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Recommendation
Radiation therapy after mastectomy – Patients at low risk of recurrence
For patients with breast cancer who have undergone mastectomy and who are at low risk of local recurrence (e.g. most people who have lymph node-negative breast cancer), do not offer radiation therapy to the chest wall.
Do not offer radiotherapy following mastectomy to people with invasive breast cancer who are at low risk of local recurrence (for example, most people who have lymph node-negative breast cancer)
How this guidance was developed
This recommendation was adopted from the NICE 2018 guidelines (UK). The source recommendation was based on a systematic review of the evidence conducted to September 2017 and used wording (‘Do not offer’) indicative of a strong recommendation (using GRADE methods) by the source guideline authors. The source recommendation was accepted with minor stylistic changes, but with no changes to the meaning or tone of the source recommendation.
Radiation therapy after mastectomy – Patients at low risk of recurrence
Recommendation
For patients with breast cancer who have undergone mastectomy and who are at low risk of local recurrence (e.g. most people who have lymph node-negative breast cancer), do not offer radiation therapy to the chest wall.
Principles in action
Safe and quality care
This recommendation was adopted from the NICE 2018 guidelines (UK). The source recommendation was based on a systematic review of the evidence conducted to September 2017 and used wording (‘Do not offer’) indicative of a strong recommendation (using GRADE methods) by the source guideline authors. The source recommendation was accepted with minor stylistic changes, but with no changes to the meaning or tone of the source recommendation.