Challenges in optimizing care in advanced breast cancer patients: Results of an international survey linked to the ABC1 consensus conference

摘要

Until recently, many international guidelines have focussed on the treatment of early-stage breast cancer, with little emphasis on advanced-stage disease. To improve the management of advanced breast cancer (ABC), the European School of Oncology (ESO) established the ABC International Consensus Conference and Guidelines. Delegates from the first conference and additional groups selected by ESO were invited to complete a survey to identify current challenges and barriers associated with optimizing ABC management. 609 Respondents from 78 countries completed the questionnaire. "Lack of clear and applicable management guidelines" and "lack of high-level evidence for treatment options" were identified as key barriers to raising the profile of ABC and treating the disease. The survey also revealed a lack of multidisciplinary treatment, specialized ABC nurses, and routine psychosocial support in clinical practice. Implementing high-quality guidelines could lead to better practice in the management of ABC by encouraging multidisciplinary treatment and patient-support initiatives. (C) 2015 Elsevier Ltd. All rights reserved.