Surgeons' Perspectives on Surgery of Breast Cancer in Iran: The Pattern and Determinants

  • سال انتشار: 1394
  • محل انتشار: فصلنامه سرطان پستان، دوره: 2، شماره: 2
  • کد COI اختصاصی: JR_ARCHB-2-2_005
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 323
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نویسندگان

Massoome Najafi

Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran

Mohammadreza Neishaboury

Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran- Kaviani Breast Disease Institute (KBDI), Tehran, Iran

Nazanin Ghafari

Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran

Shahpar Haghighat

Breast Diseases Department, Breast Cancer Research Center, ACECR, Tehran, Iran

Fereydoon Memari

Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran

Ahmad Kaviani

Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran- Kaviani Breast Disease Institute (KBDI), Tehran, Iran

چکیده

Background: The purpose of this study was to assess Iranian surgeons'perceptions toward mastectomy and breast conserving therapy (BCT) anddetermine the contributing factors.Methods: In this cross-sectional study, a structured questionnaire was devisedand hosted on survey.tums.ac.ir and a link to the questionnaire was emailed tosurgeons registered in Iranian Medical Council, branch of Tehran. The results ofthe current study were compared to a similar study which was performed in ۲۰۰۴on a comparable sample of surgeons inTehran, Iran.Results: A total ۱۶۶ surgeons filled out the study questionnaire. Only ۲۴surgeons declared that they have not performed BCT before. Variables thatshowed a significant association with performing BCT were attending a breastsurgery or surgical oncology fellowship (P = ۰.۰۱۰) and breast surgery workshop(P = ۰.۰۴۲). No associations were observed between performance of BCT and agecategory (P = ۰.۹۵۱), gender (P = ۰.۴۱۶), duration of practice (P = ۰.۸۲۱), numberof breast cancer patients per year (P= ۰.۰۸۳), and setting of practice categorized asteaching – nonteaching hospitals (P = ۰.۴۱۷). Comparing the results of the currentstudy with the study performed in ۲۰۰۴ revealed a significant increase in thefrequency of surgeons who performed BCT (۸۵.۵% vs ۱۹.۳%, respectively) (P < ۰.۰۰۱). Participants of the current study were more likely to mention "lack ofexperience" as the reason for not performing BCT compared to the previous study(P= ۰.۰۰۴).Conclusions: Our results delineated that there was a significant increase in thepercentage of surgeons performing BCT compared to the previous study. Factorssignificantly associated with performing BCT were participating in a surgicaloncology or breast surgery fellowship or short courses in breast surgery.

کلیدواژه ها

Breast conserving therapy, surgeon practice, mastectomy, Iran

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