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. 1995 Oct;85(10):1432–1434. doi: 10.2105/ajph.85.10.1432

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

M E Johantgen 1, R M Coffey 1, D R Harris 1, H Levy 1, J J Clinton 1
PMCID: PMC1615611  PMID: 7573632

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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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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