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Smarter medicine

Société Suisse de Radio-Oncologie (SSRO)

• Whole breast radiotherapy decreases local recurrence and improves the survival prognosis for women with invasive breast cancer who have received conservative breast treatment. Most studies have used "conventionally split" programs with five to six weeks of therapy, often followed by one to two weeks of additional boosting. • Recent studies, however, have demonstrated equivalent tumor control and cosmetic outcome among specific populations of patients who have undergone shorter treatments ...

Smarter medicine

Société suisse de Chirurgie (SSC)

Although CT is effective in detecting suspected appendicitis in children, ultrasound is the imaging study of choice in children. If the results of the ultrasound examination are equivocal, this may be followed by a CT scan. This approach is cost-effective, reduces potential radiation risks and is extremely accurate, with sensitivity and specificity currently at 94% in experienced hands. To improve the diagnosis without using CT - knowing that the individual experience of the operators is ...

Smarter medicine

Société suisse de Chirurgie (SSC)

It is not recommended for outpatients to routinely perform chest X-rays at admission or preoperatively without specific indication in relation to clinical history and / or results of the clinical examination. Only 2% of x-rays performed lead to a change in the patient's management. A chest X-ray may be warranted if there is suspicion of cardiopulmonary pathology or if there is a history of a chronic stable cardiopulmonary pathology in patients over 70 years old who have not had a chest x-ray in ...

Smarter medicine

Société suisse de Chirurgie (SSC)

Colorectal cancer screening has been shown to reduce mortality associated with this common disease; colonoscopy can detect and remove adenomatous polyps, the precancerous lesion of many cancers, reducing the incidence of the disease later in life. Nevertheless, screening and surveillance modalities are inappropriate if the risks outweigh the benefits. The risk of colonoscopy increases with age and comorbidities. The risk / benefit ratio of colorectal cancer screening and surveillance for each ...

Smarter medicine

Société suisse de Chirurgie (SSC)

Aggressive use of whole body CT scans improves the early diagnosis of injury and may even have a positive impact on the survival of polytrauma patients. Nevertheless, the significant exposure to radiation and the costs involved in these examination should be taken into account, especially in patients whose injury is secondary to low-energy trauma in the absence of clinical data for major trauma.