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Recommendation
BCS or mastectomy – Information needs
Inform patients with breast cancer who are undergoing breast surgery that radiation therapy is usually required following breast-conserving surgery and that further surgery may be required if the surgical margins are positive or close.
The choice of surgery must be tailored to the individual patient with stage I or II breast cancer, who should be fully informed of the surgical options
The choice of surgery should be tailored to the individual, who should be fully informed of the options, and who should be made aware that radiotherapy is required following breast conserving surgery and that further surgery may be required if the margins are positive or close
The desirable effects of an intervention clearly outweigh the undesirable effects (the intervention is to be put into practice), or the undesirable effects of an intervention clearly outweigh the desirable effects (the intervention is not to be put into practice)
The recommendation is supported by good evidence (based on a number of studies that are valid, consistent, applicable and clinically relevant)
How this guidance was developed
This recommendation was adapted from the KCE 2013 guidelines (Belgium) and the NZGG 2009 guidelines (NZ). Two source recommendations (one from each of these guidelines) were merged. The source recommendation from KCE 2013 was based on a systematic review of the evidence conducted to January 2010 and was graded ‘strong’ (using GRADE methods) by the source guideline authors. The source recommendation from NZGG was based on a systematic review of the evidence (the date of the review was not reported) and was graded 'A' (using NZGG methods). The source recommendations were further adapted by using language applicable to the Australian health care context.
BCS or mastectomy – Information needs
Recommendation
Inform patients with breast cancer who are undergoing breast surgery that radiation therapy is usually required following breast-conserving surgery and that further surgery may be required if the surgical margins are positive or close.
Principles in action
Supportive care
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Communication
This recommendation was adapted from the KCE 2013 guidelines (Belgium) and the NZGG 2009 guidelines (NZ). Two source recommendations (one from each of these guidelines) were merged. The source recommendation from KCE 2013 was based on a systematic review of the evidence conducted to January 2010 and was graded ‘strong’ (using GRADE methods) by the source guideline authors. The source recommendation from NZGG was based on a systematic review of the evidence (the date of the review was not reported) and was graded 'A' (using NZGG methods). The source recommendations were further adapted by using language applicable to the Australian health care context.