Breast Surgical Oncology, Clínica Universidad de Navarra, Madrid, Universidad de Navarra, Spain.
Department of Oncology and Metabolism, University of Sheffield, Sheffield, UK.
Eur J Surg Oncol. 2019 Apr;45(4):567-572. doi: 10.1016/j.ejso.2019.01.003. Epub 2019 Jan 5.
At present there is a lack of standardization of training in breast cancer surgery across Europe. The aim of this survey was to assess current practice in Europe regarding training in breast cancer (BC) surgery.
General surgeons, surgical oncologists, gynecologist, and plastic surgeons in Europe were invited to participate in this bespoke survey including 19 questions.
The survey was sent to 3.000 surgical oncologists across Europe. A total of 671 physicians (387 general surgeons, 152 gynecologists, 126 surgical oncologist, 31 plastic surgeons) answered the survey (23% response rate). Four hundred and sixty-eight physicians devoted between 50% -100% of their job to treating breast cancer. 45% worked in a community/University hospital within a dedicated Breast Unit. Specific additional breast surgery training was not universal: 20% had undertaken an accredited breast fellowship, 30% in a Breast Unit as a trainee, 21% had done additional courses, masters or diploma and 8% had not done any additional training. The majority (61%) of respondents worked in Units treating >150 BC cases per year, while 26% of the responders treat >120 new primary cases per year, and 23% less than 50 new cases a year. Multivariate analysis showed that breast surgeons working in a Breast Unit and treating more than 50 cases/year significantly performed oncoplastic procedures.
There is a great variability in breast cancer surgery training in Europe. It is imperative to develop quality standards for breast cancer surgery training to ensure that patients get standardized and certified surgical management regardless of the country in which they are treated.
目前，欧洲乳腺癌手术培训缺乏标准化。本调查旨在评估欧洲在乳腺癌（BC）手术培训方面的现状。
邀请欧洲的普通外科医生、外科肿瘤学家、妇科医生和整形外科医生参与这项专门调查，共包括 19 个问题。
该调查发送给了欧洲的 3000 名外科肿瘤学家。共有 671 名医生（387 名普通外科医生、152 名妇科医生、126 名外科肿瘤学家、31 名整形外科医生）回答了这项调查（23%的回应率）。468 名医生将其工作的 50%-100%用于治疗乳腺癌。45%的人在专门的乳腺科工作于社区/大学医院。并非所有医生都接受过特定的额外乳腺手术培训：20%的人接受过认证的乳腺研究金培训，30%的人在乳腺科作为学员接受培训，21%的人参加过额外的课程、硕士或文凭课程，8%的人没有接受过任何额外的培训。大多数（61%）受访者在每年治疗超过 150 例乳腺癌的科室工作，而 26%的人每年治疗超过 120 例新原发性病例，23%的人每年治疗不到 50 例新病例。多变量分析显示，在乳腺科工作且每年治疗超过 50 例病例的乳腺外科医生更倾向于进行肿瘤整形手术。
欧洲乳腺癌手术培训存在很大差异。制定乳腺癌手术培训质量标准至关重要，以确保患者接受标准化和认证的手术管理，而不论他们在哪个国家接受治疗。
