The first study to compare survival between women with breast cancer whose treatment was based on consensus guidelines and those whose treatment was not shows that adhering to established guidelines improves survival and reduces the risk of recurrence. The study retrospectively examined whether the systemic therapy prescribed after surgery for women with early-stage breast cancer was consistent with treatment guidelines established for at the time. Systemic therapy includes chemotherapy and hormonal therapy and is designed to reach cancer cells that may have spread beyond the original tumor site. The study and an accompanying editorial will be published online August 2 in the Journal of Clinical Oncology (JCO) at http://www.jco.org.
Using medical records from Canada’s national health care system, Dr. Hébert-Croteau and her colleagues compared survival between 1,002 women with early breast cancer whose systemic treatment was delivered according to guidelines developed at the 1992 St-Gallen conference in Switzerland, and 380 women whose treatment differed from those guidelines. The study also included 159 women whose guideline adherence was unknown. The women were diagnosed between 1988 and 1994 with invasive breast cancer that had not spread to nearby lymph nodes.
Developed by consensus with input from oncologists in Europe and North America, the St-Gallen guidelines continue to be updated regularly and are considered among the best guidelines available. The guidelines stipulate whether a woman with node-negative breast cancer should, after surgery, receive tamoxifen, chemotherapy, neither (as is the case for women at low risk of recurrence), or both, depending on her risk.
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Scientists at the Max Planck Institute for Polymer Research (MPI-P) in Mainz (Germany) together with scientists from Dresden, Leipzig, Sofia (Bulgaria) and Madrid (Spain) have now developed and characterized a novel, metal-organic material which displays electrical properties mimicking those of highly crystalline silicon. The material which can easily be fabricated at room temperature could serve as a replacement for expensive conventional inorganic materials used in optoelectronics.
Silicon, a so called semiconductor, is currently widely employed for the development of components such as solar cells, LEDs or computer chips. High purity...
Augsburg chemists present a new technology for compressing, storing and transporting highly volatile gases in porous frameworks/New prospects for gas-powered vehicles
Storage of highly volatile gases has always been a major technological challenge, not least for use in the automotive sector, for, for example, methane or...
When we put water in a freezer, water molecules crystallize and form ice. This change from one phase of matter to another is called a phase transition. While this transition, and countless others that occur in nature, typically takes place at the same fixed conditions, such as the freezing point, one can ask how it can be influenced in a controlled way.
We are all familiar with such control of the freezing transition, as it is an essential ingredient in the art of making a sorbet or a slushy. To make a cold...
Thin organic layers provide machines and equipment with new functions. They enable, for example, tiny energy recuperators. In future, these will be installed...
Das Zusammenspiel aus Struktur und Dynamik bestimmt die Funktion von Proteinen, den molekularen Werkzeugen der Zelle. Durch Fortschritte in der...
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