Treating early-stage breast cancer : hospital characteristics associated with breast-conserving surgery.
Despite growing acceptance of the fact that women with early-stage breast cancer have similar outcomes with lumpectomy plus radiation as with mastectomy, many studies have revealed the uneven adoption of such breast-conserving surgery.
Discharge data from the Hospital Cost and Utilization Project, representing multiple payers, locations, and hospital types, demonstrate increasing trends in breast-conserving surgery as a proportion of breast cancer surgeries from 1981 to 1987.
Women with axillary node involvement were less likely to have a lumpectomy, even though consensus recommendations do not preclude this form of treatment when local metastases are present.
Non-White race, urban hospital location, and hospital teaching were associated with an increased likelihood of having breast-conserving surgery.
Mots-clés Pascal : Tumeur maligne, Glande mammaire, Traitement, Chirurgie conservatrice, Stade précoce, Homme, Femelle, Epidémiologie, Hôpital, Etats Unis, Amérique du Nord, Amérique, Glande mammaire pathologie
Mots-clés Pascal anglais : Malignant tumor, Mammary gland, Treatment, Conservative surgery, Early stage, Human, Female, Epidemiology, Hospital, United States, North America, America, Mammary gland diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0553452
Code Inist : 002B20E02. Création : 01/03/1996.