Comparing the effect of distance to treatment facility on reconstruction and breast conservation therapy for early-stage invasive ductal carcinoma between the nation and the mountain region
| Autor: | Chad L. Cross, Jennifer Baynosa, Shelley J. Williams, Daniel Kirgan, Charles R. St. Hill, Daniel Cheng |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Mammaplasty medicine.medical_treatment Population Breast Neoplasms Mastectomy Segmental Odds 03 medical and health sciences 0302 clinical medicine Breast cancer medicine Humans 030212 general & internal medicine Stage (cooking) education Mastectomy education.field_of_study business.industry Carcinoma Ductal Breast Cancer General Medicine medicine.disease Invasive ductal carcinoma Carcinoma Ductal Logistic Models 030220 oncology & carcinogenesis Female Surgery Radiology business Breast conservation therapy |
| Zdroj: | The American Journal of Surgery. 224:1049-1056 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2021.04.024 |
| Popis: | Our objective is to evaluate the effect of distance to facility on the use of breast conservation therapy and reconstruction for early stage breast cancer.Utilizing the National Cancer Database, we identified females, age65, with Stage I invasive ductal carcinoma from 2004 to 2015. Using logistic regression, we compared radiation, mastectomy, and reconstruction treatment patterns. A subgroup analysis was performed within the mountain region (MR).Nationwide, there are decreasing odds of radiation, increasing odds of mastectomy, and increasing odds of reconstruction. Patients living farther were less likely to receive radiation, more likely to undergo mastectomy, with no effect on reconstruction. Within the MR, patients living farther from their facility were less likely to receive radiation, more likely to undergo mastectomy, however, they were less likely to undergo reconstruction.Nationwide and within the MR, patients living farther from their facility are less likely to receive radiation and more likely to undergo mastectomy. There is a disparity between the MR and the nation in use of reconstruction for this population. |
| Databáze: | OpenAIRE |
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