Breast cancer mastectomy trends between 2006 and 2010: association with magnetic resonance imaging, immediate breast reconstruction, and hospital volume
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Breast cancer mastectomy trends between 2006 and 2010: association with magnetic resonance imaging, immediate breast reconstruction, and hospital volume. / Heil, Joerg; Rauch, Geraldine; Szabo, Akos Z; Garcia-Etienne, Carlos A; Golatta, Michael; Domschke, Christoph; Badiian, Mahyar; Kern, Peter; Schuetz, Florian; Wallwiener, Markus; Sohn, Christof; Fries, Hubertus; von Minckwitz, Gunter; Schneeweiss, Andreas; Rezai, Mahdi.
in: ANN SURG ONCOL, Jahrgang 20, Nr. 12, 11.2013, S. 3839-3846.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Breast cancer mastectomy trends between 2006 and 2010: association with magnetic resonance imaging, immediate breast reconstruction, and hospital volume
AU - Heil, Joerg
AU - Rauch, Geraldine
AU - Szabo, Akos Z
AU - Garcia-Etienne, Carlos A
AU - Golatta, Michael
AU - Domschke, Christoph
AU - Badiian, Mahyar
AU - Kern, Peter
AU - Schuetz, Florian
AU - Wallwiener, Markus
AU - Sohn, Christof
AU - Fries, Hubertus
AU - von Minckwitz, Gunter
AU - Schneeweiss, Andreas
AU - Rezai, Mahdi
PY - 2013/11
Y1 - 2013/11
N2 - PURPOSE: Analysis of mastectomy rates in breast cancer patients diagnosed between 2006 and 2010 in Germany with focus on impact of breast magnetic resonance imaging (MRI), immediate breast reconstruction (IBR) rates, and hospital volume as possible influencing factors of mastectomy rates.METHODS: Data of a voluntary monitored benchmarking project were used to evaluate mastectomy trends across time in an unselected cohort of breast cancer patients. We used univariate and multivariate logistic regression analysis to identify predictive factors of mastectomy.RESULTS: A total of 142.863 cases were included into the analysis. There was an overall decrease of 5.9% (95% confidence interval 5.1-6.7) in mastectomy trend from 36.5% in 2006 to 30.6% in 2010 (P < 0.0001). Known predictive factors were confirmed. Breast MRI (odds ratio 1.42, 95% confidence interval 1.36-1.47) and small hospitals (<150 cases per year) seem to favor mastectomy. IBR was not associated with mastectomy rates.CONCLUSIONS: Mastectomy rates in comparable health systems differ. Performance of preoperative breast MRI and hospital volume seem to be independent influencing factors for mastectomy rates.
AB - PURPOSE: Analysis of mastectomy rates in breast cancer patients diagnosed between 2006 and 2010 in Germany with focus on impact of breast magnetic resonance imaging (MRI), immediate breast reconstruction (IBR) rates, and hospital volume as possible influencing factors of mastectomy rates.METHODS: Data of a voluntary monitored benchmarking project were used to evaluate mastectomy trends across time in an unselected cohort of breast cancer patients. We used univariate and multivariate logistic regression analysis to identify predictive factors of mastectomy.RESULTS: A total of 142.863 cases were included into the analysis. There was an overall decrease of 5.9% (95% confidence interval 5.1-6.7) in mastectomy trend from 36.5% in 2006 to 30.6% in 2010 (P < 0.0001). Known predictive factors were confirmed. Breast MRI (odds ratio 1.42, 95% confidence interval 1.36-1.47) and small hospitals (<150 cases per year) seem to favor mastectomy. IBR was not associated with mastectomy rates.CONCLUSIONS: Mastectomy rates in comparable health systems differ. Performance of preoperative breast MRI and hospital volume seem to be independent influencing factors for mastectomy rates.
KW - Adult
KW - Aged
KW - Breast Neoplasms
KW - Carcinoma, Ductal, Breast
KW - Carcinoma, Lobular
KW - Female
KW - Follow-Up Studies
KW - Hospitals, High-Volume
KW - Hospitals, Low-Volume
KW - Humans
KW - Magnetic Resonance Imaging
KW - Mammaplasty
KW - Mastectomy
KW - Middle Aged
KW - Neoplasm Grading
KW - Neoplasm Recurrence, Local
KW - Neoplasm Staging
KW - Prognosis
KW - Receptor, ErbB-2
KW - Retrospective Studies
KW - Survival Rate
KW - Time Factors
KW - Journal Article
U2 - 10.1245/s10434-013-3097-0
DO - 10.1245/s10434-013-3097-0
M3 - SCORING: Journal article
C2 - 23838917
VL - 20
SP - 3839
EP - 3846
JO - ANN SURG ONCOL
JF - ANN SURG ONCOL
SN - 1068-9265
IS - 12
ER -