Record Details

Title Geographic proximity to treatment for early stage breast cancer and likelihood of mastectomy
Author Boscoe, FP
Secondary Authors Johnson CJ, Henry KA, Goldberg DW, Shahabi K, Elkin EB, Ballas LK, Cockburn M
Publication Type (Help) article
Journal Breast
Month Aug
Year 2011
Pages 324-8
Volume 20
Number 4
Publisher
Address
Note doi: 10.1016/j.breast.2011.02.020
URL http://www.thebreastonline.com/article/S0960-9776(11)00056-7/abstract
PubMed ID 21440439
NCI Id
EPub Date 2011 Mar 25
Citation Boscoe FP, Johnson CJ, Henry KA, Goldberg DW, Shahabi K, Elkin EB, Ballas LK, Cockburn M. Geographic proximity to treatment for early stage breast cancer and likelihood of mastectomy. Breast. 2011 Aug;20(4):324-8. EPub 2011 Mar 25. PMID 21440439. [http://www.thebreastonline.com/article/S0960-9776(11)00056-7/abstract.]
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Abstract

Women with early stage breast cancer who live far from a radiation therapy facility may be more likely to opt for mastectomy over breast conserving surgery (BCS). The geographic dimensions of this relationship deserve further scrutiny. For over 100,000 breast cancer patients in 10 states who received either mastectomy or BCS, a newly-developed software tool was used to calculate the shortest travel distance to the location of surgery and to the nearest radiation treatment center. The likelihood of receipt of mastectomy was modeled as a function of these distance measures and other demographic variables using multilevel logistic regression. Women traveling over 75 km for treatment are about 1.4 times more likely to receive a mastectomy than those traveling under 15 km. Geographic barriers to optimal breast cancer treatment remain a valid concern, though most women traveling long distances to receive mastectomies are doing so after bypassing local options.



Keywords

Keyword
breast
cancer
geographic
mastectomy
stage
treatment