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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, Vol. 20, No. 12, 11.2013, p. 3839-3846.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Heil, J, Rauch, G, Szabo, AZ, Garcia-Etienne, CA, Golatta, M, Domschke, C, Badiian, M, Kern, P, Schuetz, F, Wallwiener, M, Sohn, C, Fries, H, von Minckwitz, G, Schneeweiss, A & Rezai, M 2013, 'Breast cancer mastectomy trends between 2006 and 2010: association with magnetic resonance imaging, immediate breast reconstruction, and hospital volume', ANN SURG ONCOL, vol. 20, no. 12, pp. 3839-3846. https://doi.org/10.1245/s10434-013-3097-0

APA

Heil, J., Rauch, G., Szabo, A. Z., Garcia-Etienne, C. A., Golatta, M., Domschke, C., Badiian, M., Kern, P., Schuetz, F., Wallwiener, M., Sohn, C., Fries, H., von Minckwitz, G., Schneeweiss, A., & Rezai, M. (2013). Breast cancer mastectomy trends between 2006 and 2010: association with magnetic resonance imaging, immediate breast reconstruction, and hospital volume. ANN SURG ONCOL, 20(12), 3839-3846. https://doi.org/10.1245/s10434-013-3097-0

Vancouver

Heil J, Rauch G, Szabo AZ, Garcia-Etienne CA, Golatta M, Domschke C et al. Breast cancer mastectomy trends between 2006 and 2010: association with magnetic resonance imaging, immediate breast reconstruction, and hospital volume. ANN SURG ONCOL. 2013 Nov;20(12):3839-3846. https://doi.org/10.1245/s10434-013-3097-0

Bibtex

@article{04d5cbfe34f24a248daea68ed66814fb,
title = "Breast cancer mastectomy trends between 2006 and 2010: association with magnetic resonance imaging, immediate breast reconstruction, and hospital volume",
abstract = "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.",
keywords = "Adult, Aged, Breast Neoplasms, Carcinoma, Ductal, Breast, Carcinoma, Lobular, Female, Follow-Up Studies, Hospitals, High-Volume, Hospitals, Low-Volume, Humans, Magnetic Resonance Imaging, Mammaplasty, Mastectomy, Middle Aged, Neoplasm Grading, Neoplasm Recurrence, Local, Neoplasm Staging, Prognosis, Receptor, ErbB-2, Retrospective Studies, Survival Rate, Time Factors, Journal Article",
author = "Joerg Heil and Geraldine Rauch and Szabo, {Akos Z} and Garcia-Etienne, {Carlos A} and Michael Golatta and Christoph Domschke and Mahyar Badiian and Peter Kern and Florian Schuetz and Markus Wallwiener and Christof Sohn and Hubertus Fries and {von Minckwitz}, Gunter and Andreas Schneeweiss and Mahdi Rezai",
year = "2013",
month = nov,
doi = "10.1245/s10434-013-3097-0",
language = "English",
volume = "20",
pages = "3839--3846",
journal = "ANN SURG ONCOL",
issn = "1068-9265",
publisher = "Springer New York",
number = "12",

}

RIS

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 -