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Ductal carcinoma in situ: a brief review of treatment variation and impacts on patients and society

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Ductal carcinoma in situ: a brief review of treatment variation and impacts on patients and society

Auteurs : Christine M. Vatovec ; Mujde Z. Erten ; Jane Kolodinsky ; Phil Brown ; Marie Wood ; Ted James ; Brian L. Sprague

Source :

Critical reviews in eukaryotic gene expression [ 1045-4403 ] ; 2014.

RBID : PMC:4372113

Abstract

Nearly 20% of all breast cancer cases are ductal carcinoma in situ (DCIS), with over 60,000 cases diagnosed each year. Many of these cases would never cause clinical symptoms or threaten the life of the woman; however, it is currently impossible to distinguish which lesions will progress to invasive disease from those that will not. DCIS is generally associated with an excellent prognosis regardless of treatment pathway, but there is variation in treatment aggressiveness that appears to exceed the medical uncertainty associated with DCIS management. Therefore, it would seem that a significant proportion of women with DCIS receive more extensive treatment than is needed. This overtreatment of DCIS is a growing concern among the breast cancer community and has implications for both the patient (via adverse treatment-related effects, as well as out-of-pocket costs) and society (via economic costs and the public health and environmental harms resulting from healthcare delivery). This paper discusses DCIS treatment pathways and their implications for patients and society, and calls for further research to examine the factors that are leading to such wide variation in treatment decisions.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4372113

PubMed: 25403959
PubMed Central: 4372113

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PMC:4372113

Le document en format XML

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<author><name sortKey="Erten, Mujde Z" sort="Erten, Mujde Z" uniqKey="Erten M" first="Mujde Z." last="Erten">Mujde Z. Erten</name>
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<author><name sortKey="Kolodinsky, Jane" sort="Kolodinsky, Jane" uniqKey="Kolodinsky J" first="Jane" last="Kolodinsky">Jane Kolodinsky</name>
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<author><name sortKey="Brown, Phil" sort="Brown, Phil" uniqKey="Brown P" first="Phil" last="Brown">Phil Brown</name>
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<author><name sortKey="Wood, Marie" sort="Wood, Marie" uniqKey="Wood M" first="Marie" last="Wood">Marie Wood</name>
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<author><name sortKey="James, Ted" sort="James, Ted" uniqKey="James T" first="Ted" last="James">Ted James</name>
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<author><name sortKey="Sprague, Brian L" sort="Sprague, Brian L" uniqKey="Sprague B" first="Brian L." last="Sprague">Brian L. Sprague</name>
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<front><div type="abstract" xml:lang="en"><p id="P1">Nearly 20% of all breast cancer cases are ductal carcinoma in situ (DCIS), with over 60,000 cases diagnosed each year. Many of these cases would never cause clinical symptoms or threaten the life of the woman; however, it is currently impossible to distinguish which lesions will progress to invasive disease from those that will not. DCIS is generally associated with an excellent prognosis regardless of treatment pathway, but there is variation in treatment aggressiveness that appears to exceed the medical uncertainty associated with DCIS management. Therefore, it would seem that a significant proportion of women with DCIS receive more extensive treatment than is needed. This overtreatment of DCIS is a growing concern among the breast cancer community and has implications for both the patient (via adverse treatment-related effects, as well as out-of-pocket costs) and society (via economic costs and the public health and environmental harms resulting from healthcare delivery). This paper discusses DCIS treatment pathways and their implications for patients and society, and calls for further research to examine the factors that are leading to such wide variation in treatment decisions.</p>
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Ductal carcinoma in situ: a brief review of treatment variation and impacts on patients and society

Ductal carcinoma in situ: a brief review of treatment variation and impacts on patients and society

Source :

Abstract

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Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki