Skip to main content
Top
Published in: Annals of Surgical Oncology 10/2018

01-10-2018 | Breast Oncology

Results from the American Society of Breast Surgeons Oncoplastic Surgery Committee 2017 Survey: Current Practice and Future Directions

Authors: Abhishek Chatterjee, MD, MBA, Jennifer Gass, MD, M. Barbara Burke, MD, Katherine Kopkash, MD, Mahmoud B. El-Tamer, MD, Dennis R. Holmes, MD, Patricia Clark, MD, Juliann Reiland, MD

Published in: Annals of Surgical Oncology | Issue 10/2018

Login to get access

Abstract

Introduction

Oncoplastic surgery is emerging as a validated, safe, patient-centric approach to breast cancer surgery in the United States. The American Society of Breast Surgeons Oncoplastic Surgery Committee (ASBrS-OSC) conducted a survey to assess the scope of practice and level of interest in oncoplastic surgery among its members. Furthermore, the group sought to identify barriers to incorporating oncoplastic skills in a surgeon’s practice.

Methods

A 10-question survey was administered in March 2017 to the entire ASBrS membership using an online format. Three solicitations were sent. Unique identifiers allowed a single response.

Results

Of the 2655 surveys sent out, 708 members responded. Nearly all (99%) respondents had at least some interest in oncoplastic surgery. The current rates of performing nipple-sparing mastectomy, adjacent tissue transfer, and breast reduction with lumpectomy were 80, 60, and 51%, respectively. A minority of respondents reported independently performing breast reductions/mammaplasties (19%) or contralateral symmetrization (10%). Barriers to learning oncoplastic surgery included surgeon’s time and access to oncoplastic educational material/courses. Most respondents felt that training courses and videos may allow them to better incorporate oncoplastic techniques in their practices.

Conclusions

The interest in oncoplastic surgery among U.S. surgeons is significant, yet there are barriers to incorporate these surgical techniques into a breast surgeon’s practice. As professional organizations provide access to effective training and enduring educational resources, breast surgeons will be enabled to develop their oncoplastic skill set and safely offer these techniques to their patients.
Literature
1.
go back to reference Chatterjee A, Dayicioglu D, Khakpour N, Czerniecki BJ. Oncoplastic surgery: keeping it simple with 5 essential volume displacement techniques for breast conservation in a patient with moderate- to large-sized breasts. Cancer Control. 2017;24(4):1073274817729043.CrossRefPubMedPubMedCentral Chatterjee A, Dayicioglu D, Khakpour N, Czerniecki BJ. Oncoplastic surgery: keeping it simple with 5 essential volume displacement techniques for breast conservation in a patient with moderate- to large-sized breasts. Cancer Control. 2017;24(4):1073274817729043.CrossRefPubMedPubMedCentral
2.
go back to reference Clough KB, Lewis JS, Couturaud B, Fitoussi A, Nos C, Falcou MC. Oncoplastic techniques allow extensive resections for breast-conserving therapy of breast carcinomas. Ann Surg. 2003;237(1):26–34.CrossRefPubMedPubMedCentral Clough KB, Lewis JS, Couturaud B, Fitoussi A, Nos C, Falcou MC. Oncoplastic techniques allow extensive resections for breast-conserving therapy of breast carcinomas. Ann Surg. 2003;237(1):26–34.CrossRefPubMedPubMedCentral
3.
go back to reference Anderson BO, Masetti R, Silverstein MJ. Oncoplastic approaches to partial mastectomy: an overview of volume-displacement techniques. Lancet Oncol. 2005;6(3):145–57.CrossRefPubMed Anderson BO, Masetti R, Silverstein MJ. Oncoplastic approaches to partial mastectomy: an overview of volume-displacement techniques. Lancet Oncol. 2005;6(3):145–57.CrossRefPubMed
4.
go back to reference Clough KB, Ihrai T, Oden S, Kaufman G, Massey E, Nos C. Oncoplastic surgery for breast cancer based on tumour location and a quadrant-per-quadrant atlas. Br J Surg. 2012;99(10):1389–95.CrossRefPubMed Clough KB, Ihrai T, Oden S, Kaufman G, Massey E, Nos C. Oncoplastic surgery for breast cancer based on tumour location and a quadrant-per-quadrant atlas. Br J Surg. 2012;99(10):1389–95.CrossRefPubMed
5.
go back to reference Holmes DR, Schooler W, Smith R. Oncoplastic approaches to breast conservation. Int J Breast Cancer. 2011;2011. Holmes DR, Schooler W, Smith R. Oncoplastic approaches to breast conservation. Int J Breast Cancer. 2011;2011.
6.
go back to reference De La Cruz L, Blankenship SA, Chatterjee A, Geha R, Nocera N, Czerniecki BJ, et al. Outcomes after oncoplastic breast-conserving surgery in breast cancer patients: a systematic literature review. Ann Surg Oncol. 2016;0(0):1–12. De La Cruz L, Blankenship SA, Chatterjee A, Geha R, Nocera N, Czerniecki BJ, et al. Outcomes after oncoplastic breast-conserving surgery in breast cancer patients: a systematic literature review. Ann Surg Oncol. 2016;0(0):1–12.
7.
go back to reference Losken A, Hart AM, Chatterjee A. Updated evidence on the oncoplastic approach to breast conservation therapy. Plast Reconstr Surg. 2017;140(5S Advances in Breast Reconstruction):14S–22S.CrossRefPubMed Losken A, Hart AM, Chatterjee A. Updated evidence on the oncoplastic approach to breast conservation therapy. Plast Reconstr Surg. 2017;140(5S Advances in Breast Reconstruction):14S–22S.CrossRefPubMed
8.
go back to reference Kelsall JE, McCulley SJ, Brock L, Akerlund MTE, Macmillan RD. Comparing oncoplastic breast conserving surgery with mastectomy and immediate breast reconstruction: Case-matched patient reported outcomes. J Plast Reconstr Aesthet Surg. 2017;70:1377–85.CrossRefPubMed Kelsall JE, McCulley SJ, Brock L, Akerlund MTE, Macmillan RD. Comparing oncoplastic breast conserving surgery with mastectomy and immediate breast reconstruction: Case-matched patient reported outcomes. J Plast Reconstr Aesthet Surg. 2017;70:1377–85.CrossRefPubMed
9.
go back to reference Weber WP, Soysal SD, El-Tamer M, Sacchini V, Knauer M, Tausch C, et al. First international consensus conference on standardization of oncoplastic breast conserving surgery. Breast Cancer Res Treat. 2017;165(1):139–49.CrossRefPubMed Weber WP, Soysal SD, El-Tamer M, Sacchini V, Knauer M, Tausch C, et al. First international consensus conference on standardization of oncoplastic breast conserving surgery. Breast Cancer Res Treat. 2017;165(1):139–49.CrossRefPubMed
10.
go back to reference Audretsch WP, Rezai M, Kolotas C, Zamboglou N, Schnabel T, Bojar H. Tumor-specific immediate reconstruction in breast cancer patients. Perspect Plast Surg. 1998;11(01):71–100. Audretsch WP, Rezai M, Kolotas C, Zamboglou N, Schnabel T, Bojar H. Tumor-specific immediate reconstruction in breast cancer patients. Perspect Plast Surg. 1998;11(01):71–100.
11.
go back to reference Iqbal J, Ginsburg O, Rochon PA, Sun P, Narod SA. Differences in breast cancer stage at diagnosis and cancer-specific survival by race and ethnicity in the United States. JAMA. 2015;313(2):165–73.CrossRefPubMed Iqbal J, Ginsburg O, Rochon PA, Sun P, Narod SA. Differences in breast cancer stage at diagnosis and cancer-specific survival by race and ethnicity in the United States. JAMA. 2015;313(2):165–73.CrossRefPubMed
12.
go back to reference De Lorenzi F, Loschi P, Bagnardi V, Rotmensz N, Hubner G, Mazzarol G, et al. Oncoplastic breast-conserving surgery for tumors larger than 2 centimeters: is it oncologically safe? A matched-cohort analysis. Ann Surg Oncol. 23(6):1852–9. De Lorenzi F, Loschi P, Bagnardi V, Rotmensz N, Hubner G, Mazzarol G, et al. Oncoplastic breast-conserving surgery for tumors larger than 2 centimeters: is it oncologically safe? A matched-cohort analysis. Ann Surg Oncol. 23(6):1852–9.
13.
go back to reference Gass JS, Onstad M, Pesek S, Rojas K, Fogarty S, Stuckey A, et al. Breast-specific sensuality and sexual function in cancer survivorship: does surgical modality matter? Ann Surg Oncol. 2017;24(11):3133–40.CrossRefPubMed Gass JS, Onstad M, Pesek S, Rojas K, Fogarty S, Stuckey A, et al. Breast-specific sensuality and sexual function in cancer survivorship: does surgical modality matter? Ann Surg Oncol. 2017;24(11):3133–40.CrossRefPubMed
14.
go back to reference Hart AM, Pinell-White X, Egro FM, Losken A. The psychosexual impact of partial and total breast reconstruction: a prospective one-year longitudinal Study. Ann Plast Surg. 2015;75(3):281–6.CrossRefPubMed Hart AM, Pinell-White X, Egro FM, Losken A. The psychosexual impact of partial and total breast reconstruction: a prospective one-year longitudinal Study. Ann Plast Surg. 2015;75(3):281–6.CrossRefPubMed
15.
go back to reference Kwait RM, Pesek S, Onstad M, Edmonson D, Clark MA, Raker C, et al. Influential forces in breast cancer surgical decision making and the impact on body image and sexual function. Ann Surg Oncol. 2016;23(10):3403–11.CrossRefPubMed Kwait RM, Pesek S, Onstad M, Edmonson D, Clark MA, Raker C, et al. Influential forces in breast cancer surgical decision making and the impact on body image and sexual function. Ann Surg Oncol. 2016;23(10):3403–11.CrossRefPubMed
16.
go back to reference Losken A, Dugal CS, Styblo TM, Carlson GW. A meta-analysis comparing breast conservation therapy alone to the oncoplastic technique. Ann Plast Surg. 2014;72(2):145–9.CrossRefPubMed Losken A, Dugal CS, Styblo TM, Carlson GW. A meta-analysis comparing breast conservation therapy alone to the oncoplastic technique. Ann Plast Surg. 2014;72(2):145–9.CrossRefPubMed
17.
go back to reference Chagpar AB, Killelea BK, Tsangaris TN, Butler M, Stavris K, Li F, et al. A randomized, controlled trial of cavity shave margins in breast cancer. N Engl J Med. 2015;373(6):503–10.CrossRefPubMedPubMedCentral Chagpar AB, Killelea BK, Tsangaris TN, Butler M, Stavris K, Li F, et al. A randomized, controlled trial of cavity shave margins in breast cancer. N Engl J Med. 2015;373(6):503–10.CrossRefPubMedPubMedCentral
18.
go back to reference Chatterjee A, Offodile II AC, Asban A, Minasian RA, Losken A, Graham R, et al. A cost-utility analysis comparing oncoplastic breast surgery to standard lumpectomy in large-breasted women. Adv Breast Cancer Res. 2018;07(02):14.CrossRef Chatterjee A, Offodile II AC, Asban A, Minasian RA, Losken A, Graham R, et al. A cost-utility analysis comparing oncoplastic breast surgery to standard lumpectomy in large-breasted women. Adv Breast Cancer Res. 2018;07(02):14.CrossRef
19.
go back to reference Chatterjee A. Long term effects of modern breast cancer surgery. Gland Surg. 2017. Chatterjee A. Long term effects of modern breast cancer surgery. Gland Surg. 2017.
20.
go back to reference Piper ML, Esserman LJ, Sbitany H, Peled AW. Outcomes following oncoplastic reduction mammoplasty: a systematic review. Ann Plast Surg. 2016;76(Suppl 3):S222–6.CrossRefPubMed Piper ML, Esserman LJ, Sbitany H, Peled AW. Outcomes following oncoplastic reduction mammoplasty: a systematic review. Ann Plast Surg. 2016;76(Suppl 3):S222–6.CrossRefPubMed
21.
go back to reference Down SK, Pereira JH, Leinster S, Simpson A. Training the oncoplastic breast surgeon—current and future perspectives. Gland Surg. 2013;2(3):126.PubMedPubMedCentral Down SK, Pereira JH, Leinster S, Simpson A. Training the oncoplastic breast surgeon—current and future perspectives. Gland Surg. 2013;2(3):126.PubMedPubMedCentral
22.
go back to reference Yilmaz OC, Cantürk NZ, Kebudi A, Güler SA, Erkek A, Rezai M, et al. The emerging role of national academies in surgical training: an inspiring environment for increasing the quality of health care in breast cancer management. J Cancer Educ. 2014;29(2):395–400.CrossRefPubMed Yilmaz OC, Cantürk NZ, Kebudi A, Güler SA, Erkek A, Rezai M, et al. The emerging role of national academies in surgical training: an inspiring environment for increasing the quality of health care in breast cancer management. J Cancer Educ. 2014;29(2):395–400.CrossRefPubMed
23.
go back to reference Tenofsky PL, Dowell P, Topalovski T, Helmer SD. Surgical, oncologic, and cosmetic differences between oncoplastic and nononcoplastic breast conserving surgery in breast cancer patients. Am J Surg. 2014;207(3):398–402. (discussion).CrossRefPubMed Tenofsky PL, Dowell P, Topalovski T, Helmer SD. Surgical, oncologic, and cosmetic differences between oncoplastic and nononcoplastic breast conserving surgery in breast cancer patients. Am J Surg. 2014;207(3):398–402. (discussion).CrossRefPubMed
24.
go back to reference Rancati A, Irigo M, Angrigiani C. Management of the ischemic nipple-areola complex after breast reduction. Clin Plast Surg. 2016;43(2):403–14.CrossRefPubMed Rancati A, Irigo M, Angrigiani C. Management of the ischemic nipple-areola complex after breast reduction. Clin Plast Surg. 2016;43(2):403–14.CrossRefPubMed
25.
go back to reference Losken A, Kapadia S, Egro FM, Baecher KM, Styblo TM, Carlson GW. Current opinion on the oncoplastic approach in the USA. Breast J. 2016;22(4):437–41.CrossRefPubMed Losken A, Kapadia S, Egro FM, Baecher KM, Styblo TM, Carlson GW. Current opinion on the oncoplastic approach in the USA. Breast J. 2016;22(4):437–41.CrossRefPubMed
Metadata
Title
Results from the American Society of Breast Surgeons Oncoplastic Surgery Committee 2017 Survey: Current Practice and Future Directions
Authors
Abhishek Chatterjee, MD, MBA
Jennifer Gass, MD
M. Barbara Burke, MD
Katherine Kopkash, MD
Mahmoud B. El-Tamer, MD
Dennis R. Holmes, MD
Patricia Clark, MD
Juliann Reiland, MD
Publication date
01-10-2018
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 10/2018
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-018-6586-3

Other articles of this Issue 10/2018

Annals of Surgical Oncology 10/2018 Go to the issue