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Breast conservation rates-barriers between tertiary care and community practice.

Publication ,  Journal Article
Hahn, CA; Marks, LB; Chen, DY; Lind, PA; Lind, HM; Prosnitz, LR
Published in: Int J Radiat Oncol Biol Phys
April 1, 2003

PURPOSE: Low rates of breast conservation therapy (BCT) are reported in the southern United States. We evaluated the influence on BCT rates of opening a radiotherapy (RT) clinic at a community hospital in North Carolina. Before opening, RT was available 5 miles away at a tertiary care center. METHODS AND MATERIALS: A review of the pathology database of the community hospital identified patients who underwent definitive surgery for invasive breast malignancy or ductal carcinoma in situ between 1994 and 1995, and 1997 and 1998, before and after the opening of the RT clinic in 1996. From these data, the mode of therapy, mastectomy or BCT, was determined. The results were compared using logistic regression analysis. Surgical and RT physician staffing were unchanged throughout the study period. RESULTS: A total of 586 patients was evaluated. The BCT rate at the community hospital for 1994-1995 and 1997-1998 was 29% and 44%, respectively. On both univariate and multivariate logistic regression analysis, the era of treatment was statistically significant in its impact on the procedure performed (p <0.001). CONCLUSION: The use of BCT increased at a community hospital after the opening of an on-site RT facility, even though RT was available 5 miles away previously.

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Published In

Int J Radiat Oncol Biol Phys

DOI

ISSN

0360-3016

Publication Date

April 1, 2003

Volume

55

Issue

5

Start / End Page

1196 / 1199

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Radiotherapy, Adjuvant
  • Patient Acceptance of Health Care
  • Outpatient Clinics, Hospital
  • Oncology & Carcinogenesis
  • North Carolina
  • Mastectomy, Segmental
  • Mastectomy, Modified Radical
  • Logistic Models
  • Humans
 

Citation

APA
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ICMJE
MLA
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Hahn, C. A., Marks, L. B., Chen, D. Y., Lind, P. A., Lind, H. M., & Prosnitz, L. R. (2003). Breast conservation rates-barriers between tertiary care and community practice. Int J Radiat Oncol Biol Phys, 55(5), 1196–1199. https://doi.org/10.1016/s0360-3016(02)04475-9
Hahn, Carol A., Lawrence B. Marks, David Y. Chen, Pehr A. Lind, Heidi M. Lind, and Leonard R. Prosnitz. “Breast conservation rates-barriers between tertiary care and community practice.Int J Radiat Oncol Biol Phys 55, no. 5 (April 1, 2003): 1196–99. https://doi.org/10.1016/s0360-3016(02)04475-9.
Hahn CA, Marks LB, Chen DY, Lind PA, Lind HM, Prosnitz LR. Breast conservation rates-barriers between tertiary care and community practice. Int J Radiat Oncol Biol Phys. 2003 Apr 1;55(5):1196–9.
Hahn, Carol A., et al. “Breast conservation rates-barriers between tertiary care and community practice.Int J Radiat Oncol Biol Phys, vol. 55, no. 5, Apr. 2003, pp. 1196–99. Pubmed, doi:10.1016/s0360-3016(02)04475-9.
Hahn CA, Marks LB, Chen DY, Lind PA, Lind HM, Prosnitz LR. Breast conservation rates-barriers between tertiary care and community practice. Int J Radiat Oncol Biol Phys. 2003 Apr 1;55(5):1196–1199.
Journal cover image

Published In

Int J Radiat Oncol Biol Phys

DOI

ISSN

0360-3016

Publication Date

April 1, 2003

Volume

55

Issue

5

Start / End Page

1196 / 1199

Location

United States

Related Subject Headings

  • Retrospective Studies
  • Radiotherapy, Adjuvant
  • Patient Acceptance of Health Care
  • Outpatient Clinics, Hospital
  • Oncology & Carcinogenesis
  • North Carolina
  • Mastectomy, Segmental
  • Mastectomy, Modified Radical
  • Logistic Models
  • Humans