Abhishek Chatterjee1, Jennifer Gass2, M Barbara Burke3, Katherine Kopkash4, Mahmoud B El-Tamer5, Dennis R Holmes6, Patricia Clark7, Juliann Reiland8. 1. Tufts Medical Center, Boston, USA. chatterjeeac14@gmail.com. 2. Women and Infants' Hospital, Breast Health Center, Providence, USA. 3. Mercy Health Breast Center, Janesville, USA. 4. University of Southern California, Los Angeles, USA. 5. Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, USA. 6. Los Angeles Center for Women's Health, Los Angeles, USA. 7. Ironwood Cancer and Research Centers, Scottsdale, USA. 8. Avera Medical Group, Sioux Falls, USA.
Abstract
INTRODUCTION: Oncoplastic surgery is emerging as a validated, safe, patient-centric approach to breast cancer surgery in the United States. The American Society of Breast Surgeons Oncoplastic Surgery Committee (ASBrS-OSC) conducted a survey to assess the scope of practice and level of interest in oncoplastic surgery among its members. Furthermore, the group sought to identify barriers to incorporating oncoplastic skills in a surgeon's practice. METHODS: A 10-question survey was administered in March 2017 to the entire ASBrS membership using an online format. Three solicitations were sent. Unique identifiers allowed a single response. RESULTS: Of the 2655 surveys sent out, 708 members responded. Nearly all (99%) respondents had at least some interest in oncoplastic surgery. The current rates of performing nipple-sparing mastectomy, adjacent tissue transfer, and breast reduction with lumpectomy were 80, 60, and 51%, respectively. A minority of respondents reported independently performing breast reductions/mammaplasties (19%) or contralateral symmetrization (10%). Barriers to learning oncoplastic surgery included surgeon's time and access to oncoplastic educational material/courses. Most respondents felt that training courses and videos may allow them to better incorporate oncoplastic techniques in their practices. CONCLUSIONS: The interest in oncoplastic surgery among U.S. surgeons is significant, yet there are barriers to incorporate these surgical techniques into a breast surgeon's practice. As professional organizations provide access to effective training and enduring educational resources, breast surgeons will be enabled to develop their oncoplastic skill set and safely offer these techniques to their patients.
INTRODUCTION: Oncoplastic surgery is emerging as a validated, safe, patient-centric approach to breast cancer surgery in the United States. The American Society of Breast Surgeons Oncoplastic Surgery Committee (ASBrS-OSC) conducted a survey to assess the scope of practice and level of interest in oncoplastic surgery among its members. Furthermore, the group sought to identify barriers to incorporating oncoplastic skills in a surgeon's practice. METHODS: A 10-question survey was administered in March 2017 to the entire ASBrS membership using an online format. Three solicitations were sent. Unique identifiers allowed a single response. RESULTS: Of the 2655 surveys sent out, 708 members responded. Nearly all (99%) respondents had at least some interest in oncoplastic surgery. The current rates of performing nipple-sparing mastectomy, adjacent tissue transfer, and breast reduction with lumpectomy were 80, 60, and 51%, respectively. A minority of respondents reported independently performing breast reductions/mammaplasties (19%) or contralateral symmetrization (10%). Barriers to learning oncoplastic surgery included surgeon's time and access to oncoplastic educational material/courses. Most respondents felt that training courses and videos may allow them to better incorporate oncoplastic techniques in their practices. CONCLUSIONS: The interest in oncoplastic surgery among U.S. surgeons is significant, yet there are barriers to incorporate these surgical techniques into a breast surgeon's practice. As professional organizations provide access to effective training and enduring educational resources, breast surgeons will be enabled to develop their oncoplastic skill set and safely offer these techniques to their patients.
Authors: Louise L Blankensteijn; Dustin T Crystal; Sabine A Egeler; Rens R B Varkevisser; Ahmed M S Ibrahim; Ranjna Sharma; Bernard T Lee; Samuel J Lin Journal: Plast Reconstr Surg Glob Open Date: 2019-05-03
Authors: Michael M Jonczyk; Carla Suzanne Fisher; Russell Babbitt; Jessica K Paulus; Karen M Freund; Brian Czerniecki; Julie A Margenthaler; Albert Losken; Abhishek Chatterjee Journal: Ann Surg Oncol Date: 2021-02-22 Impact factor: 4.339