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Table 3 Concordance between adjuvant treatments delivered to women with non-metastatic breast cancer diagnosed during 2016–2020 at the National Cancer Institute, Sri Lanka versus guidelinea recommendations

From: Demographic, tumour, and treatment characteristics of female patients with breast cancer in Sri Lanka; results from a hospital-based cancer registry

Indicator

Groups

n (%)

Use of chemotherapy (CT)

CT indicated

2720 (100)

• CT should be delivered to patients with node-positive disease

CT delivered

2464 (91)

Use of adjuvant radiotherapy (RT)

RT indicated

2078 (100)

• RT should be delivered to patients after breast conserving surgery and those with 3+ positive LNs

RT delivered

1599 (77)

Use of adjuvant endocrine therapy (ET)

ET indicated

3189 (100)

• Adjuvant ET should be given to all patients with ER and/or PR positive breast positive breast cancer

ET started

2795 (88)

Use of adjuvant trastuzumab

Trastuzumab indicated

947 (100)

• Adjuvant trastuzumab should be given to all patients with HER2 positive breast cancer

Trastuzumab delivered

559 (59)

  1. aNational Institute of Health and Care Excellence (NICE) and National Comprehensive Cancer Network (NCCN)