J Breast Cancer.  2012 Jun;15(2):239-243. 10.4048/jbc.2012.15.2.239.

Survey of the Application of the Korean Clinical Practice Recommendations on Breast Cancer Treatment: The Utility of the Korean Breast Cancer Society Guidelines

Affiliations
  • 1Department of Surgery, Inje University Sanggye Paik Hospital, Seoul, Korea.
  • 2Department of Surgery, Cheil General Hospital & Women's Healthcare Center, Seoul, Korea.
  • 3Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 4Center of Breast Cancer, National Cancer Center, Goyang, Korea.
  • 5Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 6Department of Surgery, Kangnam CHA Hospital, Seoul, Korea.
  • 7Department of Surgery, Ilsan Hospital, Goyang, Korea.
  • 8Department of Surgery, Myongji Hospital, Kwandong University College of Medicine, Goyang, Korea.
  • 9Department of Surgery, Chungnam National University Hospital, Daejeon, Korea.
  • 10Division of Hematology-Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 11Division of Hematology-Oncology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
  • 12Department of Surgery, Kangnam MizMedi Hospital, Seoul, Korea.
  • 13Department of Surgery, Yeouido St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.
  • 14Department of Surgery, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
  • 15Research Institute and Hospital, National Cancer Center, Goyang, Korea. eslee@korea.ac.kr

Abstract

This survey was performed to analyze the usability of the third edition of the Korean breast cancer clinical practice guidelines (KBCCPG) in clinical practice. We made a questionnaire composed of 18 general and 82 specific questions regarding benign breast disease (B; 1 question); non-invasive disease (N; 12 questions); early-stage disease (E; 26 questions); advanced disease (A; 24 questions); and metastatic (M) breast cancer-related problems (19 questions). A total of 100 questionnaires, with a link to an online survey, were delivered via e-mail to over 700 members of the Korean Breast Cancer Society (KBCS), and associated academy members, over 20 days between 26th February and 16th May 2010. Out of 270 respondents who read the e-mail, 96 answered the questionnaire. Participants included 87 surgical oncologists, 5 radiation oncologists, 2 oncoplastic surgeons, 1 pathologist, and 1 medical oncologist. The third KBCCPG were perceived as differing from the second guidelines in terms of the level of clinical evidence required before choosing a recommendation. For the progress of the KBCCPG, the guideline committee should try to reinforce all courses of guideline development with several elements including data from clinical trials of Korean breast cancer patients, securing a multidisciplinary approach, developing consistent and reasonable processes for each step of the revision of the guidelines, induction of liberal scientific and ethical discussion about all issues with all KBCS members. The cost-effectiveness of healthcare and the logical development of the KBCCPG would also be ensured. Timely updates of the clinical guidelines for breast cancer treatment are essential to facilitate optimal decision-making in daily practice, and to ensure adequate patient feedback.

Keyword

Breast neoplasms; Guideline; Korea; Surveys

MeSH Terms

Aluminum Hydroxide
Breast
Breast Diseases
Breast Neoplasms
Carbonates
Surveys and Questionnaires
Delivery of Health Care
Dietary Sucrose
Electronic Mail
Humans
Korea
Logic
Aluminum Hydroxide
Carbonates
Dietary Sucrose
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