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  1. Article ; Online: Development of a Web-Based Oxygenation Dashboard for Preterm Neonates: A Quality Improvement Initiative.

    Poppe, J A / Smorenburg, R S / Goos, T G / Taal, H R / Reiss, I K M / Simons, S H P

    Journal of medical systems

    2024  Volume 48, Issue 1, Page(s) 46

    Abstract: Background: Preterm neonates are extensively monitored to require strict oxygen target attainment for optimal outcomes. In daily practice, detailed oxygenation data are hardly used and crucial patterns may be missed due to the snapshot presentations and ...

    Abstract Background: Preterm neonates are extensively monitored to require strict oxygen target attainment for optimal outcomes. In daily practice, detailed oxygenation data are hardly used and crucial patterns may be missed due to the snapshot presentations and subjective observations. This study aimed to develop a web-based dashboard with both detailed and summarized oxygenation data in real-time and to test its feasibility to support clinical decision making.
    Methods: Data from pulse oximeters and ventilators were synchronized and stored to enable real-time and retrospective trend visualizations in a web-based viewer. The dashboard was designed based on interviews with clinicians. A preliminary version was evaluated during daily clinical rounds. The routine evaluation of the respiratory condition of neonates (gestational age < 32 weeks) with respiratory support at the NICU was compared to an assessment with the assistance of the dashboard.
    Results: The web-based dashboard included data on the oxygen saturation (SpO
    Conclusions: A web-based customized oxygenation dashboard for preterm neonates at the NICU was developed and found feasible during evaluation. More clear and objective information was found supportive for clinicians during the daily rounds in tailoring treatment strategies.
    MeSH term(s) Humans ; Infant, Newborn ; Infant, Premature ; Quality Improvement/organization & administration ; Oximetry/methods ; Internet ; Oxygen Saturation ; Intensive Care Units, Neonatal ; Monitoring, Physiologic/methods
    Language English
    Publishing date 2024-04-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 423488-1
    ISSN 1573-689X ; 0148-5598
    ISSN (online) 1573-689X
    ISSN 0148-5598
    DOI 10.1007/s10916-024-02064-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: The impact of health symptoms on health-related quality of life in early-stage breast cancer survivors.

    de Ligt, K M / Heins, M / Verloop, J / Ezendam, N P M / Smorenburg, C H / Korevaar, J C / Siesling, S

    Breast cancer research and treatment

    2019  Volume 178, Issue 3, Page(s) 703–711

    Abstract: Purpose: In breast cancer patients, treatment-related health symptoms can occur that may affect their health-related quality of life (HRQoL). This study aimed to determine the impact of health symptoms on HRQoL in breast cancer patients up to 5 years ... ...

    Abstract Purpose: In breast cancer patients, treatment-related health symptoms can occur that may affect their health-related quality of life (HRQoL). This study aimed to determine the impact of health symptoms on HRQoL in breast cancer patients up to 5 years after diagnosis.
    Methods: Females surgically treated for early-stage breast cancer diagnosed between 2012 and 2016 (n = 876) were selected from the Netherlands Cancer Registry and invited for a survey about current health symptoms ('Symptoms and Perceptions questionnaire', SaP) and HRQoL ('EORTC-QLQ-C30'). From the latter, functioning and global health were included. Mean scores were compared to norm population scores (T test). Multivariable linear regression analyses were performed to determine the association between health symptoms and global health and functioning.
    Results: 404 patients (46%) responded. The median age was 62.2 ± 10.9 years. Respondents had significantly lower mean scores for role, cognitive, emotional, and social functioning than the general population. The most frequently reported health symptoms were musculoskeletal (including pain/complaints in lower/upper extremities/back/neck; 71%) and central nervous system symptoms (including concentration impairment, dizziness, neuralgia; 66%), and fatigue (63%). While most symptoms affected functioning, irrespective of time since diagnosis, especially fatigue, musculoskeletal, central nervous system, and gastrointestinal symptoms were significantly associated (p < 0.05) with lower functioning.
    Conclusions: The majority of health symptoms that occur after breast cancer treatment were associated with lower functioning of patients in daily life. This paper urges healthcare providers to support breast cancer patients in alleviating or coping with health symptoms, even years after end of treatment, to improve their functioning.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Breast Neoplasms/pathology ; Breast Neoplasms/physiopathology ; Breast Neoplasms/psychology ; Breast Neoplasms/therapy ; Cancer Survivors/psychology ; Cancer Survivors/statistics & numerical data ; Cross-Sectional Studies ; Female ; Health Status ; Health Surveys ; Humans ; Middle Aged ; Netherlands/epidemiology ; Quality of Life ; Registries ; Survivorship
    Language English
    Publishing date 2019-09-11
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 604563-7
    ISSN 1573-7217 ; 0167-6806
    ISSN (online) 1573-7217
    ISSN 0167-6806
    DOI 10.1007/s10549-019-05433-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Patient-reported health problems and healthcare use after treatment for early-stage breast cancer.

    de Ligt, K M / Heins, M / Verloop, J / Smorenburg, C H / Korevaar, J C / Siesling, S

    Breast (Edinburgh, Scotland)

    2019  Volume 46, Page(s) 4–11

    Abstract: Background: A clear picture of treatment-related health problems following breast cancer treatment is useful in anticipating the informational and other needs of patients during follow-up. This study aimed to identify treatment-related health problems ... ...

    Abstract Background: A clear picture of treatment-related health problems following breast cancer treatment is useful in anticipating the informational and other needs of patients during follow-up. This study aimed to identify treatment-related health problems in breast cancer patients up to five years after diagnosis. Secondly, the use of care associated with these health problems was identified.
    Methods: 876 surgically-treated female patients diagnosed between 2012 and 2016 with early-stage breast cancer were asked to complete an online survey about their current health problems and use of care. Multivariate logistic regression analyses were applied to determine the effect of patient and treatment characteristics on health problems.
    Results: 404 patients responded (46%). The median age was 62.0 years (SD:10.9). Apart from breast surgery, patients had been treated with radiotherapy (72%), chemotherapy (49%), anti-hormonal therapy (57%), and axillary dissection (21%). Ninety-three percent experienced one or more health problems. Over 50% of respondents experienced fatigue, psychological problems, and health problems regarding the breast, and/or musculoskeletal, central nervous, and reproductive system. Treatment with chemotherapy was significantly associated (p < 0.05) with an increased risk of health problems, respectively fatigue (OR:2.00), respiratory (OR:1.81), gastrointestinal (OR:1.87), central nervous (OR:3.40), and skin problems (OR:2.62). Use of healthcare for one or more health problems was reported by 64% of respondents.
    Discussion: Almost all patients experienced health problems up to five years after breast cancer diagnosis, with a range of complaints that were consistently present over time. Factors associated with the development of health problems are useful for better informing patients beforehand and targeting follow-up care.
    MeSH term(s) Adult ; Aged ; Breast Neoplasms/therapy ; Cancer Survivors/statistics & numerical data ; Facilities and Services Utilization/statistics & numerical data ; Female ; Humans ; Mastectomy/adverse effects ; Middle Aged ; Patient Acceptance of Health Care/statistics & numerical data ; Patient Reported Outcome Measures ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Period
    Language English
    Publishing date 2019-04-04
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1143210-x
    ISSN 1532-3080 ; 0960-9776
    ISSN (online) 1532-3080
    ISSN 0960-9776
    DOI 10.1016/j.breast.2019.03.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The effect of trastuzumab on cardiac function in patients with HER2-positive metastatic breast cancer and reduced baseline left ventricular ejection fraction.

    Bouwer, Nathalie I / Steenbruggen, Tessa G / Rier, Hánah N / Kitzen, Jos J E M / Smorenburg, Carolien H / van Bekkum, Marlies L / de Jong, Paul C / Drooger, Jan C / Holterhues, Cynthia / Kofflard, Marcel J M / Boersma, Eric / Sonke, Gabe S / Levin, Mark-David / Jager, Agnes

    International journal of cancer

    2022  Volume 151, Issue 4, Page(s) 616–622

    Abstract: We investigated the effect of trastuzumab on cardiac function in a real-world historic cohort of patients with HER2-positive metastatic breast cancer (MBC) with reduced baseline left ventricular ejection fraction (LVEF). Thirty-seven patients with HER2- ... ...

    Abstract We investigated the effect of trastuzumab on cardiac function in a real-world historic cohort of patients with HER2-positive metastatic breast cancer (MBC) with reduced baseline left ventricular ejection fraction (LVEF). Thirty-seven patients with HER2-positive MBC and baseline LVEF of 40% to 49% were included. Median LVEF was 46% (interquartile range [IQR] 44%-48%) and median follow-up was 18 months (IQR 9-34 months). During this period, the LVEF did not worsen in 24/37 (65%) patients, while 13/37 (35%) patients developed severe cardiotoxicity defined as LVEF <40% with median time to severe cardiotoxicity of 7 months (IQR 4-10 months) after beginning trastuzumab. Severe cardiotoxicity was reversible (defined as LVEF increase to a value <5%-points below baseline value) in 7/13 (54%) patients, partly reversible (defined as absolute LVEF increase ≥10%-points from nadir to a value >5%-points below baseline) in 3/13 (23%) patients and irreversible (defined as absolute LVEF increase <10%-points from nadir and to a value >5%-points below baseline) in 3/13 (23%) patients. Likelihood of reversibility was numerically higher in patients who received cardio-protective medications (CPM), including ACE-inhibitors, beta-blockers and angiotensine-2 inhibitors, compared to those who did not receive any CPM (71% vs 13%, P = .091). Sixty-five percent of patients who received trastuzumab for HER2-positive MBC did not develop severe cardiotoxicity during a median follow-up of 18 months, despite having a compromised baseline LVEF. If severe cardiotoxicity occurred, it was at least partly reversible in more than two-thirds of the cases. Risks and benefits of trastuzumab use should be balanced carefully in this vulnerable population.
    MeSH term(s) Breast Neoplasms/pathology ; Cardiotoxicity/drug therapy ; Cardiotoxicity/epidemiology ; Cardiotoxicity/etiology ; Female ; Humans ; Neoplasms, Second Primary/chemically induced ; Receptor, ErbB-2 ; Stroke Volume ; Trastuzumab/adverse effects ; Ventricular Function, Left
    Chemical Substances Receptor, ErbB-2 (EC 2.7.10.1) ; Trastuzumab (P188ANX8CK)
    Language English
    Publishing date 2022-04-27
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 218257-9
    ISSN 1097-0215 ; 0020-7136
    ISSN (online) 1097-0215
    ISSN 0020-7136
    DOI 10.1002/ijc.34024
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Inhibition of angiogenesis with heparin?

    Smorenburg, S M

    Haemostasis

    2001  Volume 31 Suppl 1, Page(s) 25–29

    MeSH term(s) Animals ; Antineoplastic Agents/therapeutic use ; Cells, Cultured ; Endothelium, Vascular/drug effects ; Endothelium, Vascular/growth & development ; Heparin/metabolism ; Heparin/therapeutic use ; Humans ; Mice ; Neoplasms, Experimental/therapy ; Neovascularization, Pathologic/prevention & control
    Chemical Substances Antineoplastic Agents ; Heparin (9005-49-6)
    Language English
    Publishing date 2001-10-25
    Publishing country Switzerland
    Document type Lecture
    ZDB-ID 185252-8
    ISSN 1423-0038 ; 0301-0147
    ISSN (online) 1423-0038
    ISSN 0301-0147
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Chromatic aberrations correction of attosecond high-order harmonic beams by flat-top spatial shaping of the fundamental beam

    K Veyrinas / M Plach / J Peschel / M Hoflund / F Catoire / C Valentin / P Smorenburg / H Dacasa / S Maclot / C Guo / H Wikmark / A Zaïr / V Strelkov / C Picot / C Arnold / P Eng-Johnsson / A L’Huillier / E Mével / E Constant

    New Journal of Physics, Vol 25, Iss 2, p

    2023  Volume 023017

    Abstract: Attosecond pulses created by high-order harmonic generation in gases often exhibit strong chromatic aberrations, arising from the broad bandwidth and wavelength-dependent nonlinear light–matter interaction. When the driving laser intensity varies ... ...

    Abstract Attosecond pulses created by high-order harmonic generation in gases often exhibit strong chromatic aberrations, arising from the broad bandwidth and wavelength-dependent nonlinear light–matter interaction. When the driving laser intensity varies spatially, as for Gaussian driving beams, the apparent source position of the harmonics differs significantly from one order to the next, thus affecting the achievable intensity and duration of the attosecond pulses when they are focused on a target. We show that these chromatic aberrations can be reduced by spatially shaping the fundamental beam to generate high-order harmonics with a driver having a flat-top profile inside the gas medium. By measuring both the intensity profile and wavefront for each harmonic in a plane, we access the extreme ultra-violet (XUV) beam properties and investigate these properties near focus. We observe that controlling chromatic aberrations by flat-top spatial shaping strongly reduces the variation of the XUV spectrum on the beam axis during propagation and, in return, the longitudinal sensitivity of both the temporal profiles and the temporal shifts of the focused attosecond pulses.
    Keywords attosecond pulses ; high-order harmonics ; chromatic aberration ; flat-top ; spatial shaping ; Science ; Q ; Physics ; QC1-999
    Subject code 535
    Language English
    Publishing date 2023-01-01T00:00:00Z
    Publisher IOP Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Current decisions on neoadjuvant chemotherapy for early breast cancer: Experts' experiences in the Netherlands.

    Spronk, P E R / de Ligt, K M / van Bommel, A C M / Siesling, S / Smorenburg, C H / Vrancken Peeters, M T F D

    Patient education and counseling

    2018  Volume 101, Issue 12, Page(s) 2111–2115

    Abstract: Purpose: To evaluate the opinion of surgical and medical oncologists on neoadjuvant chemotherapy (NAC) for early breast cancer.: Methods: Surgical and medical oncologists (N = 292) participating in breast cancer care in the Netherlands were invited ... ...

    Abstract Purpose: To evaluate the opinion of surgical and medical oncologists on neoadjuvant chemotherapy (NAC) for early breast cancer.
    Methods: Surgical and medical oncologists (N = 292) participating in breast cancer care in the Netherlands were invited for a 20-question survey on the influence of patient, disease, and management related factors on their decisions towards NAC.
    Results: A total of 138 surgical and medical oncologists from 64 out of 89 different Dutch hospitals completed the survey. NAC was recommended for locally advanced breast cancer (94%) and for downstaging to enable breast conserving surgery (BCS) (75%). Despite willingness to downstage, 64% of clinicians routinely recommended NAC when systemic therapy was indicated preoperatively. Reported reasons to refrain from NAC are comorbidities (68%), age >70 years (52%), and WHO-performance status ≥2 (93%). Opinions on NAC and surgical management were inconclusive; while 75% recommends NAC to enable BCS, some stated that BCS after NAC increases the risk of a non-radical resection (21%), surgical complications (9%) and recurrence of disease (5%).
    Conclusion: This article emphasizes the need for more consensus among specialists on the indications for NAC in early BC patients. Unambiguous and evidence-based treatment information could improve doctor-patient communication, supporting the patient in chemotherapy timing decision-making.
    MeSH term(s) Antineoplastic Agents/administration & dosage ; Breast Neoplasms/drug therapy ; Breast Neoplasms/pathology ; Breast Neoplasms/surgery ; Chemotherapy, Adjuvant/methods ; Decision Making ; Female ; Health Care Surveys ; Humans ; Middle Aged ; Neoadjuvant Therapy/methods ; Netherlands ; Oncologists ; Treatment Outcome
    Chemical Substances Antineoplastic Agents
    Language English
    Publishing date 2018-07-18
    Publishing country Ireland
    Document type Evaluation Studies ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 605590-4
    ISSN 1873-5134 ; 0738-3991
    ISSN (online) 1873-5134
    ISSN 0738-3991
    DOI 10.1016/j.pec.2018.07.012
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Patients' experiences with decisions on timing of chemotherapy for breast cancer.

    de Ligt, K M / Spronk, P E R / van Bommel, A C M / Vrancken Peeters, M T F D / Siesling, S / Smorenburg, C H

    Breast (Edinburgh, Scotland)

    2018  Volume 37, Page(s) 99–106

    Abstract: Introduction: Despite potential advantages, application of chemotherapy in the neo-adjuvant (NAC) instead of adjuvant (AC) setting for breast cancer (BC) patients varies among hospitals. The aim of this study was to gain insight in patients' experiences ...

    Abstract Introduction: Despite potential advantages, application of chemotherapy in the neo-adjuvant (NAC) instead of adjuvant (AC) setting for breast cancer (BC) patients varies among hospitals. The aim of this study was to gain insight in patients' experiences with decisions on the timing of chemotherapy for stage II and III BC.
    Materials and methods: A 35-item online questionnaire was distributed among female patients (age>18) treated with either NAC or AC for clinical stage II/III invasive BC in 2013-2014 in the Netherlands. Outcome measures were the experienced exchange of information on the possible choice between both options and patients' involvement in the final decision on chemotherapy timing. Chemotherapy treatment experience was measured with the Cancer Therapy Satisfaction Questionnaire (CTSQ).
    Results: Of 805 invited patients, 49% responded (179 NAC, 215 AC). NAC-treated patients were younger and more often treated in teaching/academic hospitals and high-volume hospitals. Information on the possibility of NAC was given to a minority of AC-treated patients (AC, stage II:14%, stage III: 31%). Information on pros and cons of both NAC and AC was rated sufficient in about three fourth of respondents. Respondents not always felt having a choice in the timing of chemotherapy (stage II: 54% NAC vs 36% AC; stage III: 26% NAC, 54% AC).
    Conclusion: The need to make a treatment decision on NAC was found to be made explicit in only a small number of adjuvant treated patients, in particular in BC stage II. Less than half of the respondents felt they had a real choice.
    MeSH term(s) Adult ; Breast Neoplasms/drug therapy ; Breast Neoplasms/pathology ; Chemotherapy, Adjuvant/adverse effects ; Clinical Decision-Making ; Female ; Humans ; Middle Aged ; Neoadjuvant Therapy/adverse effects ; Neoplasm Invasiveness ; Neoplasm Staging ; Patient Education as Topic ; Patient Participation ; Patient Preference ; Surveys and Questionnaires ; Time Factors
    Language English
    Publishing date 2018-02
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1143210-x
    ISSN 1532-3080 ; 0960-9776
    ISSN (online) 1532-3080
    ISSN 0960-9776
    DOI 10.1016/j.breast.2017.10.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: The daily updated Dutch national database on COVID-19 epidemiology, vaccination and sewage surveillance.

    Geubbels, E L P E / Backer, J A / Bakhshi-Raiez, F / van der Beek, R F H J / van Benthem, B H B / van den Boogaard, J / Broekman, E H / Dongelmans, D A / Eggink, D / van Gaalen, R D / van Gageldonk, A / Hahné, S / Hajji, K / Hofhuis, A / van Hoek, A J / Kooijman, M N / Kroneman, A / Lodder, W / van Rooijen, M /
    Roorda, W / Smorenburg, N / Zwagemaker, F / de Keizer, N F / van Walle, I / de Roda Husman, A M / Ruijs, C / van den Hof, S

    Scientific data

    2023  Volume 10, Issue 1, Page(s) 469

    Abstract: The Dutch national open database on COVID-19 has been incrementally expanded since its start on 30 April 2020 and now includes datasets on symptoms, tests performed, individual-level positive cases and deaths, cases and deaths among vulnerable ... ...

    Abstract The Dutch national open database on COVID-19 has been incrementally expanded since its start on 30 April 2020 and now includes datasets on symptoms, tests performed, individual-level positive cases and deaths, cases and deaths among vulnerable populations, settings of transmission, hospital and ICU admissions, SARS-CoV-2 variants, viral loads in sewage, vaccinations and the effective reproduction number. This data is collected by municipal health services, laboratories, hospitals, sewage treatment plants, vaccination providers and citizens and is cleaned, analysed and published, mostly daily, by the National Institute for Public Health and the Environment (RIVM) in the Netherlands, using automated scripts. Because these datasets cover the key aspects of the pandemic and are available at detailed geographical level, they are essential to gain a thorough understanding of the past and current COVID-19 epidemiology in the Netherlands. Future purposes of these datasets include country-level comparative analysis on the effect of non-pharmaceutical interventions against COVID-19 in different contexts, such as different cultural values or levels of socio-economic disparity, and studies on COVID-19 and weather factors.
    MeSH term(s) Humans ; COVID-19/epidemiology ; COVID-19/prevention & control ; SARS-CoV-2 ; Sewage ; Vaccination ; Wastewater-Based Epidemiological Monitoring ; Netherlands
    Chemical Substances Sewage
    Language English
    Publishing date 2023-07-20
    Publishing country England
    Document type Dataset ; Journal Article
    ZDB-ID 2775191-0
    ISSN 2052-4463 ; 2052-4463
    ISSN (online) 2052-4463
    ISSN 2052-4463
    DOI 10.1038/s41597-023-02232-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Breast-Contour-Preserving Procedure as a Multidisciplinary Parameter of Esthetic Outcome in Breast Cancer Treatment in The Netherlands.

    van Bommel, Annnelotte / Spronk, Pauline / Mureau, Marc / Siesling, Sabine / Smorenburg, Carolien / Tollenaar, Rob / Vrancken Peeters, Marie-Jeanne / van Dalen, Thijs

    Annals of surgical oncology

    2019  Volume 26, Issue 6, Page(s) 1704–1711

    Abstract: Background: The rate of breast-conserving surgery (BCS) is used as an esthetic outcome parameter, while other treatments contribute also, such as neoadjuvant chemotherapy (NAC) enabling BCS or immediate breast reconstruction (IBR). This study explores ... ...

    Abstract Background: The rate of breast-conserving surgery (BCS) is used as an esthetic outcome parameter, while other treatments contribute also, such as neoadjuvant chemotherapy (NAC) enabling BCS or immediate breast reconstruction (IBR). This study explores these efforts to preserve the patient's breast contour.
    Patients and methods: All patients who underwent surgery for invasive breast cancer in The Netherlands between January 2011 and December 2015 were selected from the Dutch national breast cancer audit (n = 61,309). The breast-contour-preserving procedures (BCPP) rate was defined as the rate of primary BCS, BCS after NAC, or mastectomy with IBR. BCPP rates were calculated and compared by year of diagnosis, age categories, and individual hospitals.
    Results: The rate of primary BCS remained stable (53%) while the BCPP rate increased from 63% in 2011 to 71% in 2015 due to an increase in patients receiving BCS after NAC and mastectomy with IBR. Primary BCS rates increased with age (from 17% in patients aged < 30 years to 63% in patients aged 60-69 years), while the proportion of patients undergoing mastectomy with IBR decreased from 44% in patients < 30 years to 1% in patients ≥ 70 years. The BCPP rate was similar for all age groups except for patients > 70 years. BCPP rates varied between the different hospitals in The Netherlands, ranging from 47 to 88%.
    Conclusions: The chance of preserving the breast contour for patients with breast cancer has increased substantially over recent years. BCPP provides a comprehensive parameter of esthetic outcome of breast cancer surgery.
    MeSH term(s) Adult ; Aged ; Breast Neoplasms/pathology ; Breast Neoplasms/surgery ; Carcinoma, Ductal, Breast/pathology ; Carcinoma, Ductal, Breast/surgery ; Carcinoma, Lobular/pathology ; Carcinoma, Lobular/surgery ; Chemotherapy, Adjuvant ; Esthetics ; Female ; Follow-Up Studies ; Humans ; Mammaplasty ; Mastectomy, Segmental ; Middle Aged ; Neoadjuvant Therapy ; Neoplasm Invasiveness ; Netherlands ; Organ Sparing Treatments/methods ; Prognosis
    Language English
    Publishing date 2019-03-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1200469-8
    ISSN 1534-4681 ; 1068-9265
    ISSN (online) 1534-4681
    ISSN 1068-9265
    DOI 10.1245/s10434-019-07265-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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