Factors which affect the use of lumpectomy and mastectomy in an underinsured,safety net hospital population |
| |
Authors: | Anne E. Klemens Lyndsay Olsen-Deeter Chiu-Hsieh Hsu Marcia E. Bouton Brano Djenic Lisa M. Winton Ian K. Komenaka |
| |
Affiliation: | 1. Maricopa Medical Center, Hogan Building, 2nd Floor, 2601 E Roosevelt Street, Phoenix, AZ 85008, USA;2. Arizona Cancer Center, University of Arizona, Tucson, AZ, USA;3. Mel and Enid Zuckerman Arizona College of Public Health, University of Arizona, Tucson, AZ, USA |
| |
Abstract: | BackgroundThis study was performed to evaluate variables that affect the use of mastectomy and lumpectomy in an underinsured population.MethodsA retrospective review of all patients who underwent breast cancer operations from July 2001 to February 2011 at a safety net hospital was performed. Univariate and multivariate analyses were performed to identify variables, which were associated with the type of operation.ResultsOf the 412 patients, 81% of the patients were underinsured or uninsured. Most patients (58%) presented with clinical stage 2A/B disease. Mastectomy was performed in 37% of patients and lumpectomy in 63%. In multivariate analysis, clinical tumor size (P = .035) and pathologic stage (P = .003) remained associated with mastectomy, while use of preoperative chemotherapy (P = .004) and type of surgeon (P = .001) was associated with lumpectomy.ConclusionsMost patients underwent lumpectomy despite later stage at presentation. Preoperative chemotherapy was associated with increased likelihood of lumpectomy. |
| |
Keywords: | Breast conservation Lumpectomy Race Ethnicity Minority Preoperative chemotherapy |
本文献已被 ScienceDirect 等数据库收录! |
|