a population- based analysis of clinicopathologic factors. Cancer. 2012;118:2004–13. - PubMed
    1. Wheeler SB, Wu Y, Meyer AM, et al. Use and timeliness of radiation therapy after breast-conserving surgery in low-income women with early-stage breast cancer. Cancer Invest. 2012;30:258–67. - PubMed