Sökning: WFRF:(De Laurentiis Michelino) >
The MAGIC survey in...
The MAGIC survey in hormone receptor positive (HR+), HER2-negative (HER2−) breast cancer: When might multigene assays be of value?
-
Aapro, Matti (författare)
-
De Laurentiis, Michelino (författare)
-
Rea, Dan (författare)
-
visa fler...
-
Bargallo Rocha, Juan Enrique (författare)
-
Elizalde, Roberto (författare)
-
Landherr, László (författare)
-
- Linderholm, Barbro, 1959 (författare)
- Karolinska Institutet,Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för onkologi,Institute of Clinical Sciences, Department of Oncology
-
Mamounas, Eleftherios (författare)
-
Markopoulos, Christos (författare)
-
Neven, Patrick (författare)
-
Petrovsky, Alexander (författare)
-
Rouzier, Roman (författare)
-
Smit, Vincent (författare)
-
Svedman, Christer (författare)
-
Schneider, Daniel (författare)
-
Thomssen, Christoph (författare)
-
Martin, Miguel (författare)
-
visa färre...
-
(creator_code:org_t)
- Elsevier BV, 2017
- 2017
- Engelska.
-
Ingår i: Breast. - : Elsevier BV. - 0960-9776 .- 1532-3080. ; 33, s. 191-199
- Relaterad länk:
-
http://pure-oai.bham...
-
visa fler...
-
https://gup.ub.gu.se...
-
https://doi.org/10.1...
-
http://kipublication...
-
visa färre...
Abstract
Ämnesord
Stäng
- © 2017 Background A modest proportion of patients with early stage hormone receptor-positive (HR+), HER2-negative (HER2−) breast cancer benefit from adjuvant chemotherapy. Traditionally, treatment recommendations are based on clinical/pathologic criteria that are not predictive of chemotherapy benefit. Multigene assays provide prognostic and predictive information that can help to make more informed treatment decisions. The MAGIC survey evaluated international differences in treatment recommendations, how traditional parameters are used for making treatment choices, and for which patients treating physicians feel most uncertain about their decisions. Methods The MAGIC survey captured respondents' demographics, practice patterns, relevance of traditional parameters for treatment decisions, and use of or interest in using multigene assays. Using this information, a predictive model was created to simulate treatment recommendations for 672 patient profiles. Results The survey was completed by 911 respondents (879 clinicians, 32 pathologists) from 52 countries. Chemo-endocrine therapy was recommended more often than endocrine therapy alone, but there was substantial heterogeneity in treatment recommendations in 52% of the patient profiles; approximately every fourth physician provided a different treatment recommendation. The majority of physicians indicated they wanted to use multigene assays clinically. Lack of reimbursement/availability were the main reasons for non-usage. Conclusions The survey reveals substantial heterogeneity in treatment recommendations. Physicians have uncertainty in treatment recommendations in a high proportion of patients with intermediate risk features using traditional parameters. In HR+, HER2− patients with early disease the findings highlight the need for additional markers that are both prognostic and predictive of chemotherapy benefit that may support more-informed treatment decisions.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Nyckelord
- Adjuvant chemotherapy
- HER2-negative early breast cancer
- Hormone receptor-positive
- Multigene assay
- Treatment decision
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
Hitta via bibliotek
-
Breast
(Sök värdpublikationen i LIBRIS)
Till lärosätets databas
- Av författaren/redakt...
-
Aapro, Matti
-
De Laurentiis, M ...
-
Rea, Dan
-
Bargallo Rocha, ...
-
Elizalde, Robert ...
-
Landherr, László
-
visa fler...
-
Linderholm, Barb ...
-
Mamounas, Elefth ...
-
Markopoulos, Chr ...
-
Neven, Patrick
-
Petrovsky, Alexa ...
-
Rouzier, Roman
-
Smit, Vincent
-
Svedman, Christe ...
-
Schneider, Danie ...
-
Thomssen, Christ ...
-
Martin, Miguel
-
visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Klinisk medicin
-
och Cancer och onkol ...
- Artiklar i publikationen
-
Breast
- Av lärosätet
-
Göteborgs universitet
-
Karolinska Institutet