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  1. Change in the use of breast-conserving surgery in western Washington after the 1990 NIH Consensus Development Conference. Commentary.

    Article - En anglais

    Objective 

    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.

    Design 

    Survey.

    Setting 

    Population-based cancer registry in the Seattle-Puget Sound (Washington) region.

    Participants 

    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.

    Results 

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0257789

    Code Inist : 002B20E02. Création : 11/06/1997.