Surgical trends in breast cancer in Turkey: An increase in breast-conserving surgery

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dc.authorid0000-0002-4889-7473en_US
dc.contributor.authorÇakmak, Güldeniz Karadeniz
dc.contributor.authorEmiroğlu, Selman
dc.contributor.authorSezer, Atakan Y.
dc.contributor.authorCantürk, Nuh Zafer
dc.contributor.authorYeniay, Levent
dc.contributor.authorKuru, Bekir
dc.contributor.authorKaranlık, Hasan
dc.contributor.authorSoyder, Aykut
dc.contributor.authorGökgöz, Şehsuvar
dc.contributor.authorSakman, Gürhan
dc.contributor.authorÜçüncü, Muhammed Zübeyr
dc.contributor.authorAkçay, Müfide Nuran
dc.contributor.authorGirgin, Sadullah
dc.contributor.authorGürdal, Sibel Özkan
dc.contributor.authorEmiroğlu, Mustafa
dc.contributor.authorÖzbaş, Serdar Mustafa
dc.contributor.authorÖz, Abdullah Bahadır
dc.contributor.authorArıcı, Cumhur
dc.contributor.authorToktaş, Osman
dc.contributor.authorDemircan, Orhan
dc.contributor.authorÇalık, Adnan
dc.contributor.authorPolat, Ayfer Kamalı
dc.contributor.authorMaralcan, Göktürk
dc.contributor.authorDemirer, Seher D.
dc.contributor.authorÖzmen, Vahit
dc.date.accessioned2021-08-27T06:42:32Z
dc.date.available2021-08-27T06:42:32Z
dc.date.issued2020en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalıen_US
dc.description.abstractPURPOSE Breast 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 METHODS Between 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. RESULTS All 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. CONCLUSION Increasing 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. © 2020 by American Society of Clinical Oncology Creative Commons Attribution Non-Commercial No Derivatives 4.0 Licenseen_US
dc.identifier.citationÇakmak, G. K., Emiroğlu, S., Sezer, A. Y., Cantürk, N. H., Yeniay, L. Kuru, B. ve diğerleri. (2020). Surgical trends in breast cancer in Turkey: An increase in breast-conserving surgery. Journal of Global Oncology, 6, 285-292.en_US
dc.identifier.doi10.1200/JGO.19.00275
dc.identifier.endpage292en_US
dc.identifier.issn2378-9506
dc.identifier.pmid32109157
dc.identifier.scopus2-s2.0-85082945167
dc.identifier.scopusqualityN/A
dc.identifier.startpage285en_US
dc.identifier.urihttps://ascopubs.org/doi/10.1200/JGO.19.00275
dc.identifier.urihttps://hdl.handle.net/11468/7398
dc.identifier.volume6en_US
dc.identifier.wosWOS:000524896400013
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGirgin, Sadullah
dc.language.isoenen_US
dc.publisherAmerican Society of Clinical Oncologyen_US
dc.relation.ispartofJournal of Global Oncology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBlack Seaen_US
dc.subjectBreast Neoplasmsen_US
dc.subjectFemaleen_US
dc.subjectHumansen_US
dc.subjectMastectomyen_US
dc.subjectSegmentalen_US
dc.subjectNeoplasm Recurrenceen_US
dc.subjectLocalen_US
dc.subjectTurkeyen_US
dc.titleSurgical trends in breast cancer in Turkey: An increase in breast-conserving surgeryen_US
dc.titleSurgical trends in breast cancer in Turkey: An increase in breast-conserving surgery
dc.typeArticleen_US

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