J Breast Cancer.  2012 Jun;15(2):239-243. 10.4048/jbc.2012.15.2.239.

Survey of the Application of the Korean Clinical Practice Recommendations on Breast Cancer Treatment: The Utility of the Korean Breast Cancer Society Guidelines

Affiliations
  • 1Department of Surgery, Inje University Sanggye Paik Hospital, Seoul, Korea.
  • 2Department of Surgery, Cheil General Hospital & Women's Healthcare Center, Seoul, Korea.
  • 3Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 4Center of Breast Cancer, National Cancer Center, Goyang, Korea.
  • 5Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 6Department of Surgery, Kangnam CHA Hospital, Seoul, Korea.
  • 7Department of Surgery, Ilsan Hospital, Goyang, Korea.
  • 8Department of Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea.
  • 9Department of Surgery, Chungnam National University Hospital, Daejeon, Korea.
  • 10Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 11Division of Hematology-Oncology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 12Department of Surgery, Kangnam MizMedi Hospital, Seoul, Korea.
  • 13Department of Surgery, Yeouido St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
  • 14Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
  • 15Research Institute and Hospital, National Cancer Center, Goyang, Korea. eslee@korea.ac.kr

Abstract

This survey was performed to analyze the usability of the third edition of the Korean breast cancer clinical practice guidelines (KBCCPG) in clinical practice. We made a questionnaire composed of 18 general and 82 specific questions regarding benign breast disease (B; 1 question); non-invasive disease (N; 12 questions); early-stage disease (E; 26 questions); advanced disease (A; 24 questions); and metastatic (M) breast cancer-related problems (19 questions). A total of 100 questionnaires, with a link to an online survey, were delivered via e-mail to over 700 members of the Korean Breast Cancer Society (KBCS), and associated academy members, over 20 days between 26th February and 16th May 2010. Out of 270 respondents who read the e-mail, 96 answered the questionnaire. Participants included 87 surgical oncologists, 5 radiation oncologists, 2 oncoplastic surgeons, 1 pathologist, and 1 medical oncologist. The third KBCCPG were perceived as differing from the second guidelines in terms of the level of clinical evidence required before choosing a recommendation. For the progress of the KBCCPG, the guideline committee should try to reinforce all courses of guideline development with several elements including data from clinical trials of Korean breast cancer patients, securing a multidisciplinary approach, developing consistent and reasonable processes for each step of the revision of the guidelines, induction of liberal scientific and ethical discussion about all issues with all KBCS members. The cost-effectiveness of healthcare and the logical development of the KBCCPG would also be ensured. Timely updates of the clinical guidelines for breast cancer treatment are essential to facilitate optimal decision-making in daily practice, and to ensure adequate patient feedback.

Keyword

Breast neoplasms; Guideline; Korea; Surveys

MeSH Terms

Aluminum Hydroxide
Breast
Breast Diseases
Breast Neoplasms
Carbonates
Surveys and Questionnaires
Delivery of Health Care
Dietary Sucrose
Electronic Mail
Humans
Korea
Logic
Aluminum Hydroxide
Carbonates
Dietary Sucrose

Reference

1. American Academy of Pediatrics Steering Committee on Quality Improvement and Management. Classifying recommendations for clinical practice guidelines. Pediatrics. 2004. 114:874–877.
2. Carlson RW, McCormick B. Update: NCCN breast cancer clinical practice guidelines. J Natl Compr Canc Netw. 2005. 3:Suppl 1. S7–S11.
3. Bevers TB, Anderson BO, Bonaccio E, Buys S, Daly MB, Dempsey PJ, et al. NCCN clinical practice guidelines in oncology: breast cancer screening and diagnosis. J Natl Compr Canc Netw. 2009. 7:1060–1096.
4. Delaney A, Bagshaw SM, Ferland A, Laupland K, Manns B, Doig C. The quality of reports of critical care meta-analyses in the Cochrane Database of Systematic Reviews: an independent appraisal. Crit Care Med. 2007. 35:589–594.
Article
5. Hussain T, Michel G, Shiffman RN. How often is strength of recommendation indicated in guidelines? Analysis of the Yale Guideline Recommendation Corpus. AMIA Annu Symp Proc. 2008. 984.
6. Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ. 2008. 336:924–926.
Article
7. Moran CJ, Kell MR, Kerin MJ. The role of sentinel lymph node biopsy in ductal carcinoma in situ. Eur J Surg Oncol. 2005. 31:1105–1111.
Article
8. Zavagno G, Carcoforo P, Marconato R, Franchini Z, Scalco G, Burelli P, et al. Role of axillary sentinel lymph node biopsy in patients with pure ductal carcinoma in situ of the breast. BMC Cancer. 2005. 5:28.
Article
9. Houssami N, Ciatto S, Macaskill P, Lord SJ, Warren RM, Dixon JM, et al. Accuracy and surgical impact of magnetic resonance imaging in breast cancer staging: systematic review and meta-analysis in detection of multifocal and multicentric cancer. J Clin Oncol. 2008. 26:3248–3258.
Article
10. Lehman CD, DeMartini W, Anderson BO, Edge SB. Indications for breast MRI in the patient with newly diagnosed breast cancer. J Natl Compr Canc Netw. 2009. 7:193–201.
Article
11. Hanna WM, Kwok K. Chromogenic in-situ hybridization: a viable alternative to fluorescence in-situ hybridization in the HER2 testing algorithm. Mod Pathol. 2006. 19:481–487.
Article
12. Cardinale D, Colombo A, Torrisi R, Sandri MT, Civelli M, Salvatici M, et al. Trastuzumab-induced cardiotoxicity: clinical and prognostic implications of troponin I evaluation. J Clin Oncol. 2010. 28:3910–3916.
Article
13. Goldhirsch A, Wood WC, Coates AS, Gelber RD, Thurlimann B, Senn HJ. Strategies for subtypes: dealing with the diversity of breast cancer: highlights of the St. Gallen International Expert Consensus on the Primary Therapy of Early Breast Cancer 2011. Ann Oncol. 2011. 22:1736–1747.
Article
Full Text Links
  • JBC
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr