@AnnSurgOncol A9: the Alliance has a clinical trial, PI is Katie Reeder-Hayes, examining an interactive phone app, with alerts, reminders, etc aimed at increasing adherence. Fingers crossed it's a positive trial! #ASOchat
@AnnSurgOncol A9: this is tough. There aren't many proven effective interventions. It is clear that just passing out information does not help though. Bidirectional interventions, like programs including mychart responses etc can help #ASOchat
@AnnSurgOncol A8: for invasive disease, we are about to submit a trial via the Alliance looking at low dose tam in patients with low risk invasive breast cancer, but I personally would not try it outside of a trial
@AnnSurgOncol A8: I use low dose tamoxifen for post Menopausal patients in the prevention setting. Our co author Laura Spring cannot join, but she said 'something is better than nothing' #ASOchat
@AnnSurgOncol A7: we manage! Baseline dexa then every 2 years. If treatment is needed, use injectable bisphosphonates (reclast, prolia too). If bone loss continues despite these we refer #ASOchat
@AnnSurgOncol#ASOchat There is no RELIABLE evidence that vaginal hormones increase the risk of #breastcancer recurrence. The original pharmacokinetics studies of vaginal estrogen used doses 5x higher than what we use today
@AnnSurgOncol A5: let's talk about sex baby! I bring it up in every new patient consultation re long term issues that can arise from breast cancer treatment. Remove irritants, moisturize, lubricate! If anatomical issues I do refer
@AnnSurgOncol A4: acupuncture! Was proven effective in a randomized sham controlled clinical trial. I recommend this all the time to my patients. We offer it the integrative oncology center supported @PlutaCancerFdn@UR_Med#ASOchat
@adwilliams5@AnnSurgOncol I think getting comfortable with the discussion is so important, so when the med onc tells them about vaginal dryness, for example, it's not the first time a patient is hearing it
@AnnSurgOncol A2: pretty comfortable π but, I will say I often curbside collaborating groups, like our sexual wellness or bone health experts @UR_Med#ASOchat
Don't be fooled! On #AprilFoolsDay, we're busting common myths related to cancer.
While anyone can get #breastcancer, those with a family history do have an increased risk.
Have questions about your own risk? Our Breast Health Program can help: https://t.co/GJ5bIksucE #ROC