The multicenter experience in the multidisciplinary Italian breast units: a review and update

Author:

Magnoni Francesca12,Tinterri Corrado34,Corso Giovanni125,Curigliano Giuseppe56,Leonardi Maria Cristina7,Toesca Antonio8,Rocco Nicola9,Catalano Francesca10,Bianchi Beatrice1,Lauria Federica1,Caldarella Pietro1,Pagani Gianmatteo1,Galimberti Viviana1,Veronesi Paolo15

Affiliation:

1. Division of Breast Surgery, IEO, European Institute of Oncology IRCCS, Milan, Italy

2. European Cancer Prevention Organization (ECP), Milan, Italy

3. Breast Unit, IRCCS Humanitas Research Hospital, Milan, Italy

4. Department of Biomedical Sciences, Humanitas University, Milan, Italy

5. Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy

6. Division of Experimental Therapeutics, Division of Medical Oncology, European Institute of Oncology IRCCS, Milan, Italy

7. Division of Radiation Oncology, IEO, European Institute of Oncology IRCCS, Milan, Italy

8. Division of Breast Surgical Oncology, Candiolo Cancer Institute FPO-IRCCS, Candiolo (To), Italy

9. Department of Advanced Biomedical Sciences, University of Naples Federico II, Naples, Italy

10. Multidisciplinary Breast Unit, Cannizzaro Hospital of Catania, Catania, Italy

Abstract

A breast unit is a multidisciplinary center specialized in the management of women with breast diseases, including breast cancer (BC). It represents a care path, passing from screening activities to diagnostic investigations, from surgery to the definition of the therapeutic strategy, from psychophysical rehabilitation to long-term checks (follow-up), and up to genetic counseling. Since 2006, following a resolution issued by the European Parliament to urge member states to activate multidisciplinary breast centers by 2016, work has been underway throughout Italy to improve the management of women with BC. In Italy, the State-Regions agreement was signed on 18 December 2014, sanctioning the establishment of breast units. These centers must adhere to specific quality criteria and requirements. In 2020, the experts of the EUSOMA group (European Society of Breast Cancer Specialists), in their latest document published, expanded the requirements of the breast units. Furthermore, Senonetwork was founded in 2012 with the aim of allowing BC to be treated in breast units that comply with European requirements to ensure equal treatment opportunities for all Italian women. Indeed, the available data indicate that the BC patient has a greater chance of better treatment in the breast units with a multidisciplinary team, thus increasing the survival rate with a better quality of life, compared to those managed in nonspecialized structures. The present review is a perspective on the current Italian reality of breast units, updated with the available literature and the most recent epidemiological data from Senonetwork and AgeNaS.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Cancer Research,Public Health, Environmental and Occupational Health,Oncology,Epidemiology

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