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. 2005 Aug 23;93(5):520–528. doi: 10.1038/sj.bjc.6602747

Table 4. Guideline adherence for axillary lymph node dissection (ALND) and radiotherapy (RT) in breast cancer treatment, by type of surgery, age and period of diagnosis.

  Therapy not according to guideline
Therapy according to guideline
 
  No ALND
No RT
No RT and no ALND
    Total
Type of surgery N % N % N % N % N
BCS                  
 Total 88 1.6 133 2.4 60 1.1 5296 95.0 5577
                   
Age (years)
 <50 14 0.8 38 2.2 1 0.1 1665 96.9 1718
 50–69 60 1.9 55 1.8 12 0.4 2952 95.9 3079
 70–74 4 0.8 14 2.9 7 1.5 453 94.8 478
 75+ 10 3.3 26 8.6 40 13.2 226 74.8 302
                   
Year of diagnosis
 1989–1991 1 0.1 23 3.0 745 96.9 769
 1992–1994 1 0.1 30 3.3 3 0.3 863 96.2 897
 1995–1997 8 0.8 6 0.6 8 0.8 1027 97.9 1049
 1998–2000 22 1.4 32 2.1 32 2.1 1445 94.4 1531
 2001–2002 56 4.2 42 3.2 17 1.3 1216 91.4 1331
                   
MRM
 Total 116 1.5 628 7.9 2 0.0 7209 90.6 7955
                   
Age (years)
 <50 12 0.7 185 10.5 1558 88.8 1755
 50–69 17 0.5 229 6.4 1 0.0 3319 93.1 3566
 70–74 9 0.9 60 6.2 903 92.9 972
 75+ 78 4.7 154 9.3 1 0.1 1429 86.0 1662
                   
Year of diagnosis
 1989–1991 23 1.7 74 5.4 1279 93.0 1376
 1992–1994 19 1.1 158 8.9 1593 90.0 1770
 1995–1997 18 0.9 178 9.4 1706 89.7 1902
 1998–2000 28 1.6 120 6.9 1586 91.5 1734
 2001–2002 28 2.4 98 8.4 2 0.2 1045 89.1 1173