Breast cancer multidisciplinary team adjuvant therapy decision making and adjuvant! Online.

摘要

Sir -Adjuvant therapy in early breast cancer reduces the risk of recurrence and death [1], but the process of adjuvant therapy decision making by multidisciplinary teams (MDTs) varies; some use prognostic indices, such as the Nottingham Prognostic Index, whereas many others do not [2]. There are now different tools and 'decision aids' to help the decision making process [3], such as Adjuvant! Online (www. adjuvantonline.com). The National Institute for Health and Clinical Excellence (NICE) in the UK recommends using Adjuvant! Online in adjuvant therapy decision making [4].