Breast cancer "tailored follow-up" in Italian oncology units: a web-based survey.

<h4>Purpose</h4>Breast cancer follow-up procedures after primary treatment are still a controversial issue. Aim of this study was to investigate, through a web-based survey, surveillance methodologies selected by Italian oncologists in everyday clinical practice.<h4>Methods</h4&...

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Autores principales:	Clara Natoli, Davide Brocco, Isabella Sperduti, Antonio Nuzzo, Nicola Tinari, Michele De Tursi, Antonino Grassadonia, Lorenzo Mazzilli, Stefano Iacobelli, Teresa Gamucci, Patrizia Vici, “FOLLOW-UP” Study Group
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c02450518f0f49e2ac8e7e4ce0d70128
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spelling	oai:doaj.org-article:c02450518f0f49e2ac8e7e4ce0d701282021-11-18T08:24:30ZBreast cancer "tailored follow-up" in Italian oncology units: a web-based survey.1932-620310.1371/journal.pone.0094063https://doaj.org/article/c02450518f0f49e2ac8e7e4ce0d701282014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24714591/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Purpose</h4>Breast cancer follow-up procedures after primary treatment are still a controversial issue. Aim of this study was to investigate, through a web-based survey, surveillance methodologies selected by Italian oncologists in everyday clinical practice.<h4>Methods</h4>Referents of Italian medical oncology units were invited to participate to the study via e-mail through the SurveyMonkey website. Participants were asked how, in their institution, exams of disease staging and follow-up are planned in asymptomatic women and if surveillance continues beyond the 5th year.<h4>Results</h4>Between February and May 2013, 125 out of 233 (53.6%) invited referents of Italian medical oncology units agreed to participate in the survey. Ninety-seven (77.6%) referents state that modalities of breast cancer follow-up are planned according to the risk of disease progression at diagnosis and only 12 (9.6%) oncology units apply the minimal follow-up procedures according to international guidelines. Minimal follow-up is never applied in high risk asymptomatic women. Ninety-eight (78.4%) oncology units continue follow-up in all patients beyond 5 years.<h4>Conclusions</h4>Our survey shows that 90.4% of participating Italian oncology units declare they do not apply the minimal breast cancer follow-up procedures after primary treatment in asymptomatic women, as suggested by national and international guidelines. Interestingly, about 80.0% of interviewed referents performs the so called "tailored follow-up", high intensity for high risk, low intensity for low risk patients. There is an urgent need of randomized clinical trials able to determine the effectiveness of risk-based follow-up modalities, their ideal frequency and persistence in time.Clara NatoliDavide BroccoIsabella SperdutiAntonio NuzzoNicola TinariMichele De TursiAntonino GrassadoniaLorenzo MazzilliStefano IacobelliTeresa GamucciPatrizia Vici“FOLLOW-UP” Study GroupPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 4, p e94063 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Clara Natoli Davide Brocco Isabella Sperduti Antonio Nuzzo Nicola Tinari Michele De Tursi Antonino Grassadonia Lorenzo Mazzilli Stefano Iacobelli Teresa Gamucci Patrizia Vici “FOLLOW-UP” Study Group Breast cancer "tailored follow-up" in Italian oncology units: a web-based survey.
description	<h4>Purpose</h4>Breast cancer follow-up procedures after primary treatment are still a controversial issue. Aim of this study was to investigate, through a web-based survey, surveillance methodologies selected by Italian oncologists in everyday clinical practice.<h4>Methods</h4>Referents of Italian medical oncology units were invited to participate to the study via e-mail through the SurveyMonkey website. Participants were asked how, in their institution, exams of disease staging and follow-up are planned in asymptomatic women and if surveillance continues beyond the 5th year.<h4>Results</h4>Between February and May 2013, 125 out of 233 (53.6%) invited referents of Italian medical oncology units agreed to participate in the survey. Ninety-seven (77.6%) referents state that modalities of breast cancer follow-up are planned according to the risk of disease progression at diagnosis and only 12 (9.6%) oncology units apply the minimal follow-up procedures according to international guidelines. Minimal follow-up is never applied in high risk asymptomatic women. Ninety-eight (78.4%) oncology units continue follow-up in all patients beyond 5 years.<h4>Conclusions</h4>Our survey shows that 90.4% of participating Italian oncology units declare they do not apply the minimal breast cancer follow-up procedures after primary treatment in asymptomatic women, as suggested by national and international guidelines. Interestingly, about 80.0% of interviewed referents performs the so called "tailored follow-up", high intensity for high risk, low intensity for low risk patients. There is an urgent need of randomized clinical trials able to determine the effectiveness of risk-based follow-up modalities, their ideal frequency and persistence in time.
format	article
author	Clara Natoli Davide Brocco Isabella Sperduti Antonio Nuzzo Nicola Tinari Michele De Tursi Antonino Grassadonia Lorenzo Mazzilli Stefano Iacobelli Teresa Gamucci Patrizia Vici “FOLLOW-UP” Study Group
author_facet	Clara Natoli Davide Brocco Isabella Sperduti Antonio Nuzzo Nicola Tinari Michele De Tursi Antonino Grassadonia Lorenzo Mazzilli Stefano Iacobelli Teresa Gamucci Patrizia Vici “FOLLOW-UP” Study Group
author_sort	Clara Natoli
title	Breast cancer "tailored follow-up" in Italian oncology units: a web-based survey.
title_short	Breast cancer "tailored follow-up" in Italian oncology units: a web-based survey.
title_full	Breast cancer "tailored follow-up" in Italian oncology units: a web-based survey.
title_fullStr	Breast cancer "tailored follow-up" in Italian oncology units: a web-based survey.
title_full_unstemmed	Breast cancer "tailored follow-up" in Italian oncology units: a web-based survey.
title_sort	breast cancer "tailored follow-up" in italian oncology units: a web-based survey.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/c02450518f0f49e2ac8e7e4ce0d70128
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Breast cancer "tailored follow-up" in Italian oncology units: a web-based survey.

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