Primary Care Physicians' Perspectives in Leading Breast Cancer Follow-Up Care.

Introduction: Limited data exist on the barriers associated with transitioning breast cancer follow-up care to primary care physicians (PCPs). This study aimed to describe the current perspectives of PCPs in managing breast cancer follow-up.

Method: An online survey was distributed to PCPs in Toronto, ON, Canada.

Assessing the effect of a hands-on oncoplastic surgery training course: A survey of Canadian surgeons.

Background: The adoption of oncoplastic surgery in North America is poor despite evidence supporting the benefits. Surgeons take courses to acquire oncoplastic techniques, however, the effect of these courses is unknown. This study aimed to assess the impact of a hands-on oncoplastic course on surgeons' comfort with oncoplastic techniques and rate of adoption of these techniques in their practice.

Comparison of Radioactive Seed Localized Excision and Wire Localized Excision of Breast Lesions: A Community Hospital's Experience.

Background: Most data comparing wire localized excision (WLE) and radioactive seed localized excision (RSLE) derive from academic institutions with limited data from community hospitals. This study aimed to compare positive margin rates between WLE and RSLE and to determine if there were any differences in specimen volume and operation time.

Patients And Methods: A retrospective cohort study was conducted on patients who underwent WLE or RSLE at a Canadian community hospital.

Breast reconstruction: Updated overview for primary care physicians.

Objective: To offer primary care providers a comprehensive summary of breast reconstruction options and complications.

Quality Of Evidence: A literature search was conducted in PubMed with no time restriction using the search terms and Levels of evidence range from I to III.

Main Message: As breast cancer survival rates increase, the focus of breast cancer management must shift to include the restoration of a patient's quality of life after cancer.

Current Practices and Barriers to the Integration of Oncoplastic Breast Surgery: A Canadian Perspective.

Background: Despite the safety and popularity of oncoplastic surgery, there is limited data examining utilization and barriers associated with its incorporation into practice. This study examines the use of oncoplastic techniques in breast conserving surgery and determines the barriers associated with their implementation.

Methods: A 13-item survey was mailed to all registered general surgeons in Ontario, Canada.

Postmastectomy radiation and recurrence patterns in breast cancer patients younger than age 35 years: a population-based cohort.

Background: The utility of post mastectomy radiotherapy in very young women is understudied. The objective of this study was to evaluate the use of PMRT in very young women to determine the effect on recurrence and survival.

Methods: All women aged ≤35 years diagnosed with invasive breast cancer from 1994 to 2003 were identified from the Ontario Cancer Registry.

Increased postoperative complications in bilateral mastectomy patients compared to unilateral mastectomy: an analysis of the NSQIP database.

Background: Recent studies indicate that women with unilateral breast cancer are choosing contralateral prophylactic mastectomy (CPM) at an increasing rate. There is limited literature evaluating the postoperative complication rates associated with CPM without breast reconstruction. The objective of this study was to compare postoperative complications in women undergoing unilateral mastectomy (UM) and sentinel lymph node biopsy (SLNB) to those undergoing bilateral mastectomy (BM) and SLNB for the treatment of their breast cancer.

Development of a standardized definition for Hirschsprung's-associated enterocolitis: a Delphi analysis.

Purpose: The reported incidence of Hirschsprung's-associated enterocolitis (HAEC) is extremely variable. A standardized definition would permit comparison of different studies and provide an interpretable outcome measure for future prospective studies in patients with Hirschsprung's disease.

Methods: The Delphi method is a technique for achieving consensus among a panel of experts.

Recombinant activated coagulation factor VII and bleeding trauma patients.

Background: Recombinant activated coagulation factor VII (rFVIIa) is increasingly being administered to massively bleeding trauma patients. rFVIIa has been shown to correct coagulopathy and to decrease transfusion requirements. However, there is no conclusive evidence to suggest that rFVIIa improves the survival of these patients.