Treating early-stage breast cancer: Hospital characteristics associated with breast-conserving surgery

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Abstract

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.

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Johantgen, M. E., Coffey, R. M., Harris, D. R., Levy, H., & Clinton, J. J. (1995). Treating early-stage breast cancer: Hospital characteristics associated with breast-conserving surgery. American Journal of Public Health, 85(10), 1432–1434. https://doi.org/10.2105/AJPH.85.10.1432

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