Recommendations for hypofractionated whole-breast irradiation
This recommendation consensus for hypofractionated whole-breast radiotherapy (RT) was organized by the Brazilian Society of Radiotherapy (SBRT) considering the optimal scenario for indication and safety in the technology applied. All controversies and contraindication matters (hypofractionated RT in...
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| Published in: | Revista da Associacao Medica Brasileira (1992) Vol. 64; no. 9; pp. 770 - 777 |
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| Main Authors: | , , , , , , , , , , , , , , , , , , , |
| Format: | Magazine Article |
| Language: | English |
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01-09-2018
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| Abstract | This recommendation consensus for hypofractionated whole-breast radiotherapy (RT) was organized by the Brazilian Society of Radiotherapy (SBRT) considering the optimal scenario for indication and safety in the technology applied. All controversies and contraindication matters (hypofractionated RT in patients who underwent chemotherapy [CT], hypofractionated RT in lymphatic drainage, hypofractionated RT after mastectomy with or without immediate reconstruction, boost during surgery, hypofractionated RT in patients under 50 years old, hypofractionated RT in large breasts, hypofractionated RT in histology of carcinoma in situ [DCIS]) was discussed during a meeting in person, and a consensus was reached when there was an agreement of at least 75% among panel members. The grade for recommendation was also suggested according to the level of scientific evidence available, qualified as weak, medium, or strong. Thus, this consensus will aid Brazilian radiotherapy experts regarding indications and particularities of this technique as a viable and safe alternative for the national reality. |
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| AbstractList | SUMMARY This recommendation consensus for hypofractionated whole-breast radiotherapy (RT) was organized by the Brazilian Society of Radiotherapy (SBRT) considering the optimal scenario for indication and safety in the technology applied. All controversies and contraindication matters (hypofractionated RT in patients who underwent chemotherapy [CT], hypofractionated RT in lymphatic drainage, hypofractionated RT after mastectomy with or without immediate reconstruction, boost during surgery, hypofractionated RT in patients under 50 years old, hypofractionated RT in large breasts, hypofractionated RT in histology of carcinoma in situ [DCIS]) was discussed during a meeting in person, and a consensus was reached when there was an agreement of at least 75% among panel members. The grade for recommendation was also suggested according to the level of scientific evidence available, qualified as weak, medium, or strong. Thus, this consensus will aid Brazilian radiotherapy experts regarding indications and particularities of this technique as a viable and safe alternative for the national reality.
RESUMO Este consenso de recomendações para a radioterapia (RT) hipofracionada de toda a mama foi organizado pela Sociedade Brasileira de Radioterapia (SBRT) considerando o cenário ideal para indicação e segurança na tecnologia aplicada. Questões de controvérsias e contraindicações (RT hipofracionada em pacientes submetidas à quimioterapia [QT], RT hipofracionada nas drenagens linfáticas, RT hipofracionada após mastectomia com ou sem reconstrução imediata, a realização de reforço de dose em leito cirúrgico [ou boost], RT hipofracionada em pacientes com idade menor que 50 anos, RT hipofracionada em mamas volumosas, RT hipofracionada em histologia de carcinoma in situ [CDIS]) foram discutidas em encontro presencial, sendo o consenso atingido quando existisse concordância de pelo menos 75% dos panelistas. O grau de recomendação foi também sugerido de acordo com o nível de evidência científico disponível, qualificado entre fraco, médio ou forte. Assim, este consenso deverá servir para auxiliar os especialistas da radioterapia brasileira em relação às indicações e particularidades dessa técnica, como uma alternativa segura e viável para a realidade nacional. This recommendation consensus for hypofractionated whole-breast radiotherapy (RT) was organized by the Brazilian Society of Radiotherapy (SBRT) considering the optimal scenario for indication and safety in the technology applied. All controversies and contraindication matters (hypofractionated RT in patients who underwent chemotherapy [CT], hypofractionated RT in lymphatic drainage, hypofractionated RT after mastectomy with or without immediate reconstruction, boost during surgery, hypofractionated RT in patients under 50 years old, hypofractionated RT in large breasts, hypofractionated RT in histology of carcinoma in situ [DCIS]) was discussed during a meeting in person, and a consensus was reached when there was an agreement of at least 75% among panel members. The grade for recommendation was also suggested according to the level of scientific evidence available, qualified as weak, medium, or strong. Thus, this consensus will aid Brazilian radiotherapy experts regarding indications and particularities of this technique as a viable and safe alternative for the national reality. |
| Author | Marta, Gustavo Nader Pellizzon, Antonio Cassio Assis Najas, Rosa Maria Xavier Faria Veras, Igor Moreira Oliveira, Harley Francisco de Ribeiro, Homero Lavieri Martins Borges, Allisson Bruno Barcelos Kuhnen, Felipe Quintino Leite, André Campana Correia Freitas Junior, Ruffo Almeida Júnior, Wilson José de Hanriot, Rodrigo de Morais Rosa, Arthur Accioly Hanna, Samir Abdalla Gondim, Guilherme Rocha Melo Castilho, Marcus Simões Freitas, Nilceana Maya Aires Batalha Filho, Eronides Salustiano Affonso Júnior, Renato José Fernandez, Claudia Regina Scaramello Hadlich Willis |
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| CitedBy_id | crossref_primary_10_1590_1980_220x_reeusp_2022_0173en crossref_primary_10_1590_1980_220x_reeusp_2022_0173pt crossref_primary_10_1016_j_breast_2020_07_011 crossref_primary_10_1016_j_lana_2022_100333 crossref_primary_10_1016_j_lana_2022_100323 crossref_primary_10_1590_1806_9282_2024s130 crossref_primary_10_3389_fonc_2023_1202544 crossref_primary_10_1016_j_radonc_2021_01_003 crossref_primary_10_1590_1806_9282_67_02_20200801 crossref_primary_10_1016_j_breast_2022_01_018 crossref_primary_10_1016_j_jcpo_2022_100367 crossref_primary_10_1016_j_jcpo_2023_100431 crossref_primary_10_1590_0034_7167_2021_0118 |
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| SubjectTerms | Brazil Breast - radiation effects Breast Neoplasms - pathology Breast Neoplasms - radiotherapy Carcinoma - pathology Carcinoma - radiotherapy Evidence-Based Medicine Female Humans Radiation Dose Hypofractionation - standards Risk Factors |
| Title | Recommendations for hypofractionated whole-breast irradiation |
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