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Area of Science:

  • Oncology
  • Surgical Oncology
  • Radiation Oncology

Background:

  • Factors influencing breast conservation therapy (BCT) rates are known, but the impact of multidisciplinary clinics (MDC) remains undocumented.
  • This study investigated the association between MDC composition and BCT rates in breast cancer patients.

Purpose of the Study:

  • To determine if multidisciplinary clinic (MDC) consultations, particularly those including surgical and radiation oncologists, impact breast conservation therapy (BCT) rates.
  • To compare BCT rates among different MDC configurations and BSO-only consultations.

Main Methods:

  • Retrospective chart review of 2023 stage 0-III breast cancer patients offered BCT.
  • Patients were categorized into four cohorts based on initial consultation: three-provider MDC (BSO, MO, RO), BSO+RO in MDC, BSO+MO in MDC, and BSO only.
  • Statistical analyses (Wilcoxon Rank Sum, Chi-Square/Fisher's Exact tests) compared BCT versus mastectomy rates.

Main Results:

  • Initial consultation type significantly affected BCT rates (p = 0.015).
  • Highest BCT rates were observed in three-provider MDC (89%) and BSO+RO in MDC (86%).
  • Lower BCT rates were noted for BSO+MO in MDC (78%) and BSO alone (77%) cohorts, highlighting the importance of RO inclusion.

Conclusions:

  • Multidisciplinary clinic (MDC) consultations including radiation oncologists (RO) are linked to higher breast conservation therapy (BCT) rates.
  • Wider adoption of MDCs incorporating RO alongside breast surgical oncology (BSO) can potentially increase BCT acceptance.
  • Enhanced patient education and shared decision-making within MDCs contribute to improved BCT outcomes.