Surgeons' Perspectives on Surgery of Breast Cancer in Iran: The Pattern and Determinants

Massoome Najafi (1), Mohamadreza Neishaboury (2), Nazanin Ghafari (3), Shahpar Haghighat (4), Fereydoon Memari (5), Ahmad Kaviani (6)
(1) Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran,
(2) Kaviani Breast Disease Institute (KBDI), Tehran, Iran,
(3) Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran,
(4) Breast Diseases Department, Breast Cancer Research Center, ACECR, Tehran, Iran,
(5) Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran,
(6) Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran

Abstract

Background: The purpose of this study was to assess Iranian surgeons' perceptions toward mastectomy and breast conserving therapy (BCT) and determine the contributing factors.

Methods: In this cross-sectional study, a structured questionnaire was devised and hosted on survey.tums.ac.ir and a link to the questionnaire was emailed to surgeons registered in Iranian Medical Council, branch of Tehran. The results of the current study were compared to a similar study which was performed in 2004 on a comparable sample of surgeons in Tehran, Iran.

Results: A total 166 surgeons filled out the study questionnaire. Only 24 surgeons declared that they have not performed BCT before. Variables that showed a significant association with performing BCT were attending a breast surgery or surgical oncology fellowship (P = 0.010) and breast surgery workshop (P = 0.042). No associations were observed between performance of BCT and age category (P = 0.951), gender (P = 0.416), duration of practice (P = 0.821), number of breast cancer patients per year (P = 0.083), and setting of practice categorized as teaching – nonteaching hospitals (P = 0.417). Comparing the results of the current study with the study performed in 2004 revealed a significant increase in the frequency of surgeons who performed BCT (85.5% vs 19.3%, respectively) (P < 0.001). Participants of the current study were more likely to mention "lack of experience" as the reason for not performing BCT compared to the previous study (P = 0.004).

Conclusions: Our results delineated that there was a significant increase in the percentage of surgeons performing BCT compared to the previous study. Factors significantly associated with performing BCT were participating in a surgical oncology or breast surgery fellowship or short courses in breast surgery.

Full text article

Generated from XML file

Authors

Massoome Najafi
Mohamadreza Neishaboury
Nazanin Ghafari
Shahpar Haghighat
Fereydoon Memari
Ahmad Kaviani
akaviani@tums.ac.ir (Primary Contact)
1.
Najafi M, Neishaboury M, Ghafari N, Haghighat S, Memari F, Kaviani A. Surgeons’ Perspectives on Surgery of Breast Cancer in Iran: The Pattern and Determinants. Arch Breast Cancer [Internet]. 2015 May 30 [cited 2024 Apr. 13];2(2):58-63. Available from: https://archbreastcancer.com/index.php/abc/article/view/35

Article Details

Most read articles by the same author(s)

1 2 3 4 5 > >>