Recent changes in the surgical management of T1/2 breast cancer in England.
Following the results of a study undertaken in 1985, a second survey was undertaken to examine whether there had been any changes in England in the surgical management of patients with a T1/2/NOMO breast cancer. The major findings were that: (i) there was a significant increase in the number of surgeons who would undertake breast conservation surgery; (ii) there was a significant increase in the number of surgeons who would discuss breast reconstruction where mastectomy was the preferred form of treatment; (iii) that significantly more surgeons would offer the patient a choice of surgery when there was more than one surgical option; and (iv) that significantly more surgeons had access to a breast specialist nurse and/or a cancer counsellor. These changes are consistent with the recommendations of the 1986 King's Fund Consensus' Conference for breast cancer treatment.
Morris
J
J
Centre for Health Economics, University of York, U.K.
Farmer
A
A
Royle
G
G
D000328:Adult; D001291:Attitude of Health Personnel; D001940:Breast / Q000601:surgery*; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D016504:Breast Self-Examination; D003376:Counseling; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty; D008408:Mastectomy; D009367:Neoplasm Staging; D010358:Patient Participation; D011364:Professional Practice