Is radiotherapy omission after breast-conserving surgery associated with reduced breast cancer-specific survival in elderly women with breast cancer?
These findings support the hypothesis that inadequate local therapy is associated with reduced survival in elderly women treated with breast-conserving therapy.
In conclusion, change in practice is a slow and complex process influenced not only by data and scientific evidence, but also by a combination of other factors. Some of them are Clinical decision making, EBP/Education, Research Translation and Organizational factors with Infrastructure/Resources. Some of the above-mentioned conclusions will aid the policy makers and the opinion leaders in the National Health Service (NHS).