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

M.E. Johantgen, R.M. Coffey, D.R. Harris, H. Levy and J.J. Clinton

American Journal of Public Health, 1995, vol. 85, issue 10, 1432-1434

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.

Date: 1995
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:1995:85:10:1432-1434_9

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