Quality of adjuvant CMF chemotherapy for node-positive primary breast cancer: a population-based study

M Schaapveld*, EGE de Vries, WTA van der Graaf, R Otter, PHB Willemse

*Corresponding author for this work

    Research output: Contribution to journalArticleAcademicpeer-review

    6 Citations (Scopus)

    Abstract

    Purpose: Adjuvant 'classical' oral cyclophosphamide, methotrexate, and 5-fluorouracil (CMF) has long been the mainstay of adjuvant chemotherapy for premenopausal breast cancer patients. The Comprehensive Cancer Center North Netherlands (CCCN) breast cancer working group performed a retrospective audit of treatment guideline adherence and quality of CMF in hospitals in the CCCN area. Methods: The CMF treatment data of 251 consecutive axillary lymph node-positive breast cancer patients 3 patients/year (P=0.014) were treated by one specialist or >10 patients classified for adjuvant chemotherapy yearly in a hospital (P=0.037). Conclusion: The adherence to CMF treatment guidelines was generally good. Simultaneous radiotherapy did not affect the median RDI of CMF. G-CSF had no impact on the median RDI but patient volume did influence the RDI.

    Original languageEnglish
    Pages (from-to)581-590
    Number of pages10
    JournalJournal of cancer research and clinical oncology
    Volume130
    Issue number10
    DOIs
    Publication statusPublished - Oct-2004
    Event38th Annual Meeting of the American-Society-of-Clinical-Oncology -
    Duration: 18-May-200221-May-2002

    Keywords

    • breast cancer
    • chemotherapy
    • guideline
    • pattern of care
    • radiotherapy
    • relative dose intensity
    • DOSE INTENSITY
    • EARLY-STAGE
    • 5-FLUOROURACIL CMF
    • RADIATION-THERAPY
    • CONSERVATIVE SURGERY
    • CYCLOPHOSPHAMIDE
    • METHOTREXATE
    • RADIOTHERAPY
    • MANAGEMENT
    • TRIAL

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