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Teller P, Nguyen TT, Tseng J, Allen L, Matsen CB, Bellavance E, Kaufman D, Hieken T, Nagel S, Patten C, Pomerenke L, Tevis SE, Sarantou T. Innovation in Breast Surgery: Practical and Ethical Considerations. Ann Surg Oncol 2022; 29:6144-6150. [PMID: 35854028 DOI: 10.1245/s10434-022-12136-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2022] [Accepted: 06/02/2022] [Indexed: 12/18/2022]
Abstract
The adoption of innovation is essential to the evolution of patient care. Breast surgical oncology advances through incorporating new techniques, devices, and procedures. Historical changes in practice standards from radical to modified radical mastectomy or axillary node dissection to sentinel node biopsy reduced morbidity without sacrifice in oncologic outcome. Contemporary oncoplastic techniques afford broader consideration for breast conservation and the potential for improved cosmetic outcomes. At present, many breast surgeons face the decision of which wireless device to use for localization of nonpalpable lesions. Consideration for future changes, such as robotic mastectomy, are on the horizon. No guideline exists to assist breast surgeons in the adoption of innovation into practice. The Ethics Committee of the American Society of Breast Surgeons acknowledges that breast surgeons confront many questions associated with onboarding innovation. This paper aims to provide a framework for asking relevant questions along with the ethical principles to consider when integrating an innovation into practice.
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Affiliation(s)
| | | | | | - Lisa Allen
- Capital Health Center for Comprehensive Breast Care, Pennington, NJ, USA
| | - Cindy B Matsen
- Department of Surgery, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA
| | | | | | - Tina Hieken
- Division of Breast and Melanoma Surgical Oncology, Department of Surgery, Mayo Clinic, Rochester, MN, USA
| | - Steven Nagel
- Center for Devices and Radiological Health, U.S. Food and Drug Administration, Silver Spring, MD, USA
| | - Caitlin Patten
- Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA
| | | | | | - Terry Sarantou
- Department of General Surgery, Levine Cancer Institute, Carolinas Healthcare System, Charlotte, NC, USA
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Avant A, Ridings J, DeWing M, Pomerenke L, Sharon I, Deleyiannis F, Liebscher G, Wong N, Olsen J. Impact of Reduction Mammoplasty on Cosmetic Outcomes and Delivery of Hypofractionated Radiotherapy for Breast Cancer Patients Undergoing Reduction Mammoplasty as a Component of Breast-Conserving Surgery. Int J Radiat Oncol Biol Phys 2019. [DOI: 10.1016/j.ijrobp.2019.06.652] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Olsen J, Ridings J, Dickinson J, DeWing M, Pomerenke L, Sharon I, Dial C, Gascoigne A, Jones J, Olsen L, Foy JC, Clemons A, Durazo S, Ulloa A, Petit J. Patient Reported Outcomes From a Prospective Risk-Adapted Breast IORT Registry Trial. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.1627] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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