{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T06:57:50Z","timestamp":1777618670078,"version":"3.51.4"},"reference-count":44,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2016,6,24]],"date-time":"2016-06-24T00:00:00Z","timestamp":1466726400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"funder":[{"name":"McMaster Buffet Taylor Breast Cancer Research Chair, Department of Oncology, McMaster University"},{"name":"Department of Surgery, McMaster University"},{"name":"Hamilton Academic Health Sciences Organization (HAHSO) Innovation Grant"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ann Surg Oncol"],"published-print":{"date-parts":[[2016,10]]},"DOI":"10.1245\/s10434-016-5310-4","type":"journal-article","created":{"date-parts":[[2016,6,26]],"date-time":"2016-06-26T02:26:03Z","timestamp":1466907963000},"page":"3354-3364","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["A Population-Based Study of the Effects of a Regional Guideline for Completion Axillary Lymph Node Dissection on Axillary Surgery in Patients with Breast Cancer"],"prefix":"10.1245","volume":"23","author":[{"given":"Miriam W.","family":"Tsao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvie D.","family":"Cornacchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Hodgson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marko","family":"Simunovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lehana","family":"Thabane","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary Ann","family":"O\u2019Brien","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Strang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Som D.","family":"Mukherjee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J.","family":"Lovrics","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2016,6,24]]},"reference":[{"key":"5310_CR1","doi-asserted-by":"crossref","first-page":"927","DOI":"10.1016\/S1470-2045(10)70207-2","volume":"11","author":"DN Krag","year":"2010","unstructured":"Krag DN, Anderson SJ, Julian TB, et al. Sentinel-lymph-node resection compared with conventional axillary lymph node dissection in clinically node-negative patients with breast cancer: overall survival findings from the NSABP B-32 randomized phase 3 trial. Lancet Oncol. 2010;11:927\u201333.","journal-title":"Lancet Oncol."},{"issue":"19","key":"5310_CR2","doi-asserted-by":"crossref","first-page":"4312","DOI":"10.1200\/JCO.2005.03.228","volume":"23","author":"AD Purushotham","year":"2005","unstructured":"Purushotham AD, Upponi S, Klevesath MB, et al. Morbidity after sentinel lymph node biopsy in primary breast cancer: results from a randomized controlled trial. J Clin Oncol. 2005;23(19):4312\u201321.","journal-title":"J Clin Oncol."},{"key":"5310_CR3","unstructured":"The American Society of Breast Surgeons Board of Directors. Position statement on management of the axilla in patients with invasive breast cancer. https:\/\/www.breastsurgeons.org\/statements\/index.php . Accessed 22 June 2016."},{"key":"5310_CR4","doi-asserted-by":"crossref","first-page":"7703","DOI":"10.1200\/JCO.2005.08.001","volume":"23","author":"GH Lyman","year":"2005","unstructured":"Lyman GH, Giuliano AE, Omerfield MR, et al. American Society of Clinical Oncology guideline recommendations for sentinel lymph node biopsy in early-stage breast cancer. J Clin Oncol. 2005;23:7703\u201320.","journal-title":"J Clin Oncol."},{"key":"5310_CR5","unstructured":"George R, Quan ML, McCready D, et al. Expert panel on SLNB in breast cancer. Sentinel lymph node biopsy in early-stage breast cancer. Toronto, ON: Cancer Care Ontario, Jul 14 2009. Program in Evidence-Based Care Evidence-Based Series No.: 17\u20135. https:\/\/www.cancercare.on.ca\/common\/pages\/UserFile.aspx?fileId=45870 . Accessed 22 June 2016."},{"key":"5310_CR6","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1186\/s12916-015-0439-8","volume":"13","author":"J Anampa","year":"2015","unstructured":"Anampa J, Makower D, Sparano JA. Progress in adjuvant chemotherapy for breast cancer: an overview. BMC Med. 2015;13:195.","journal-title":"BMC Med."},{"key":"5310_CR7","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1001\/jama.2011.90","volume":"305","author":"AE Giuliano","year":"2011","unstructured":"Giuliano AE, Hunt KK, Ballman KV, et al. Axillary dissection vs no axillary dissection in women with invasive breast cancer and sentinel node metastasis: a randomized clinical trial. JAMA. 2011;305:569\u201375.","journal-title":"JAMA."},{"issue":"9","key":"5310_CR8","doi-asserted-by":"crossref","first-page":"2407","DOI":"10.1245\/s10434-011-1593-7","volume":"18","author":"AS Caudle","year":"2011","unstructured":"Caudle AS, Hunt KK, Kuerer HM, et al. Multidisciplinary considerations in the implementation of the findings from the American College of Surgeons Oncology Group (ACOSOG) Z0011 study: a practice-changing trial. Ann Surg Oncol. 2011;18(9):2407\u201312.","journal-title":"Ann Surg Oncol."},{"key":"5310_CR9","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1016\/j.suronc.2011.02.004","volume":"21","author":"JM Barry","year":"2012","unstructured":"Barry JM, Weber WP, Sacchini V. The evolving role of axillary lymph node dissection in the modern era of breast cancer management. Surg Oncol. 2012;21:143\u20135.","journal-title":"Surg Oncol."},{"key":"5310_CR10","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0b013e32834f3608","author":"S Nakamura","year":"2013","unstructured":"Nakamura S. Axillary lymph node dissection in sentinel node positive breast cancer: is it necessary? Curr Opin Obstet Gynecol. 2013. doi: 10.1097\/GCO.0b013e32834f3608 .","journal-title":"Curr Opin Obstet Gynecol"},{"key":"5310_CR11","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1503\/cjs.036011","volume":"55","author":"S Latosinsky","year":"2012","unstructured":"Latosinsky S, Berrand TS, Cutter CS, et al. Axillary dissection versus no axillary dissection in women with invasive breast cancer and sentinel node metastasis. Can J Surg. 2012;55:66\u201369.","journal-title":"Can J Surg."},{"key":"5310_CR12","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1007\/s10585-012-9515-z","volume":"29","author":"AE Giuliano","year":"2012","unstructured":"Giuliano AE, Morrow M, Duggal S, et al. Should ACOSOG Z0011 change practice with respect to axillary lymph node dissection for a positive sentinel lymph node biopsy in breast cancer? Clin Exp Metastasis. 2012;29:687\u201392.","journal-title":"Clin Exp Metastasis."},{"issue":"1","key":"5310_CR13","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5306\/wjco.v6.i1.1","volume":"6","author":"IA Voutsadakis","year":"2015","unstructured":"Voutsadakis IA, Spadafora S. Axillary lymph node management in breast cancer with positive sentinel lymph node biopsy. World J Clin Oncol. 2015;6(1):1\u20136.","journal-title":"World J Clin Oncol."},{"issue":"Suppl 3","key":"5310_CR14","doi-asserted-by":"crossref","first-page":"S96","DOI":"10.1016\/S0960-9776(11)70303-4","volume":"20","author":"V Galimberti","year":"2011","unstructured":"Galimberti V, Chifu C, Perez SR, et al. Positive axillary sentinel lymph node: is axillary dissection always necessary? Breast. 2011;20(Suppl 3):S96\u20138.","journal-title":"Breast."},{"key":"5310_CR15","doi-asserted-by":"crossref","first-page":"2413","DOI":"10.1245\/s10434-011-1857-2","volume":"18","author":"M Morrow","year":"2011","unstructured":"Morrow M, Giuliano AE. To cut is to cure: can we really apply Z11 in practice? Ann Surg Oncol. 2011;18:2413\u20135.","journal-title":"Ann Surg Oncol"},{"issue":"3","key":"5310_CR16","doi-asserted-by":"crossref","first-page":"411","DOI":"10.1016\/j.breast.2012.01.011","volume":"21","author":"HS Cody III","year":"2012","unstructured":"Cody HS III, Houssami N. Axillary management in breast cancer: what\u2019s new for 2012? Breast. 2012;21(3):411\u20135.","journal-title":"Breast."},{"issue":"10","key":"5310_CR17","doi-asserted-by":"crossref","first-page":"3144","DOI":"10.1245\/s10434-012-2531-z","volume":"19","author":"AS Caudle","year":"2012","unstructured":"Caudle AS, Hunt KK, Tucker SL, et al. American College of Surgeons Oncology Group (ACOSOG) Z0011: impact on surgeon practice patterns. Ann Surg Oncol. 2012;19(10):3144\u201351.","journal-title":"Ann Surg Oncol."},{"issue":"1","key":"5310_CR18","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1007\/s11845-015-1246-0","volume":"185","author":"DP Joyce","year":"2016","unstructured":"Joyce DP, Lowery AJ, McGrath-Soo LB, et al. Management of the axilla: has Z0011 had an impact? Ir J Med Sci. 2016;185(1):145\u20139.","journal-title":"Ir J Med Sci."},{"key":"5310_CR19","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1016\/j.amjsurg.2014.07.001","volume":"209","author":"GP Wright","year":"2015","unstructured":"Wright GP, Mater ME, Sobel HL, et al. Measuring the impact of the American College of Surgeons Oncology Group Z0011 trial on breast cancer surgery in a community healthy system. Am J Surg. 2015;209:240\u20135.","journal-title":"Am J Surg."},{"key":"5310_CR20","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1136\/qshc.2006.018549","volume":"15","author":"G Jamtvedt","year":"2006","unstructured":"Jamtvedt G, Young JM, Kristoffersen DT, et al. Does telling people what they have been doing change what they do? A systematic review of the effects of audit and feedback. Qual Saf Health Care. 2006;15:433\u20136.","journal-title":"Qual Saf Health Care."},{"key":"5310_CR21","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1002\/chp.1340220408","volume":"22","author":"J Grimshaw","year":"2002","unstructured":"Grimshaw J, Eccles M, Walter A, et al. Changing physician\u2019s behaviour; what works and thoughts on getting more things to work. J Cont Educ Health Prof. 2002;22:237\u201343.","journal-title":"J Cont Educ Health Prof."},{"key":"5310_CR22","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD000125.pub4","author":"G Flodgren","year":"2011","unstructured":"Flodgren G, Parmelli E, Doumit G, et al. Local opinion leaders: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2011. doi: 10.1002\/14651858.CD000125.pub4 .","journal-title":"Cochrane Database Syst Rev"},{"key":"5310_CR23","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003030.pub2","author":"L Forsetlund","year":"2009","unstructured":"Forsetlund L, Bjorndal A, Rashidian A, et al. Continuing education meetings and workshops: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2009. doi: 10.1002\/14651858.CD003030.pub2 .","journal-title":"Cochrane Database Syst Rev"},{"key":"5310_CR24","doi-asserted-by":"crossref","unstructured":"O\u2019Brien MA, Oxman AD, Davis DA, et al. Educational outreach visits: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2007;(2):CD000409.","DOI":"10.1002\/14651858.CD000409.pub2"},{"key":"5310_CR25","unstructured":"American Society of Breast Surgeons. Performance and practice guidelines for axillary lymph node dissection in breast cancer patients\u2014Nov. 2014. https:\/\/www.breastsurgeons.org\/new_layout\/about\/statements\/PDF_Statements\/PerformancePracticeGuidelines_ALND.pdf . Accessed Dec 2015."},{"key":"5310_CR26","doi-asserted-by":"crossref","first-page":"1365","DOI":"10.1200\/JCO.2013.54.1177","volume":"32","author":"GH Lyman","year":"2014","unstructured":"Lyman GH, Temin S, Edge S, et al. Sentinel lymph node biopsy for patients with early-stage breast cancer: American Society of Clinical Oncology clinical practice guideline update. J Clin Oncol. 2014;32:1365\u201386.","journal-title":"J Clin Oncol."},{"key":"5310_CR27","unstructured":"National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology V3.2015. www.consensocancermamario.com\/guias\/NCCN_2015.pdf . Accessed 23 June 2016."},{"key":"5310_CR28","doi-asserted-by":"crossref","first-page":"2181","DOI":"10.1245\/s10434-014-3592-y","volume":"21","author":"PJ Lovrics","year":"2014","unstructured":"Lovrics PJ, Hodgson N, O\u2019Brien MA, et al. Results of a surgeon-directed quality improvement project on breast cancer surgery outcomes in South-Central Ontario. Ann Surg Oncol. 2014;21:2181\u20137.","journal-title":"Ann Surg Oncol."},{"key":"5310_CR29","unstructured":"Tsao MW, Cornacchi SD, Lovrics PJ, et al. Factors affecting the implementation of a regional guideline for completion axillary lymph node dissection: a qualitative study of physician opinions. Canadian Centre for Applied Research in Cancer Control (ARCC) Conference 2016, Toronto, ON. 2016. http:\/\/cc-arcc.ca\/wpcontent\/uploads\/2015\/12\/Final-Web-ARCC-Program.pdf . Accessed 22 June 2016."},{"issue":"11","key":"5310_CR30","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1056\/NEJM198503143121102","volume":"312","author":"B Fisher","year":"1985","unstructured":"Fisher B, Redmond C, Fisher ER, et al. Ten-year results of a randomized clinical trial comparing radical mastectomy and total mastectomy with or without radiation. N Engl J Med. 1985;312(11):674\u201381.","journal-title":"N Engl J Med."},{"issue":"3","key":"5310_CR31","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.breast.2013.02.001","volume":"22","author":"W Gatzemeier","year":"2013","unstructured":"Gatzemeier W, Mann GB. Which sentinel lymph-node (SLN) positive breast cancer patient needs an axillary lymph-node dissection (ALND)\u2014ACOSOG Z0011 results and beyond. Breast J. 2013;22(3):211\u20136.","journal-title":"Breast J"},{"key":"5310_CR32","doi-asserted-by":"crossref","first-page":"3902","DOI":"10.1200\/JCO.2014.57.3717","volume":"32","author":"A Goyal","year":"2014","unstructured":"Goyal A, Dodwell D, Reed MW, et al. Axillary treatment in women with one or two sentinel nodes with macrometastases: more evidence is needed to inform practice. J Clin Oncol. 2014;32:3902.","journal-title":"J Clin Oncol."},{"key":"5310_CR33","doi-asserted-by":"crossref","unstructured":"Doherty S. History of evidence-based medicine. Oranges, chloride of lime and leeches: barriers to teaching old dogs new tricks. Emerg Med Australas. 2005;17:314\u201321.","DOI":"10.1111\/j.1742-6723.2005.00752.x"},{"issue":"3","key":"5310_CR34","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1097\/01.sla.0000245472.47748.ec","volume":"245","author":"I Langer","year":"2007","unstructured":"Langer I, Guller U, Berclaz G, et al. Morbidity of sentinel lymph node biopsy (SLN) alone versus SLN and completion axillary lymph node dissection after breast cancer surgery: a prospective Swiss multicenter study on 659 patients. Ann Surg. 2007;245(3):452\u201361.","journal-title":"Ann Surg."},{"key":"5310_CR35","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1245\/s10434-010-1253-3","volume":"17","author":"M Yi","year":"2010","unstructured":"Yi M, Giordano SH, Meric-Bernstam F, et al. Trends in and outcomes from sentinel lymph node biopsy (SLNB) alone vs. SLNB with axillary lymph node dissection for node-positive breast cancer patients: experience from the SEER database. Ann Surg Oncol. 2010;17:343\u201351.","journal-title":"Ann Surg Oncol."},{"issue":"18","key":"5310_CR36","doi-asserted-by":"crossref","first-page":"2946","DOI":"10.1200\/JCO.2008.19.5750","volume":"27","author":"KY Bilimoria","year":"2009","unstructured":"Bilimoria KY, Bentrem DJ, Hansen NM, et al. Comparison of sentinel lymph node biopsy alone and completion axillary lymph node dissection for node-positive breast cancer. J Clin Oncol. 2009;27(18):2946\u201353.","journal-title":"J Clin Oncol."},{"key":"5310_CR37","doi-asserted-by":"crossref","first-page":"4224","DOI":"10.1200\/JCO.2001.19.22.4224","volume":"19","author":"JA Hage Van Der","year":"2001","unstructured":"Van Der Hage JA, Van de Velde JP, Tubiana-Hulin M, et al. Preoperative chemotherapy in primary operable breast cancer: results from the European Organization for Research and Treatment of Cancer trial 10902. J Clin Oncol. 2001;19:4224\u201337.","journal-title":"J Clin Oncol."},{"issue":"12","key":"5310_CR38","doi-asserted-by":"crossref","first-page":"1303","DOI":"10.1016\/S1470-2045(14)70460-7","volume":"15","author":"M Donker","year":"2014","unstructured":"Donker M, Van Tienhoven G, Straver ME, et al. Radiotherapy or surgery of the axilla after a positive sentinel node in breast cancer (EORTC 10981-22023 AMAROS): a randomized, multicenter, open-label, phase 3 non-inferiority trial. Lancet Oncol. 2014;15(12):1303\u201310.","journal-title":"Lancet Oncol."},{"key":"5310_CR39","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1016\/j.ejso.2015.05.007","volume":"41","author":"CZ Li","year":"2015","unstructured":"Li CZ, Zhang P, Li RW, et al. Axillary lymph node dissection versus sentinel lymph node biopsy alone for early breast cancer with sentinel node metastasis: a meta-analysis. Eur J Surg Oncol. 2015;41:958\u201366.","journal-title":"Eur J Surg Oncol."},{"key":"5310_CR40","doi-asserted-by":"crossref","first-page":"e89778","DOI":"10.1371\/journal.pone.0089778","volume":"9","author":"J Wang","year":"2014","unstructured":"Wang J, Mittendorf EA, Sahin AA, et al. Outcomes of sentinel lymph node dissection alone vs. axillary lymph node dissection in early stage invasive lobular carcinoma: a retrospective study of the surveillance, epidemiology and end results (SEER) database. PLoS One. 2014;9:e89778.","journal-title":"PLoS One."},{"key":"5310_CR41","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1002\/jso.20878","volume":"96","author":"S Zakaria","year":"2007","unstructured":"Zakaria S, Degnim AC, Kleer CG, et al. Sentinel lymph node biopsy for breast cancer: how many nodes are enough? J Surg Oncol. 2007;96:554\u20139.","journal-title":"J Surg Oncol."},{"key":"5310_CR42","first-page":"325715","volume":"2015","author":"MK Lee","year":"2015","unstructured":"Lee MK, Varzi LA, Chung DU, et al. The effect of young age in hormone receptor positive breast cancer. Biomed Res Int. 2015;2015:325715.","journal-title":"Biomed Res Int."},{"key":"5310_CR43","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1136\/bmj.318.7182.527","volume":"318","author":"SH Woolf","year":"1999","unstructured":"Woolf SH, Grol R, Hutchinson A, et al. Clinical guidelines: potential benefits, limitations, and harms of clinical guidelines. BMJ. 1999;318:527\u201330.","journal-title":"BMJ."},{"issue":"3","key":"5310_CR44","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1053\/jhin.2002.1372","volume":"53","author":"S Natsch","year":"2003","unstructured":"Natsch S, van der Meer JWM. The role of clinical guidelines, policies and stewardship. J Hosp Infect. 2003;53(3):172\u20136.","journal-title":"J Hosp Infect."}],"container-title":["Annals of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1245\/s10434-016-5310-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1245\/s10434-016-5310-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1245\/s10434-016-5310-4","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,24]],"date-time":"2017-06-24T17:10:04Z","timestamp":1498324204000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1245\/s10434-016-5310-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,24]]},"references-count":44,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2016,10]]}},"alternative-id":["5310"],"URL":"https:\/\/doi.org\/10.1245\/s10434-016-5310-4","relation":{},"ISSN":["1068-9265","1534-4681"],"issn-type":[{"value":"1068-9265","type":"print"},{"value":"1534-4681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6,24]]}}}