Abstract
Hence the only intervention proved to alter the natural course of breast cancer is effective adjuvant systemic treatment. Despite this, adjuvant prescribing habits have been one of Britain's most volatile therapeutic variables in recent years.5 A new NHS report6 has invoked this variability to help explain startling survival differences (12–23% at five years) reported between specialist and non-specialist breast cancer units.7 The down side of this upbeat view of adjuvant treatment is the …