A cross-sectional study of oncoplastic breast surgery in China
10.12354/j.issn.1000-8179.2024.20240724
- VernacularTitle:中国乳腺肿瘤整形外科发展现况研究
- Author:
Yin ZHUMING
1
;
Zhang QINGYUE
;
Wang YAN
;
Yin JIAN
Author Information
1. 天津医科大学肿瘤医院乳房再造科,国家肿瘤临床医学研究中心,天津乳腺癌防治研究中心,天津市"肿瘤防治"重点实验室,天津市恶性肿瘤临床医学研究中心,乳腺癌防治教育部重点实验室,中俄乳腺肿瘤整形联合研究中心(天津市 300060)
- Keywords:
breast cancer;
oncoplastic surgery;
breast reconstruction;
oncoplastic breast conserving surgery;
cross-sectional study
- From:
Chinese Journal of Clinical Oncology
2024;51(18):950-956
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Over the past decade,China has seen rapid development and significant achievements in the field of oncoplastic breast surgery.To understand our current academic standing and further the high-quality development of oncoplastic breast surgery in China,the Committee of Oncoplastic Surgery and Committee of Integrated Nursing for Breast Reconstruction(COPS and CINBR,respectively),under the China Anti-Cancer Association(CACA),conducted a cross-sectional study in 2023.Methods:The cross-sectional study assessed the current state of technological advancements and decision-making factors among member hospitals of COPS and CINBR within the year 2022 using an electronicquestionnaire.The results were analyzed by χ2 test or Fisher's precision probability test,multiple re-sponse analysis and displayed by Pareto chart.Results:Among the 195 participating hospitals,165 hospitals(84.6%)had performed onco-plastic breast surgery,including 42hospitals(21.5%)which reported an adoption rateof oncoplastic proceduresover 50%.Meanwhile,166 hospitals(85.1%)already introduced the immediate breast reconstruction into their clinical practice,indicating that the popularization of the concepts and techniques in oncoplastic breast surgery had significantly improved.The adoption rates of nipple reconstruction(173/195,88.7%)and revision procedures(167/195,85.6%)were less than 10%,suggesting that low prevalence of those procedures after breast re-construction still require attention.Factors including geographic location(multivariate Logistic regression analysis,P<0.05),hospital grade and size(multivariate Logistic regression analysis,P<0.05),and patient preferences(multiple response analysis:popularity rate>90%,re-sponse rate>30%)significantly influence the adoption of oncoplastic breast surgery and decisions regarding breast conservation or recon-struction.Conclusions:Although increased attention on the oncoplastic breast surgeryhas been paid in China,the prevalence and innova-tion ability of oncoplastic breast surgerystill need further improvement.This research offers crucial evidence-based insightsforfuture policy-making and academic planning by CACA andothergovernmentalagencies.
