To determine an effective, evidence-based, postoperative surveillance strategy for the detection and treatment of recurrent breast cancer.
Tests are recommended only if they have an impact on the outcomes specified by American Society of Clinical Oncology (ASCO) for clinical practice guidelines.
All tests described in the literature for postoperative monitoring were considered.
In addition, the data were critically evaluated to determine the optimal frequency of monitoring.
Outcomes of interest include overall and disease-free survival, quality of life, toxicity reduction, and secondarily cost-effectiveness.
Evidence : A search was performed to determine all relevant articles published over the past 20 years on the efficacy of surveillance testing for breast cancer recurrence.
These publications comprised both retrospective and prospective studies.
Values : Levels of evidence and guideline grades were rated by a standard process.
More weight was given to studies that tested a hypothesis directly relating testing to one of the primary outcomes in a randomized design.
Benefits, Harms, and Costs : The possible consequences of false-positive and - negative tests were considered in evaluating a preference for one of two tests providing similar information.
Cost alone was not a determining factor.
The attached guidelines and text summarize the updated recommendations of the ASCO breast cancer expert panel. (...)
Mots-clés Pascal : Tumeur maligne, Glande mammaire, Récidivant, Diagnostic, Traitement, Surveillance, Recommandation, Etats Unis, Amérique du Nord, Amérique, Homme, Glande mammaire pathologie
Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Recurrent, Diagnosis, Treatment, Surveillance, Recommendation, United States, North America, America, Human, Mammary gland diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0198470
Code Inist : 002B20E02. Création : 16/11/1999.