| Surgical caseload and outcomes for women with invasive breast cancer treated in Western Australia. | |
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MedLine Citation:
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PMID: 15695075 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We have assessed the outcomes for all women diagnosed with invasive breast cancer in Western Australia during 1989, 1994 and 1999, and compared the results for surgeons who treat 20 or more cases per year with those of surgeons who treat less. Women treated by high caseload surgeons were more likely to retain their breast (53.3% vs. 36.7%, p<0.001), have adjuvant radiotherapy (50.0% vs. 30.6%, p<0.001), and be alive after 4 years (1989, 86% vs. 82%; 1994, 89% vs. 84%; 1999, 90% vs. 79%, HR 0.71, p=0.03). Adjusting for age and year of diagnosis, women were not more likely to be treated with adjuvant chemotherapy (29.2% vs. 20.9%, p=0.28). In 1989 35% of women were treated by high caseload surgeons. By 1999 this had risen to 82%. The results confirm that women treated by high caseload surgeons have better outcomes. |
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Authors:
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D M Ingram; S P McEvoy; M J Byrne; L Fritschi; D J Joseph; K Jamrozik |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Breast (Edinburgh, Scotland) Volume: 14 ISSN: 0960-9776 ISO Abbreviation: Breast Publication Date: 2005 Feb |
Date Detail:
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Created Date: 2005-02-07 Completed Date: 2005-05-24 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9213011 Medline TA: Breast Country: Scotland |
Other Details:
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Languages: eng Pagination: 11-7 Citation Subset: IM |
Affiliation:
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Breast Centre, Sir Charles Gairdner Hospital, Western Australia, Australia. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Breast Neoplasms / surgery* Chemotherapy, Adjuvant Female Humans Middle Aged Neoplasm Invasiveness* Physician's Practice Patterns / statistics & numerical data* Professional Competence Retrospective Studies Survival Analysis Treatment Outcome Western Australia Workload* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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