{"key":"op_708_CH","page":{"url":"https://us-uk.bookimed.com/clinics/country=switzerland/procedure=chemotherapy-for-breast-cancer/","procedure":{"id":708,"slug":"chemotherapy-for-breast-cancer","name":"Chemotherapy for breast cancer","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"therapy","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"oncology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":51,"iso":"CH","name":"Switzerland"},"currency":{"status":"missing","reason":"not_collected"},"data_date":{"status":"missing","reason":"not_collected"}},"pages":{"clinics_url":"https://us-uk.bookimed.com/clinics/country=switzerland/procedure=chemotherapy-for-breast-cancer/","cost_url":"https://us-uk.bookimed.com/clinics/country=switzerland/procedure=chemotherapy-for-breast-cancer/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":{"status":"missing","reason":"not_collected"},"to":{"status":"missing","reason":"not_collected"},"avg":{"status":"missing","reason":"no_offers"},"us":{"from":30000,"to":60000},"uk":{"from":6500,"to":15500},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":{"status":"missing","reason":"not_collected"},"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":2500,"to":6000},{"country_iso":"FR","from":9000,"to":18000},{"country_iso":"GB","from":6500,"to":15500},{"country_iso":"US","from":30000,"to":60000},{"country_iso":"IL","from":22500,"to":36000},{"country_iso":"TR","from":4700,"to":6500},{"country_iso":"MX","from":4500,"to":8500},{"country_iso":"DE","from":3500,"to":19000},{"country_iso":"CA","from":22500,"to":68000},{"country_iso":"AE","from":6000,"to":15000},{"country_iso":"TH","from":5000,"to":9500},{"country_iso":"PL","from":4500,"to":8500},{"country_iso":"KR","from":3000,"to":13000},{"country_iso":"CZ","from":3000,"to":6000},{"country_iso":"AT","from":9500,"to":18000},{"country_iso":"ES","from":2300,"to":11000},{"country_iso":"IT","from":6500,"to":12500},{"country_iso":"CN","from":14800,"to":31000},{"country_iso":"AU","from":9000,"to":20000},{"country_iso":"IN","from":3200,"to":6000},{"country_iso":"MY","from":5500,"to":9500},{"country_iso":"VN","from":3200,"to":6500},{"country_iso":"BR","from":3200,"to":7000}],"base_country":"US","base_is_fallback":false},"savings":{"pct":{"status":"missing","reason":"no_comparison"},"variant":"no_comparison"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":3,"items":[{"id":134,"name":"Clinique Générale Beaulieu","city":"Geneve","rating":4,"reviews_count":3,"accreditations":{"status":"missing","reason":"not_collected"},"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":149,"name":"Genolier Hospital","city":"Genolier","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["World's Best Hospitals 2021 by Newsweek"],"rank":2,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":151,"name":"Hirslanden Private Hospital Group","city":"Zurich","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":["World's Best Hospitals 2022 by Newsweek"],"rank":3,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":1,"languages":{"status":"missing","reason":"not_collected"}},"cities":{"status":"missing","reason":"not_collected"},"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Adjuvant post-surgery therapy for early cancer at meaningful recurrence risk","Neoadjuvant therapy to downstage tumours, especially triple-negative, HER2-positive","Metastatic or recurrent cancer when endocrine/targeted options unsuitable or exhausted"],"contraindications":["Severe hypersensitivity to agents in the chosen regimen","Pregnancy, especially first trimester","Severe bone marrow, liver or kidney dysfunction","Significant cardiac dysfunction (anthracycline or trastuzumab)","Active uncontrolled serious infection","Poor performance status (ECOG 3-4)"],"operation_hours":{"min":1,"max":6,"unit":"hours","qualifier":"Per infusion visit including premedication; depends on drugs, such as longer with HER2 antibodies."},"anesthesia":["none"],"sessions_or_stages":{"sessions":{"min":4,"max":8,"unit":"visits","qualifier":"Infusion cycles every 1-3 weeks; number depends on regimen and stage."},"stages":[{"code":"cycles_first_phase","label":"First drug phase cycles","after":{"min":0,"max":0,"unit":"days","qualifier":"Starts on day 0 with the first cycle"}},{"code":"cycles_second_phase","label":"Second phase cycles (e.g., taxane)","after":{"min":84,"max":126,"unit":"days","qualifier":"Starts 84-126 days after first cycle; sequential regimens only"}}],"qualifier":"Total course typically spans 3-6 months."},"hospital_nights":{"value":{"min":0,"max":0,"unit":"nights","qualifier":"Usually no overnight stay; infusions given as outpatient day-case visits."},"source":"parsed_details"},"treatment_conditions":["outpatient"],"rehabilitation_days":{"min":60,"max":180,"unit":"days","qualifier":"Gradual return of energy after final cycle; depends on regimen intensity, age and neuropathy."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"After each cycle, once nausea settles and before expected low-count nadir; depends on regimen and oncologist clearance."},"back_to_work_days":{"min":3,"max":7,"unit":"days","qualifier":"Many patients work part-time or remotely between cycles; depends on regimen toxicity, fatigue and job demands."},"exercise_resume_weeks":{"min":0,"max":2,"unit":"weeks","qualifier":"Light walking encouraged during treatment; intensity depends on blood counts, fatigue and oncologist advice."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Counts recovery after last cycle; response assessed by surgery pathology or imaging, depending on setting and regimen."},"result_longevity":"Aims at long-term reduction of recurrence risk in early disease; in metastatic disease benefit lasts as long as disease control, variable.","main_risks":["Nausea, vomiting and fatigue","Hair loss","Low blood counts: neutropenia with infection risk, anemia, thrombocytopenia","Mucositis and diarrhea or constipation","Peripheral neuropathy, particularly with taxanes","Cardiotoxicity with anthracyclines and some targeted agents","Infusion or hypersensitivity reactions","Premature menopause and reduced fertility","Rarely secondary leukemia or myelodysplasia after anthracycline or alkylator exposure","Hand-foot syndrome with some oral agents such as capecitabine"],"complication_rate_pct":{"min":20,"max":50,"unit":"percent","qualifier":"Grade 3-4 toxicity such as neutropenia, infection or neuropathy during course; mild side effects affect nearly all patients."},"revision_rate_pct":{"status":"missing","reason":"not_collected"},"success":{"metric":"Disease-free survival after adjuvant chemotherapy in early breast cancer","value":80,"horizon":"5 years","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"None; no incisions.","pain":"Infusion itself is mostly painless. Aches, mucositis, neuropathy or bone pain (after growth factor) may occur and are managed with medication.","preparation":["Oncology assessment confirming subtype (hormone receptor, HER2) and stage","Baseline blood tests and organ function evaluation","Cardiac assessment if regimen includes cardiotoxic agents","Pregnancy testing and fertility preservation discussion where relevant","Venous access planning (line or port); nausea and infection prophylaxis"],"recovery_timeline":[{"phase":"Infusion day","description":"Intravenous chemotherapy with premedication against nausea and allergic reactions.","restrictions":["Avoid alcohol"]},{"phase":"Days 1-7 after each cycle","description":"Peak nausea, fatigue and taste changes; blood counts fall toward the nadir.","restrictions":["Avoid crowds and sick contacts"]},{"phase":"Days 8-21 after each cycle","description":"Counts recover and energy returns before the next cycle.","restrictions":["Avoid strenuous exercise","Maintain infection precautions"]},{"phase":"After final cycle","description":"Gradual recovery of energy, hair regrowth and neuropathy improvement over months.","restrictions":{"status":"missing","reason":"not_collected"}}],"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Blood count and toxicity check between cycles; timing depends on regimen."}},{"purpose":"assessment","requirement":"routine","after":{"min":42,"max":84,"unit":"days","qualifier":"Mid-treatment clinical or imaging response review depending on setting."}},{"purpose":"result_review","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"End-of-treatment review and planning of surgery, radiotherapy or endocrine therapy."}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the team talks to you about treatment and answers your questions before chemotherapy starts","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/chemotherapy/","host":"nhs.uk","quote":"Before starting chemotherapy, your care team will talk to you about your treatment and answer any questions you have.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the team explains the side effects you might get and how to prepare for them","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/chemotherapy/","host":"nhs.uk","quote":"Ask them about the side effects you might get and if there's anything you can do to prepare for them before treatment starts.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that fertility options, such as storing eggs or sperm, are discussed before chemotherapy","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/chemotherapy/","host":"nhs.uk","quote":"Some chemotherapy medicines can cause fertility problems, so you may want to ask about options for storing your eggs or sperm.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check whether a pregnancy test is offered before treatment","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/chemotherapy/","host":"nhs.uk","quote":"They may ask you to do a pregnancy test before having treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that the team works with you to create a treatment plan suited to you","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/breast-cancer-in-women/treatment-for-breast-cancer-in-women/","host":"nhs.uk","quote":"work with you to create a treatment plan that is best for you","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that regular check-ups are planned during and after breast cancer treatment","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/breast-cancer-in-women/treatment-for-breast-cancer-in-women/","host":"nhs.uk","quote":"You'll have regular check-ups during and after any treatments.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Check that blood tests are performed to assess effects on blood cells before or during treatment","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/chemotherapy/","host":"nhs.uk","quote":"do a blood test to check if treatment is affecting your blood cells","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sudden breathlessness","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/chemotherapy/","host":"nhs.uk","quote":"sudden breathlessness, sharp chest pain (may be worse when you breathe in) and a cough or coughing up blood","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Coughing up blood","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/chemotherapy/","host":"nhs.uk","quote":"sudden breathlessness, sharp chest pain (may be worse when you breathe in) and a cough or coughing up blood","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Swelling and warmth in a leg or arm","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/chemotherapy/","host":"nhs.uk","quote":"throbbing or cramping pain, swelling and warmth in a leg or arm","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"A high temperature","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/conditions/chemotherapy/","host":"nhs.uk","quote":"a high temperature – signs include feeling hot, cold, sweaty or shivery, or the skin on your back or chest feeling hotter than usual","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs side effects to act on and who to contact","document":"treatment summary","source":{"url":"https://rmpartners.nhs.uk/wp-content/uploads/2017/03/hpb-ts-march-2016.doc","host":"rmpartners.nhs.uk","quote":"It includes information about the potential side effects of your treatment, those that you should be aware of, act upon and who to contact.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["none"],"back_to_work_days":{"min":3,"max":7,"unit":"days","qualifier":"Many patients work part-time or remotely between cycles; depends on regimen toxicity, fatigue and job demands."},"complication_rate_pct":{"min":20,"max":50,"unit":"percent","qualifier":"Grade 3-4 toxicity such as neutropenia, infection or neuropathy during course; mild side effects affect nearly all patients."},"contraindications":["Severe hypersensitivity to agents in the chosen regimen","Pregnancy, especially first trimester","Severe bone marrow, liver or kidney dysfunction","Significant cardiac dysfunction (anthracycline or trastuzumab)","Active uncontrolled serious infection","Poor performance status (ECOG 3-4)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Usually no overnight stay; infusions given as outpatient day-case visits."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":2,"unit":"weeks","qualifier":"Light walking encouraged during treatment; intensity depends on blood counts, fatigue and oncologist advice."},"final_result_months":{"min":6,"max":12,"unit":"months","qualifier":"Counts recovery after last cycle; response assessed by surgery pathology or imaging, depending on setting and regimen."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"After each cycle, once nausea settles and before expected low-count nadir; depends on regimen and oncologist clearance."},"follow_up_visits":[{"purpose":"assessment","after":{"min":7,"max":14,"unit":"days","qualifier":"Blood count and toxicity check between cycles; timing depends on regimen."},"requirement":"routine"},{"purpose":"assessment","after":{"min":42,"max":84,"unit":"days","qualifier":"Mid-treatment clinical or imaging response review depending on setting."},"requirement":"routine"},{"purpose":"result_review","after":{"min":90,"max":180,"unit":"days","qualifier":"End-of-treatment review and planning of surgery, radiotherapy or endocrine therapy."},"requirement":"routine"}],"indications":["Adjuvant post-surgery therapy for early cancer at meaningful recurrence risk","Neoadjuvant therapy to downstage tumours, especially triple-negative, HER2-positive","Metastatic or recurrent cancer when endocrine/targeted options unsuitable or exhausted"],"main_risks":["Nausea, vomiting and fatigue","Hair loss","Low blood counts: neutropenia with infection risk, anemia, thrombocytopenia","Mucositis and diarrhea or constipation","Peripheral neuropathy, particularly with taxanes","Cardiotoxicity with anthracyclines and some targeted agents","Infusion or hypersensitivity reactions","Premature menopause and reduced fertility","Rarely secondary leukemia or myelodysplasia after anthracycline or alkylator exposure","Hand-foot syndrome with some oral agents such as capecitabine"],"pain":"Infusion itself is mostly painless. Aches, mucositis, neuropathy or bone pain (after growth factor) may occur and are managed with medication.","preparation":["Oncology assessment confirming subtype (hormone receptor, HER2) and stage","Baseline blood tests and organ function evaluation","Cardiac assessment if regimen includes cardiotoxic agents","Pregnancy testing and fertility preservation discussion where relevant","Venous access planning (line or port); nausea and infection prophylaxis"],"recovery_timeline":[{"phase":"Infusion day","description":"Intravenous chemotherapy with premedication against nausea and allergic reactions.","restrictions":["Avoid alcohol"]},{"phase":"Days 1-7 after each cycle","description":"Peak nausea, fatigue and taste changes; blood counts fall toward the nadir.","restrictions":["Avoid crowds and sick contacts"]},{"phase":"Days 8-21 after each cycle","description":"Counts recover and energy returns before the next cycle.","restrictions":["Avoid strenuous exercise","Maintain infection precautions"]},{"phase":"After final cycle","description":"Gradual recovery of energy, hair regrowth and neuropathy improvement over months.","restrictions":[]}],"rehabilitation_days":{"min":60,"max":180,"unit":"days","qualifier":"Gradual return of energy after final cycle; depends on regimen intensity, age and neuropathy."},"result_longevity":"Aims at long-term reduction of recurrence risk in early disease; in metastatic disease benefit lasts as long as disease control, variable.","revision_rate_pct":null,"scars":"None; no incisions.","sessions_or_stages":{"sessions":{"min":4,"max":8,"unit":"visits","qualifier":"Infusion cycles every 1-3 weeks; number depends on regimen and stage."},"stages":[{"code":"cycles_first_phase","label":"First drug phase cycles","after":{"min":0,"max":0,"unit":"days","qualifier":"Starts on day 0 with the first cycle"}},{"code":"cycles_second_phase","label":"Second phase cycles (e.g., taxane)","after":{"min":84,"max":126,"unit":"days","qualifier":"Starts 84-126 days after first cycle; sequential regimens only"}}],"qualifier":"Total course typically spans 3-6 months."},"success":{"metric":"Disease-free survival after adjuvant chemotherapy in early breast cancer","value":80,"unit":"percent","horizon":"5 years","population":"Adults with early-stage breast cancer receiving standard adjuvant anthracycline/taxane regimen","evidence_status":"limited"},"techniques":[{"name":"Anthracycline- and taxane-based intravenous regimens (e.g., sequential doxorubicin/cyclophosphamide then paclitaxel or docetaxel)","suits_whom":"Commonly used for higher-risk early breast cancer, including triple-negative and HER2-positive disease (with HER2-targeted therapy).","recovery":"Cycle-based; recovery and low-blood-count periods occur between cycles and vary by regimen."},{"name":"Non-anthracycline intravenous regimens (e.g., docetaxel/cyclophosphamide)","suits_whom":"Used for selected early-stage patients, including those where anthracycline cardiac risk is a concern.","recovery":"Cycle-based; toxicity profile differs from anthracycline regimens."},{"name":"Oral or single-agent chemotherapy (e.g., capecitabine)","suits_whom":"Used in selected metastatic or post-neoadjuvant residual-disease settings.","recovery":"Continuous or cyclical at-home dosing with toxicity monitoring; schedule varies."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":1,"max":6,"unit":"hours","qualifier":"Per infusion visit including premedication; depends on drugs, such as longer with HER2 antibodies."},"initial_assessment_documents":["Biopsy and histopathology report","ER, PR, HER2 and Ki-67 receptor report","Staging CT or PET-CT report","Recent blood tests with blood count","Echocardiogram report with ejection fraction","Surgery report and prior treatment records (if available)"],"travel_trips":{"min":4,"max":8,"one_trip_possible":false,"qualifier":"4-8 cycles every 1-3 weeks over 3-6 months; start abroad or return per cycle, 3-7 days each."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that the team talks to you about treatment and answers your questions before chemotherapy starts","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/chemotherapy/","host":"nhs.uk","quote":"Before starting chemotherapy, your care team will talk to you about your treatment and answer any questions you have.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check that the team explains the side effects you might get and how to prepare for them","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/chemotherapy/","host":"nhs.uk","quote":"Ask them about the side effects you might get and if there's anything you can do to prepare for them before treatment starts.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that fertility options, such as storing eggs or sperm, are discussed before chemotherapy","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/chemotherapy/","host":"nhs.uk","quote":"Some chemotherapy medicines can cause fertility problems, so you may want to ask about options for storing your eggs or sperm.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check whether a pregnancy test is offered before treatment","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/chemotherapy/","host":"nhs.uk","quote":"They may ask you to do a pregnancy test before having treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check that the team works with you to create a treatment plan suited to you","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/breast-cancer-in-women/treatment-for-breast-cancer-in-women/","host":"nhs.uk","quote":"work with you to create a treatment plan that is best for you","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check that regular check-ups are planned during and after breast cancer treatment","scope":"treatment_type","source":{"url":"https://www.nhs.uk/conditions/breast-cancer-in-women/treatment-for-breast-cancer-in-women/","host":"nhs.uk","quote":"You'll have regular check-ups during and after any treatments.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Check that blood tests are performed to assess effects on blood cells before or during treatment","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/chemotherapy/","host":"nhs.uk","quote":"do a blood test to check if treatment is affecting your blood cells","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Sudden breathlessness","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/chemotherapy/","host":"nhs.uk","quote":"sudden breathlessness, sharp chest pain (may be worse when you breathe in) and a cough or coughing up blood","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Coughing up blood","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/chemotherapy/","host":"nhs.uk","quote":"sudden breathlessness, sharp chest pain (may be worse when you breathe in) and a cough or coughing up blood","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Swelling and warmth in a leg or arm","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/chemotherapy/","host":"nhs.uk","quote":"throbbing or cramping pain, swelling and warmth in a leg or arm","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W4","text":"A high temperature","urgency":"contact_clinic","general":true,"source":{"url":"https://www.nhs.uk/conditions/chemotherapy/","host":"nhs.uk","quote":"a high temperature – signs include feeling hot, cold, sweaty or shivery, or the skin on your back or chest feeling hotter than usual","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs side effects to act on and who to contact","document":"treatment summary","source":{"url":"https://rmpartners.nhs.uk/wp-content/uploads/2017/03/hpb-ts-march-2016.doc","host":"rmpartners.nhs.uk","quote":"It includes information about the potential side effects of your treatment, those that you should be aware of, act upon and who to contact.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your breast cancer is affected by hormones","name":"Hormone therapy","source":{"url":"https://www.nhs.uk/conditions/breast-cancer/treatment/","host":"nhs.uk","quote":"Some breast cancers are affected by different hormones in the body, which can make them grow faster.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":263},{"id":"A2","text":"Your breast cancer is triple-negative","name":"Immunotherapy","source":{"url":"https://www.cancer.gov/types/breast/patient/breast-treatment-pdq","host":"cancer.gov","quote":"Immunotherapy may be used to treat triple-negative breast cancer.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":283},{"id":"A3","text":"Your breast cancer is one of the types targeted therapy treats","name":"Targeted therapy","source":{"url":"https://www.cancer.gov/types/breast/patient/breast-treatment-pdq","host":"cancer.gov","quote":"Targeted therapy is a treatment for certain types of breast cancer.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":284}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"anthracycline","name":"Anthracycline- and taxane-based intravenous regimens (e.g., sequential doxorubicin/cyclophosphamide then paclitaxel or docetaxel)","how_it_works":{"text":"A thin tube in a vein delivers medicine from a drip","source":{"url":"https://www.nhs.uk/conditions/chemotherapy/","host":"nhs.uk","quote":"Tube into a vein A thin tube is inserted into a vein (usually in your arm) and attached to a bag of medicine (a drip) or a pump.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"non-anthracycline","name":"Non-anthracycline intravenous regimens (e.g., docetaxel/cyclophosphamide)","how_it_works":{"text":"A thin tube in a vein delivers medicine from a drip","source":{"url":"https://www.nhs.uk/conditions/chemotherapy/","host":"nhs.uk","quote":"Tube into a vein A thin tube is inserted into a vein (usually in your arm) and attached to a bag of medicine (a drip) or a pump.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"oral","name":"Oral or single-agent chemotherapy (e.g., capecitabine)","how_it_works":{"text":"Medicine is taken as tablets or capsules at home","source":{"url":"https://www.nhs.uk/conditions/chemotherapy/","host":"nhs.uk","quote":"Tablets or capsules You're given medicine to take at home and have regular appointments to check how things are going and get more medicine.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"techniques":[{"id":"anthracycline","name":"Anthracycline- and taxane-based intravenous regimens (e.g., sequential doxorubicin/cyclophosphamide then paclitaxel or docetaxel)","how_it_works":{"id":"H1","text":"A thin tube in a vein delivers medicine from a drip","source":{"url":"https://www.nhs.uk/conditions/chemotherapy/","host":"nhs.uk","quote":"Tube into a vein A thin tube is inserted into a vein (usually in your arm) and attached to a bag of medicine (a drip) or a pump.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Commonly used for higher-risk early breast cancer, including triple-negative and HER2-positive disease (with HER2-targeted therapy).","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Cycle-based; recovery and low-blood-count periods occur between cycles and vary by regimen."},{"id":"non-anthracycline","name":"Non-anthracycline intravenous regimens (e.g., docetaxel/cyclophosphamide)","how_it_works":{"id":"H1","text":"A thin tube in a vein delivers medicine from a drip","source":{"url":"https://www.nhs.uk/conditions/chemotherapy/","host":"nhs.uk","quote":"Tube into a vein A thin tube is inserted into a vein (usually in your arm) and attached to a bag of medicine (a drip) or a pump.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Used for selected early-stage patients, including those where anthracycline cardiac risk is a concern.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Cycle-based; toxicity profile differs from anthracycline regimens."},{"id":"oral","name":"Oral or single-agent chemotherapy (e.g., capecitabine)","how_it_works":{"id":"H1","text":"Medicine is taken as tablets or capsules at home","source":{"url":"https://www.nhs.uk/conditions/chemotherapy/","host":"nhs.uk","quote":"Tablets or capsules You're given medicine to take at home and have regular appointments to check how things are going and get more medicine.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Used in selected metastatic or post-neoadjuvant residual-disease settings.","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Continuous or cyclical at-home dosing with toxicity monitoring; schedule varies."}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your breast cancer is affected by hormones","name":"Hormone therapy","source":{"url":"https://www.nhs.uk/conditions/breast-cancer/treatment/","host":"nhs.uk","quote":"Some breast cancers are affected by different hormones in the body, which can make them grow faster.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":263},{"id":"A2","text":"Your breast cancer is triple-negative","name":"Immunotherapy","source":{"url":"https://www.cancer.gov/types/breast/patient/breast-treatment-pdq","host":"cancer.gov","quote":"Immunotherapy may be used to treat triple-negative breast cancer.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":283},{"id":"A3","text":"Your breast cancer is one of the types targeted therapy treats","name":"Targeted therapy","source":{"url":"https://www.cancer.gov/types/breast/patient/breast-treatment-pdq","host":"cancer.gov","quote":"Targeted therapy is a treatment for certain types of breast cancer.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":284}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"visa","audience":"all","volatile":true,"text":"Third-country nationals can in principle enter the Schengen area, including Switzerland, for a maximum of 90 days within a 180-day period","source":{"url":"https://www.sem.admin.ch/sem/en/home/themen/einreise/faq.html","host":"sem.admin.ch","quote":"In principle, third-country nationals can enter the Schengen area for a maximum of 90 days within a 180-day period.","tier":"government","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"passport_validity","audience":"uk","volatile":true,"text":"A UK passport must have an expiry date at least 3 months after the day you plan to leave the Schengen area","source":{"url":"https://www.gov.uk/foreign-travel-advice/switzerland/entry-requirements","host":"gov.uk","quote":"have an ‘expiry date’ at least 3 months after the day you plan to leave the Schengen area (the expiry date does not need to be within 10 years of the date of issue)","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V3","item":"passport_validity","audience":"us","volatile":true,"text":"A US passport should be valid for at least three months beyond the period of stay when transiting a Schengen country","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Switzerland.html","host":"travel.state.gov","quote":"Your passport should be valid for at least three months beyond the period of stay if you plan on transiting a Schengen country review our U.S. Travelers in Europe page.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V4","item":"medicines","audience":"us","volatile":false,"text":"If traveling with prescription medication, check with the Swiss Federal Customs Administration to ensure the medication is legal in Switzerland","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Switzerland.html","host":"travel.state.gov","quote":"If traveling with prescription medication, check with the Swiss Federal Customs Administration to ensure the medication is legal in Switzerland.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V5","item":"prescriptions","audience":"us","volatile":false,"text":"Always carry prescription medication in its original packaging with your doctor's prescription","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Switzerland.html","host":"travel.state.gov","quote":"Always carry your prescription medication in original packaging with your doctor’s prescription.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V6","item":"ghic","audience":"uk","volatile":false,"text":"To get medically necessary state healthcare in Switzerland, you need a GHIC or an EHIC","source":{"url":"https://www.gov.uk/foreign-travel-advice/switzerland/health","host":"gov.uk","quote":"To get medically necessary state healthcare in Switzerland, you need a Global Health Insurance Card ( GHIC ) or a European Health Insurance Card ( EHIC ).","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V7","item":"hospital_payment","audience":"all","volatile":false,"text":"Swiss medical facilities and care providers ask visitors to settle bills onsite; you then claim a refund from your insurer later","source":{"url":"https://travel.state.gov/content/travel/en/international-travel/International-Travel-Country-Information-Pages/Switzerland.html","host":"travel.state.gov","quote":"Swiss medical facilities and care providers will ask for you to settle your bills onsite and you will have to claim a refund with your insurer later.","tier":"official_travel","fetched_at":"2026-11-11","http_status":403}},{"id":"V8","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 112 or 144 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/switzerland/health","host":"gov.uk","quote":"Dial 112 or 144 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2026-12-11","version":1},"other_countries_with_page":["austria","azerbaijan","china","egypt","germany","greece","india","israel","italy","japan","mexico","poland","republic-of-korea","spain","thailand","turkey","ukraine","united-states"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4,"count":3,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":{"status":"missing","reason":"not_collected"},"faq":{"status":"missing","reason":"not_collected"},"h2":[{"text":"How Much Does Chemotherapy for breast cancer Cost in Switzerland?","kind":"content"},{"text":"Your Benefits and Guarantees with Bookimed","kind":"content"},{"text":"Your personal Bookimed medical coordinator","kind":"content"},{"text":"Discover the Best Chemotherapy for breast cancer Clinics in Switzerland: 3 Verified Options and Prices","kind":"content"},{"text":"Chemotherapy for breast cancer Overview in Switzerland","kind":"content"},{"text":"Our Doctors","kind":"content"},{"text":"Video Stories from Bookimed Patients","kind":"ui"},{"text":"Share this content","kind":"ui"},{"text":"Fast Facts about Chemotherapy for breast cancer","kind":"content"},{"text":"Get a free consultation","kind":"ui"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}