title: [Impact of the new guidelines for adjuvant systemic treatment of breast cancer at hospital level].
abstract: Recently, the Dutch Society for Medical Oncology published new consensus guidelines for the use of adjuvant systemic treatment in patients with operable breast cancer. We used data of the cancer registry of the Comprehensive Cancer Centre South to predict the change in the number of patients who will be candidates for systemic treatment according to these new guidelines. It was estimated that of all patients with operable breast cancer, 15% should receive chemotherapy, 27% hormonal therapy and 17% a combination of both modalities. Of the patients with negative axillary lymph nodes, one-third will receive adjuvant systemic treatment. Compared with the previous guidelines, the introduction of the new guidelines will cause a 50% increase in the number of patients receiving adjuvant systemic treatment in Dutch hospitals.
authors.affiliation: Integraal Kankercentrum Zuid, AE Eindhoven. a.voogd@ikz.nl
authors.forename: A C
authors.initials: AC
authors.lastname: Voogd
authors.forename: W J
authors.initials: WJ
authors.lastname: Louwman
authors.forename: J W
authors.initials: JW
authors.lastname: Coebergh
authors.forename: G
authors.initials: G
authors.lastname: Vreugdenhil
mesh_terms: D001943:Breast Neoplasms / Q000188:drug therapy* / Q000191:economics; D017024:Chemotherapy, Adjuvant / Q000191:economics / Q000592:standards / Q000706:statistics & numerical data; D004469:Economics, Hospital / Q000639:trends*; D005260:Female; D005544:Forecasting; D006301:Health Services Needs and Demand / Q000191:economics / Q000639:trends; D006801:Humans; D009426:Netherlands; D017410:Practice Guidelines as Topic / Q000592:standards*; D016019:Survival Analysis