The London Surgical Research Group is excited to invite you to join the National Margins Audit. This project will study national variation in margin practice in breast conserving surgery and margin re-excision rates.
This is an important study which follows ASCO’s endorsement of “no ink on tumour” as an adequate margin in 2014. Wider margins have not been found to be associated with lower local recurrence rates in a meta analysis of 28,000 women following breast conserving therapy. Pursuing wider margins may increase re-excision rates and result in higher complication rates, poor cosmesis, poor patient experience and increased healthcare costs.
There is no clear national or regional consensus on adequate margins in the UK. We hope the results of this audit will help drive an update in national guidelines and result in greater uniformity in margin practice across the UK.
National data collection is between the 1st of February and 31st March 2016. Please contact email@example.com to register. Further information on this project including the full protocol can be found on the LSRG website and on the National Margins Audit YouTube channel https://youtu.be/i3o9_pBYXpQ