Health

Changes in breast cancer management and care infrastructure in Turki̇ye: a ten-year multicenter comparison

Changes in breast cancer management and care infrastructure in Turki̇ye: a ten-year multicenter comparison, 2009–2019. Download PDF Abstract To evaluate changes in breast cancer management infrastructure, diagnostic approaches, and treatment practices in tertiary breast centers in Turkiye between 2009 and 2019 and identify areas requiring further development. This repeated cross-sectional multicenter institutional survey compared aggregated center-level data from 2009 to 2019.

Data included pathologically confirmed breast cancer cases, diagnostic sampling, stage at diagnosis, breast and axillary surgery, neoadjuvant therapy, imaging availability, and specialized multidisciplinary and supportive-care services. Individual recurrence and survival outcomes were unavailable. Thirty-eight centers contributed data in 2009 and 44 in 2019, with confirmed cases increasing from 4,808 to 6,550 (p < 0.001).

The number of specialized breast surgeons increased. Core needle biopsy largely replaced excisional/incisional diagnostic procedures (p < 0.001), while neoadjuvant therapy use increased (p < 0.001). Surgical management shifted toward breast-conserving surgery.

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with qualified healthcare professionals for medical decisions and treatment options.


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