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

Author

Listed:
  • Johantgen, M.E.
  • Coffey, R.M.
  • Harris, D.R.
  • Levy, H.
  • Clinton, J.J.

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.

Suggested Citation

  • 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, American Public Health Association, vol. 85(10), pages 1432-1434.
    • Handle: RePEc:aph:ajpbhl:1995:85:10:1432-1434_9
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