title: Multidisciplinary management of breast cancer.
abstract: Breast cancer, with an increasing incidence, is the most frequently diagnosed cancer in women worldwide. The treatments proposed, generally a combination of surgery, radiotherapy, chemotherapy, endocrine therapy and/or targeted therapy, are constantly improving, allowing a reduction in the mortality rate, but they are still causing many side effects, not only early but also late, which leads us to consider the post-cancer period as a chronic condition. Side effects, reviewed in this commentary, may affect physical functions, psychological status, social situation, body composition, well-being and quality of life of the patient. In view of the extent of these areas in which side effects of breast cancer and of its treatments can be found, the supportive care offered at the end of treatment need to be multidisciplinary. Different supportive care interventions may be proposed to the patients such as psychological and behavioral interventions, complementary therapies, diet interventions, physical activity/rehabilitation or also physiotherapy interventions for example, all having shown some beneficial effects in the literature. The benefits of these supportive care interventions are thereby already established and they are described in this article, but others studies will be needed to clearly define indications and most optimal modalities of application to reduce side effects and improve quality of life of patients.
authors.affiliation: Department of Sports and Rehabilitation Sciences, Liège University, Allée des Sports 4 - B21, 4000 Liège, Belgium ; Department of Physical Medicine, Liège University Hospital, Avenue de l'Hôpital 1 - CHU B35, 4000 Liège, Belgium.
authors.forename: Anne-France
authors.initials: AF
authors.lastname: Leclerc
authors.affiliation: Division of Medical Oncology, Liège University Hospital, Liège University, Avenue de l'Hôpital 1 - CHU B35, 4000 Liège, Belgium.
authors.forename: Guy
authors.initials: G
authors.lastname: Jerusalem
authors.affiliation: Department of Clinical Hematology, Liège University Hospital, Avenue de l'Hôpital 1 - CHU B35, 4000 Liège, Belgium.
authors.forename: Martine
authors.initials: M
authors.lastname: Devos
authors.affiliation: Department of Sports and Rehabilitation Sciences, Liège University, Allée des Sports 4 - B21, 4000 Liège, Belgium ; Department of Physical Medicine, Liège University Hospital, Avenue de l'Hôpital 1 - CHU B35, 4000 Liège, Belgium.
authors.forename: Jean-Michel
authors.initials: JM
authors.lastname: Crielaard
authors.affiliation: Department of Sports and Rehabilitation Sciences, Liège University, Allée des Sports 4 - B21, 4000 Liège, Belgium ; Department of Physical Medicine, Liège University Hospital, Avenue de l'Hôpital 1 - CHU B35, 4000 Liège, Belgium.
authors.forename: Didier
authors.initials: D
authors.lastname: Maquet
keywords: Breast cancer; Multidisciplinary supportive care; Public health issue; Side effects