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

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dc.authoridKamali Polat, Ayfer/0000-0001-6414-9435
dc.authoridOzbas, Serdar/0000-0002-8019-8015
dc.authoriducuncu, Muhammed zubeyr/0000-0003-4638-1059
dc.authoridYENIAY, LEVENT/0000-0001-5790-798X
dc.authoridOzmen, Vahit/0000-0003-2973-8247
dc.authoridCAKMAK, Guldeniz KARADENIZ/0000-0001-5802-4441
dc.authorwosidSoyder, Aykut/AAE-1969-2022
dc.authorwosidKamali Polat, Ayfer/ADE-4664-2022
dc.authorwosidEmiroglu, Selman/ABC-2610-2021
dc.authorwosidGurdal, Sibel Ozkan/ABA-3882-2020
dc.authorwosidOzbas, Serdar/ABI-5204-2020
dc.authorwosiducuncu, Muhammed zubeyr/B-3397-2018
dc.authorwosidCanturk, Nuh Zafer/AAS-3915-2020
dc.contributor.authorCakmak, Gueldeniz Karadeniz
dc.contributor.authorEmiroglu, Selman
dc.contributor.authorSezer, Atakan
dc.contributor.authorCanturk, Nuh Zafer
dc.contributor.authorYeniay, Levent
dc.contributor.authorKuru, Bekir
dc.contributor.authorKaranlik, Hasan
dc.date.accessioned2024-06-12T11:18:58Z
dc.date.available2024-06-12T11:18:58Z
dc.date.issued2020
dc.departmentTrakya Üniversitesien_US
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.en_US
dc.identifier.doi10.1200/JGO.19.00275
dc.identifier.endpage292en_US
dc.identifier.issn2687-8941
dc.identifier.pmid32109157en_US
dc.identifier.scopus2-s2.0-85082945167en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage285en_US
dc.identifier.urihttps://doi.org/10.1200/JGO.19.00275
dc.identifier.urihttps://hdl.handle.net/20.500.14551/25022
dc.identifier.volume6en_US
dc.identifier.wosWOS:000524896400013en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJco Global Oncologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGeographic-Variationen_US
dc.subjectSentinel Nodeen_US
dc.subjectMastectomyen_US
dc.subjectWomenen_US
dc.titleSurgical Trends in Breast Cancer in Turkey: An Increase in Breast-Conserving Surgeryen_US
dc.typeArticleen_US

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