Change in the use of breast-conserving surgery in western Washington after the 1990 NIH Consensus Development Conference. Commentary.
To evaluate the use of breast-conserving surgery in western Washington before and after the National Institutes of Health Consensus Development Conference (June 18-21,1990) during which breast-conserving surgery was recommended for most women with early invasive breast cancer.
Population-based cancer registry in the Seattle-Puget Sound (Washington) region.
The survey included 13 541 women in whom American Joint Committee on Cancer stage I or II breast cancer was diagnosed betweenJanuary 1,1983, and December 31,1993.
Main Outcome Measure
Proportion of participants who underwent breast-conserving surgery.
From April 1985, after results of a US randomized controlled trial showing equivalent survival in women undergoing mastectomy or breast-conserving surgery were published, to the time of the Conference, breast-conserving surgery was performed on 44.8% of women with stage I and 25.8% with stage II breast cancer.
These percentages increased to 54.9% and 35.2%, respectively, during the post-Conference period.
While women with stage II breast cancer were less likely than women with stage I breast cancer to undergo breast-conserving surgery before and after the Conference, trends for age and education were attenuated after the Conference. (...)
Mots-clés Pascal : Carcinome, Glande mammaire, Enquête, Chirurgie conservatrice, Diagnostic, Evaluation, Conférence consensus, Homme, Femelle, Washington, Etats Unis, Amérique du Nord, Amérique, Etude comparative, Tumeur maligne, Glande mammaire pathologie, Politique sanitaire
Mots-clés Pascal anglais : Carcinoma, Mammary gland, Survey, Conservative surgery, Diagnosis, Evaluation, Consensus conference, Human, Female, Washington, United States, North America, America, Comparative study, Malignant tumor, Mammary gland diseases, Health policy
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0257789
Code Inist : 002B20E02. Création : 11/06/1997.