Talk:Breast-conserving surgery

Wiki Education Foundation-supported course assignment

This article was the subject of a Wiki Education Foundation-supported course assignment, between 4 March 2019 and 29 March 2019. Further details are available on the course page. Student editor(s): ShervinEtemad. Peer reviewers: Emersonbryant.

Above undated message substituted from Template:Dashboard.wikiedu.org assignment by PrimeBOT (talk) 16:14, 16 January 2022 (UTC)

UCSF WikiMed Workplan

From 3/7/19 to 3/28/19, I will be contributing to this page. To be transparent with my process, I would like to share my planned timeline with all interested parties. For further accountability, I will include an overview of what I plan to do, and my initial assessments of what aspects of the page may benefit from an update.

By 3/14, I will finalize an updated structure for the contents of the page. In addition, I will have a collection of up to date sources to cite. By 3/20, updates to this page will have been added for peer review. By 3/26, further modifications will be made based on peer feedback.

Regarding the current state of the page (3/8/19):

• The lead is inadequate and does not summarize the content of the page.
• There exists no history of breast conservation therapy, and the types of surgery that were performed.
• Indications and contraindications are not comprehensive and do not include the most recent evidence base. This will be a priority section.
• Operative details are missing. Specifically, what happens during this operation? What is the surgeon doing?
• Adjuvant radiation therapy, while it has its own Wikipedia page, is not discussed in adequate detail. It is an important part of breast cancer treatment, especially following BCS.
• Complications and outcomes are not touched upon. I plan to review the literature for the best knowledge we have with regards to complications and outcomes, and share it in a way that is clear, concise, and evidence-based.
• There are no graphics. I would like to include additional images with regards to what is done during the operation.
• The decision to include the above stems from a desire to make this a page that is clear for patients undergoing breast conserving surgery. As expected, this is a time of great uncertainty and potential anxiety for patients. I would like to create a page that is informative for patients. In addition, I would like this to be a resource for learners to read as an overview of the operation, it’s big-picture details, and the outcomes and complications to be aware of. In addition I would like to cite the pages of several healthcare institutions on the topic.

— Preceding unsigned comment added by ShervinEtemad (talk • contribs) 22:23, 7 March 2019 (UTC)

UCSF WikiMed Peer Review Feedback

Introduction:

• Really appreciated that immediately in the introduction you introduced different lay terms that are commonly used to refer to BCS

History:

• Excellent that the landmark study was included
• However, given that this study was published in 1981, I think it would be helpful to include any studies in the 30 yrs since that were critical in expanding upon/confirming these findings

Decision Making:

• Such a critical section to include—this is a gut wrenching choice for many patients facing this decision as there is a general hesitation to do something “less” when it comes to treating something as daunting as cancer
• Points were clear and easy to read

Patient selection:

• I understand the point of this section…but I think the term “selection” is misleading when it comes to a discussion of indications/contraindications. Would use the term “considerations” or something similar
• Also, while I know this is appropriately cited, I think it would be helpful to spell out in the text which governing body these guidelines are coming from, writing for example, “According to the guidelines published by X organization in x year…”
• Would also link to “inflammatory breast cancer” here if there is a specific page

Breast conserving therapy:

• Unsure why this is a separate section. Seems that it could be easily included in the introduction
• Based on your WIP, it seems like this section could be further fleshed out to actually describe the surgical procedure

Oncoplastic surgery:

• Great section, clearly defined/distinguished from simple breast conserving surgery

Other take-aways:

• Based on your WIP: additional section I think most needed is one on complications and outcomes. This would be especially helpful for patients seeking information. Also, consider a graphic!

Emersonbryant (talk) 16:29, 25 March 2019 (UTC)