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dc.contributor.authorChen, SA
dc.contributor.authorHiley, C
dc.contributor.authorNickleach, D
dc.contributor.authorPetsuksiri, J
dc.contributor.authorAndic, F
dc.contributor.authorRiesterer, O
dc.contributor.authorSwitchenko, JM
dc.contributor.authorTorres, MA
dc.identifier.citationRADIATION ONCOLOGY, 2013, 8
dc.description.abstractPurpose: The goal of this study was to explore the perspectives and practice of radiation oncologists who treat breast cancer patients who have had breast reconstruction. Methods: In 2010, an original electronic survey was sent to all physician members of the American Society of Radiation Oncology, National Cancer Research Institute-Breast Cancer Studies Group in the United Kingdom, Thai Society of Therapeutic Radiology and Oncology, Swiss Society of Radiation Oncology, and Turkish Radiation Oncology Society. We identified factors associated with radiation oncologists who treat breast cancer patients with reconstruction performed prior to radiation and obtained information regarding radiation management of the breast reconstruction. Results: 358 radiation oncologists responded, and 60% of the physicians were from the United States. While 64% of participants agree or strongly agree that breast image affects a woman’s quality of life during radiation, 57% feel that reconstruction challenges their ability to deliver effective breast radiation. Compared with other countries, treatment within the United States was associated with a high reconstruction rate (>/= 50% of mastectomy patients) prior to radiation (p < 0.05). Delayed-immediate reconstruction with a temporary tissue expander was more common in the United States than in other countries (52% vs. 23%, p = 0.01). Among physicians who treat patients with tissue expanders, the majority (60%) prefer a moderately inflated implant with 150-250 cc of fluid rather than a completely deflated (13%) or inflated expander (28%) during radiation. Among radiation oncologists who treat reconstructions, 49% never use bolus and 40% never boost a breast reconstruction. United States physicians were more likely than physicians from other countries to boost or bolus the reconstruction irrespective of the type of reconstruction seen in their clinic patients (p < 0.01). Conclusions: Great variation in practice is evident from our study of radiation treatment for breast cancer patients with reconstruction. Further research on the impact and delivery of radiation to a reconstructed breast may validate some of the observed practices, highlight the variability in treatment practice, and help create a treatment consensus.
dc.titleBreast reconstruction and post-mastectomy radiation practice
dc.typeJournal Article
rioxxterms.typeJournal Article/Review
dc.relation.isPartOfRADIATION ONCOLOGY
pubs.notesaffiliation: Torres, MA (Reprint Author), Emory Univ, Dept Radiat Oncol, Winship Canc Inst, 1365 Clifton Rd NE,Rm 1307-A, Atlanta, GA 30322 USA. Chen, Susie A., Univ Texas SW Med Ctr Dallas, Dept Radiat Oncol, Dallas, TX 75390 USA. Hiley, Crispin, Inst Canc Res, Sutton, Surrey, England. Hiley, Crispin, Royal Marsden Natl Hlth Serv Fdn Trust, Sutton, Surrey, England. Nickleach, Dana; Switchenko, Jeffrey M., Emory Univ, Winship Canc Inst, Atlanta, GA 30322 USA. Petsuksiri, Janjira, Mahidol Univ, Radiat Oncol Div, Dept Radiol, Fac Med,Siriraj Hosp, Bangkok 10700, Thailand. Andic, Fundagul, Cukurova Univ, Dept Radiat Oncol, Sch Med, Adana, Turkey. Andic, Fundagul, Cukurova Univ, Balcali Hastanesi, AD 01330, Adana, Turkey. Riesterer, Oliver, Univ Zurich Hosp, Dept Radiat Oncol, CH-8091 Zurich, Switzerland. Torres, Mylin A., Emory Univ, Dept Radiat Oncol, Winship Canc Inst, Atlanta, GA 30322 USA. article-number: 45 keywords: Breast reconstruction; Post mastectomy radiation; Breast cancer; Survey keywords-plus: POSTOPERATIVE RADIOTHERAPY; PREMENOPAUSAL WOMEN; NORTH-AMERICA; CANCER; COMPLICATIONS; CHEMOTHERAPY; IMPACT; ONCOLOGISTS; MASTECTOMY; EXPANDERS research-areas: Oncology; Radiology, Nuclear Medicine & Medical Imaging web-of-science-categories: Oncology; Radiology, Nuclear Medicine & Medical Imaging author-email: [email protected] researcherid-numbers: Andic, Fundagul/F-4577-2018 orcid-numbers: Andic, Fundagul/0000-0003-0943-6284 number-of-cited-references: 22 times-cited: 19 usage-count-last-180-days: 1 usage-count-since-2013: 15 journal-iso: Radiat. Oncol. doc-delivery-number: 109FB unique-id: ISI:000316350500001 oa: gold da: 2018-07-23
pubs.notesNot known
pubs.embargo.termsNot known
dc.contributor.icrauthorHiley, Crispinen

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