The quality of early-stage breast cancer treatment: what can we do to improve?
The quality of early-stage breast cancer treatment: what can we do to improve?
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DOI：
10.1016/j.soc.2004.07.008
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发表时间：
2005-01-01
影响因子：
1.9
通讯作者：
Guth, Amber A
中科院分区：
文献类型：
--
作者：
Bickell, Nina A;Mendez, Jane;Guth, Amber A
早期乳腺癌是一种高度可治愈的疾病，具有完善的方案，包括手术以及区域放射治疗、化疗和激素治疗的辅助方式。然而，有明确的证据表明，这些辅助治疗方式明显未得到充分利用。本文综述了支持在早期乳腺癌中使用有效的局部和全身治疗的证据，未充分使用的原因，以及已被证明有效确保提供适当乳腺癌护理的干预措施，并提出了提高乳腺癌护理质量的策略。
Early-stage breast cancer is a highly curable disease with well-established protocols, including surgery, and the adjuvant modalities of regional radiation therapy, chemotherapy, and hormonal therapy. Yet, there is clear evidence that these adjuvant modalities are underused significantly. This article reviews the evidence that supports the use of efficacious local and systemic therapies in early-stage breast cancer, reasons for underuse, and interventions that have proven to be effective in ensuring the delivery of appropriate breast cancer care and suggests strategies to improve the quality of breast cancer care.