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Skin-sparing mastectomy : Specialty bias and worldwide lack of consensus by Richard J. Bleicher; Nora M. Hansen; Armando E. Giuliano is a Medicine article available to read on EtoBox.

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## Background: Skin-sparing mastectomy (ssm) is a variation of modified radical mastectomy (mrm) optimized for reconstruction. the authors attempted to determine ssm attitudes and biases within different specialties and countries throughout the world. ## Methods: The authors polled 11,485 individuals via e-mail, including members of surgical, medical, and breast oncology societies, about ssm. respondents were directed to a survey website where data were directly entered into a database. ## Results: Among 1027 respondents, 19 said their knowledge was insufficient to attempt the survey. surveys were completed by 1008 respondents (8.8%) from 52 countries, comprising 436 (43.3%) surgeons, 376 (37.3%) medical oncologists, 146 (14.5%) radiation oncologists, and 50 (5.0%) individuals from other fields. of the respondents, 61.9% stated that ssms are performed at their institution. however 19.1% of these believed that ssm leaves the nipple and areola intact. this perception was higher outside the u.s. (p < 0.0001). despite knowledge by 77.8% that ssm does not have a higher local disease recurrence rate than mrm, 25.3% of these individuals did not believe the literature. this was most preval

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Author

Richard J. Bleicher; Nora M. Hansen; Armando E. Giuliano

Publisher

John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 0008-543X)

Published

2003

Language

EN

Field

Medicine (Health Sciences)