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Open Access 27-04-2024 | Breast Cancer | Review

Primary Care and Surgical Collaborations in Addressing Breast Cancer: A Comprehensive Review

Authors: Anuoluwa Oyetoran, Samantha Sircar, Oluwadamilola Oladeru, Kim Barbel Johnson

Published in: Current Breast Cancer Reports

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Abstract

Purpose of Review

This review explores the collaboration between primary care physicians (PCPs) and surgical specialists in breast cancer management. It outlines their evolving roles focusing on early detection, treatment decisions, and patient-centered care. It also addresses challenges, emphasizes interdisciplinary communication, and discusses opportunities for improved breast cancer care.

Recent Findings

Recent research highlights the expanded role of PCPs in comprehensive breast cancer care, from diagnosis, treatment, survivorship, and prevention. Surgeons play a crucial role in decision-making and personalized treatment planning. Collaborative approaches, including multidisciplinary teams, show improved diagnoses and outcomes. Advances in breast cancer research, such as targeted treatments and immunotherapy, offer promising avenues for enhanced care.

Summary

This article advocates for a transformative landscape in breast cancer care, with PCPs and surgeons leading collaborative efforts. Future research lies in the exploration of targeted treatments and the commitment to a holistic, patient-centered approach.
Literature
1.
go back to reference Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer J Clin. 2021;3:209–49. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer J Clin. 2021;3:209–49.
2.
go back to reference Łukasiewicz S, Czeczelewski M, Forma A, Baj J, Sitarz R, Stanisławek A. Breast cancer—epidemiology, risk factors, classification, prognostic markers, and current treatment strategies—an updated review. Cancers. 2021;13(17):4287.CrossRefPubMedPubMedCentral Łukasiewicz S, Czeczelewski M, Forma A, Baj J, Sitarz R, Stanisławek A. Breast cancer—epidemiology, risk factors, classification, prognostic markers, and current treatment strategies—an updated review. Cancers. 2021;13(17):4287.CrossRefPubMedPubMedCentral
4.
go back to reference •• Kurniasih DA, Setiawati EP, Pradipta IS, Subarnas A. Interprofessional collaboration in the breast cancer unit: how do healthcare workers see it? BMC Women’s Health. 2022;22(1):227 This study highlights how healthcare workers perceive interprofessional collaboration in a breast care unit. It explores the benefits and obstacles to such collaboration and identities effective communication and patient centered as supportive elements.CrossRefPubMedPubMedCentral •• Kurniasih DA, Setiawati EP, Pradipta IS, Subarnas A. Interprofessional collaboration in the breast cancer unit: how do healthcare workers see it? BMC Women’s Health. 2022;22(1):227 This study highlights how healthcare workers perceive interprofessional collaboration in a breast care unit. It explores the benefits and obstacles to such collaboration and identities effective communication and patient centered as supportive elements.CrossRefPubMedPubMedCentral
5.
go back to reference Wallner LP, Li Y, McLeod MC, Gargaro J, Kurian AW, Jagsi R, Radhakrishnan A, Hamilton AS, Ward KC, Hawley ST, Katz SJ. Primary care provider–reported involvement in breast cancer treatment decisions. Cancer. 2019;125(11):1815–22.CrossRefPubMed Wallner LP, Li Y, McLeod MC, Gargaro J, Kurian AW, Jagsi R, Radhakrishnan A, Hamilton AS, Ward KC, Hawley ST, Katz SJ. Primary care provider–reported involvement in breast cancer treatment decisions. Cancer. 2019;125(11):1815–22.CrossRefPubMed
6.
go back to reference Libson S, Lippman M. A review of clinical aspects of breast cancer. Int Rev Psychiatry. 2014;26(1):4–15.CrossRefPubMed Libson S, Lippman M. A review of clinical aspects of breast cancer. Int Rev Psychiatry. 2014;26(1):4–15.CrossRefPubMed
7.
go back to reference Kashyap D, Pal D, Sharma R, Garg VK, Goel N, Koundal D, Zaguia A, Koundal S, Belay A. Global increase in breast cancer incidence: risk factors and preventive measures. Biomed Res Int. 2022;18:2022. Kashyap D, Pal D, Sharma R, Garg VK, Goel N, Koundal D, Zaguia A, Koundal S, Belay A. Global increase in breast cancer incidence: risk factors and preventive measures. Biomed Res Int. 2022;18:2022.
8.
go back to reference Cohen SY, Stoll CR, Anandarajah A, Doering M, Colditz GA. Modifiable risk factors in women at high risk of breast cancer: a systematic review. Breast Cancer Res. 2023;25(1):45.CrossRefPubMedPubMedCentral Cohen SY, Stoll CR, Anandarajah A, Doering M, Colditz GA. Modifiable risk factors in women at high risk of breast cancer: a systematic review. Breast Cancer Res. 2023;25(1):45.CrossRefPubMedPubMedCentral
9.
go back to reference • Alkabban FM, Ferguson T. Breast Cancer. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482286/. This article emphasizes the importance of long-term follow-up care for breast cancer survivors, highlighting the need for an interprofessional team approach • Alkabban FM, Ferguson T. Breast Cancer. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. 2022. Available from: https://​www.​ncbi.​nlm.​nih.​gov/​books/​NBK482286/​. This article emphasizes the importance of long-term follow-up care for breast cancer survivors, highlighting the need for an interprofessional team approach
12.
go back to reference Roetzheim RG, Ferrante JM, Lee JH, Chen R, Love-Jackson KM, Gonzalez EC, Fisher KJ, McCarthy EP. Influence of primary care on breast cancer outcomes among Medicare beneficiaries. Ann Fam Med. 2012;10(5):401–11.CrossRefPubMedPubMedCentral Roetzheim RG, Ferrante JM, Lee JH, Chen R, Love-Jackson KM, Gonzalez EC, Fisher KJ, McCarthy EP. Influence of primary care on breast cancer outcomes among Medicare beneficiaries. Ann Fam Med. 2012;10(5):401–11.CrossRefPubMedPubMedCentral
13.
go back to reference Tabár L, Dean PB, Chen TH, Yen AM, Chen SL, Fann JC, Chiu SY, Ku MM, Wu WY, Hsu CY, Chen YC. The incidence of fatal breast cancer measures the increased effectiveness of therapy in women participating in mammography screening. Cancer. 2019;125(4):515–23.CrossRefPubMed Tabár L, Dean PB, Chen TH, Yen AM, Chen SL, Fann JC, Chiu SY, Ku MM, Wu WY, Hsu CY, Chen YC. The incidence of fatal breast cancer measures the increased effectiveness of therapy in women participating in mammography screening. Cancer. 2019;125(4):515–23.CrossRefPubMed
14.
go back to reference Decker K, Moineddin R, Kendell C, Urquhart R, Biswanger N, Groome P, McBride ML, Winget M, Whitehead M, Grunfeld E. Canadian Team to Improve Community-Based Cancer Care Along the Continuum (CanIMPACT). Changes in primary care provider utilization by phase of care for women diagnosed with breast cancer: a CanIMPACT longitudinal cohort study. BMC Fam Pract. 2019;20:1–8.CrossRef Decker K, Moineddin R, Kendell C, Urquhart R, Biswanger N, Groome P, McBride ML, Winget M, Whitehead M, Grunfeld E. Canadian Team to Improve Community-Based Cancer Care Along the Continuum (CanIMPACT). Changes in primary care provider utilization by phase of care for women diagnosed with breast cancer: a CanIMPACT longitudinal cohort study. BMC Fam Pract. 2019;20:1–8.CrossRef
15.
go back to reference Rubin G, Berendsen A, Crawford SM, Dommett R, Earle C, Emery J, Fahey T, Grassi L, Grunfeld E, Gupta S, Hamilton W. The expanding role of primary care in cancer control. Lancet Oncol. 2015;16(12):1231–72.CrossRefPubMed Rubin G, Berendsen A, Crawford SM, Dommett R, Earle C, Emery J, Fahey T, Grassi L, Grunfeld E, Gupta S, Hamilton W. The expanding role of primary care in cancer control. Lancet Oncol. 2015;16(12):1231–72.CrossRefPubMed
16.
go back to reference Ben-Ami E, Merom H, Sikron F, Livneh J, Sadetzki S, Wolf I. Involvement of the family physician in the care of chemotherapy-treated patients with cancer: patients’ perspectives. J Oncol Pract. 2014;10(5):298–305.CrossRefPubMed Ben-Ami E, Merom H, Sikron F, Livneh J, Sadetzki S, Wolf I. Involvement of the family physician in the care of chemotherapy-treated patients with cancer: patients’ perspectives. J Oncol Pract. 2014;10(5):298–305.CrossRefPubMed
17.
go back to reference Barnes EA, Chow E, Danjoux C, Tsao M. Collaboration between primary care physicians and radiation oncologists. Ann Palliat Med. 2017;6(1):816–86.CrossRef Barnes EA, Chow E, Danjoux C, Tsao M. Collaboration between primary care physicians and radiation oncologists. Ann Palliat Med. 2017;6(1):816–86.CrossRef
18.
go back to reference Tucholka JL, Jacobson N, Steffens NM, Schumacher JR, Tevaarwerk AJ, Anderson B, Wilke LG, Greenberg CC, Neuman HB. Breast cancer survivor’s perspectives on the role different providers play in follow-up care. Support Care Cancer. 2018;26:2015–22.CrossRefPubMedPubMedCentral Tucholka JL, Jacobson N, Steffens NM, Schumacher JR, Tevaarwerk AJ, Anderson B, Wilke LG, Greenberg CC, Neuman HB. Breast cancer survivor’s perspectives on the role different providers play in follow-up care. Support Care Cancer. 2018;26:2015–22.CrossRefPubMedPubMedCentral
19.
go back to reference Neuman HB, Jacobs EA, Steffens NM, Jacobson N, Tevaarwerk A, Wilke LG, Tucholka J, Greenberg CC. Oncologists’ perceived barriers to an expanded role for primary care in breast cancer survivorship care. Cancer Med. 2016;5(9):2198–204.CrossRefPubMedPubMedCentral Neuman HB, Jacobs EA, Steffens NM, Jacobson N, Tevaarwerk A, Wilke LG, Tucholka J, Greenberg CC. Oncologists’ perceived barriers to an expanded role for primary care in breast cancer survivorship care. Cancer Med. 2016;5(9):2198–204.CrossRefPubMedPubMedCentral
21.
go back to reference Matsen CB, Neumayer LA. Breast cancer: a review for the general surgeon. JAMA Surg. 2013;148(10):971–80.CrossRefPubMed Matsen CB, Neumayer LA. Breast cancer: a review for the general surgeon. JAMA Surg. 2013;148(10):971–80.CrossRefPubMed
22.
go back to reference Fisher B, Anderson S, Bryant J, Margolese RG, Deutsch M, Fisher ER, Jeong JH, Wolmark N. Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med. 2002;347(16):1233–41.CrossRefPubMed Fisher B, Anderson S, Bryant J, Margolese RG, Deutsch M, Fisher ER, Jeong JH, Wolmark N. Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med. 2002;347(16):1233–41.CrossRefPubMed
23.
go back to reference Bellavance EC, Kesmodel SB. Decision-making in the surgical treatment of breast cancer: factors influencing women’s choices for mastectomy and breast conserving surgery. Front Oncol. 2016;29(6):74. Bellavance EC, Kesmodel SB. Decision-making in the surgical treatment of breast cancer: factors influencing women’s choices for mastectomy and breast conserving surgery. Front Oncol. 2016;29(6):74.
24.
go back to reference • Blackwood O, Deb R. Multidisciplinary team approach in breast cancer care: benefits and challenges. Indian J Pathol Microbiol. 2020;63(Suppl 1):S105-12 The article examines the use of multidisciplinary teams (MDTs) in breast cancer care, emphasizing their benefits and challenges. MDT is being recognized globally as an effective approach to improving patient outcomes.PubMed • Blackwood O, Deb R. Multidisciplinary team approach in breast cancer care: benefits and challenges. Indian J Pathol Microbiol. 2020;63(Suppl 1):S105-12 The article examines the use of multidisciplinary teams (MDTs) in breast cancer care, emphasizing their benefits and challenges. MDT is being recognized globally as an effective approach to improving patient outcomes.PubMed
25.
go back to reference Saini KS, Taylor C, Ramirez AJ, Palmieri C, Gunnarsson U, Schmoll HJ, Dolci SM, Ghenne C, Metzger-Filho O, Skrzypski M, Paesmans M. Role of the multidisciplinary team in breast cancer management: results from a large international survey involving 39 countries. Ann Oncol. 2012;23(4):853–9.CrossRefPubMed Saini KS, Taylor C, Ramirez AJ, Palmieri C, Gunnarsson U, Schmoll HJ, Dolci SM, Ghenne C, Metzger-Filho O, Skrzypski M, Paesmans M. Role of the multidisciplinary team in breast cancer management: results from a large international survey involving 39 countries. Ann Oncol. 2012;23(4):853–9.CrossRefPubMed
26.
go back to reference Kesson EM, Allardice GM, George WD, Burns HJ, Morrison DS. Effects of multidisciplinary team working on breast cancer survival: retrospective, comparative, interventional cohort study of 13 722 women. BMJ. 2012;26:344. Kesson EM, Allardice GM, George WD, Burns HJ, Morrison DS. Effects of multidisciplinary team working on breast cancer survival: retrospective, comparative, interventional cohort study of 13 722 women. BMJ. 2012;26:344.
27.
go back to reference Sussman J, Baldwin LM. The interface of primary and oncology specialty care: from diagnosis through primary treatment. J Natl Cancer Inst Monogr. 2010;2010(40):18–24.CrossRefPubMedPubMedCentral Sussman J, Baldwin LM. The interface of primary and oncology specialty care: from diagnosis through primary treatment. J Natl Cancer Inst Monogr. 2010;2010(40):18–24.CrossRefPubMedPubMedCentral
28.
go back to reference Ye F, Dewanjee S, Li Y, Jha NK, Chen ZS, Kumar A, Vishakha Behl T, Jha SK, Tang H. Advancements in clinical aspects of targeted therapy and immunotherapy in breast cancer. Mol Cancer. 2023;22(1):105.CrossRefPubMedPubMedCentral Ye F, Dewanjee S, Li Y, Jha NK, Chen ZS, Kumar A, Vishakha Behl T, Jha SK, Tang H. Advancements in clinical aspects of targeted therapy and immunotherapy in breast cancer. Mol Cancer. 2023;22(1):105.CrossRefPubMedPubMedCentral
29.
go back to reference Mallinger JB, Griggs JJ, Shields CG. Patient-centered care and breast cancer survivors’ satisfaction with information. Patient Educ Couns. 2005;57(3):342–9.CrossRefPubMed Mallinger JB, Griggs JJ, Shields CG. Patient-centered care and breast cancer survivors’ satisfaction with information. Patient Educ Couns. 2005;57(3):342–9.CrossRefPubMed
30.
go back to reference Brown JB, Stewart M, McWilliam CL. Using the patient-centered method to achieve excellence in care for women with breast cancer. Patient Educ Couns. 1999;38(2):121–9.CrossRefPubMed Brown JB, Stewart M, McWilliam CL. Using the patient-centered method to achieve excellence in care for women with breast cancer. Patient Educ Couns. 1999;38(2):121–9.CrossRefPubMed
31.
go back to reference Morris J, Ingham R. Choice of surgery for early breast cancer: psychosocial considerations. Soc Sci Med. 1988;27(11):1257–62.CrossRefPubMed Morris J, Ingham R. Choice of surgery for early breast cancer: psychosocial considerations. Soc Sci Med. 1988;27(11):1257–62.CrossRefPubMed
34.
go back to reference Miglietta F, Bottosso M, Griguolo G, Dieci MV, Guarneri V. Major advancements in metastatic breast cancer treatment: when expanding options means prolonging survival. ESMO Open. 2022;7(2):100409.CrossRefPubMedPubMedCentral Miglietta F, Bottosso M, Griguolo G, Dieci MV, Guarneri V. Major advancements in metastatic breast cancer treatment: when expanding options means prolonging survival. ESMO Open. 2022;7(2):100409.CrossRefPubMedPubMedCentral
35.
Metadata
Title
Primary Care and Surgical Collaborations in Addressing Breast Cancer: A Comprehensive Review
Authors
Anuoluwa Oyetoran
Samantha Sircar
Oluwadamilola Oladeru
Kim Barbel Johnson
Publication date
27-04-2024
Publisher
Springer US
Published in
Current Breast Cancer Reports
Print ISSN: 1943-4588
Electronic ISSN: 1943-4596
DOI
https://doi.org/10.1007/s12609-024-00549-y
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