Decentralization of breast cancer surgery in the United States

Cancer
Joan M NeunerA B Nattinger

Abstract

Physician volume of at least 15-30 annual breast cancer operations has been associated with higher 5-year survival rates. The authors sought to determine whether surgical volumes for breast cancer in the United States frequently reach this threshold. The authors conducted a retrospective cohort study of 987 surgeons who operated on 8105 Medicare patients with breast cancer during 1994-1995 in 6 areas in the Surveillance, Epidemiology and End Results tumor registry. The 2-year physician volume of breast cancer operations was estimated among Medicare patients (approximating the on-average annual volumes for patients of all ages) and its association was examined with physician characteristics and with 3 measures of surgical care. The median 2-year Medicare volume for breast cancer surgeons was 6, and 79% of physicians performed < or = 12 operations. Approximately 50% of patients were cared for by physicians who performed < or = 12 operations over 2 years, and 10% of patients were cared for by physicians who performed > or = 30 operations. Surgeon characteristics of age, female gender, general surgery board certification, and academic affiliation were associated with modestly higher volumes of breast cancer surgery. Higher surgeon ...Continue Reading

References

Feb 1, 1992·American Journal of Public Health·E R SatarianoP P Moll
Jan 16, 1991·JAMA : the Journal of the American Medical Association
Apr 28, 1988·The New England Journal of Medicine·S M Shortell, E F Hughes
Dec 18, 1997·The New England Journal of Medicine·G S Meyer, R V Gibbons
Mar 31, 1998·American Journal of Public Health·P J RoohanA L Siu
Oct 1, 1998·The New England Journal of Medicine·K M McMastersM J Edwards
Mar 7, 2000·JAMA : the Journal of the American Medical Association·J D Birkmeyer
Apr 12, 2002·The New England Journal of Medicine·Arnold M Epstein
Feb 6, 2003·Cancer·Julia WhiteUNKNOWN American College of Radiology Patterns of Care Study
Apr 15, 2003·Journal of the American College of Surgeons·Valerie L StaradubMonica Morrow
Jul 4, 2003·Annals of Surgical Oncology·Kristin A SkinnerRichard Sposto
Jul 31, 2003·British Journal of Cancer·J Stefoski MikeljevicD Forman
Oct 22, 2003·Annals of Internal Medicine·Jeffrey A MeyerhardtCharles S Fuchs

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Citations

Dec 23, 2006·Breast Cancer Research and Treatment·Nicole Hébert-CroteauJacques Brisson
Feb 11, 2011·Molecular BioSystems·Gang LiuXiaoyuan Chen
Nov 11, 2008·Annals of Surgical Oncology·Michael T HalpernElizabeth Ward
Feb 6, 2008·Annals of Surgical Oncology·Helen A PassEdward M Copeland
Feb 6, 2009·Annals of Surgical Oncology·Tina W F YenAnn B Nattinger
Jan 6, 2011·Annals of Surgical Oncology·P PeltoniemiK Holli
Aug 24, 2011·Annals of Surgical Oncology·Amanda L KongAnn B Nattinger
Jun 27, 2006·Medical Care·Rebecca A Silliman
May 19, 2012·The Breast : Official Journal of the European Society of Mastology·Päivi PeltoniemiLiisa Pylkkänen
Jun 7, 2011·Surgical Oncology Clinics of North America·Diana Dickson-WitmerEmily J Penman
May 3, 2011·The Breast : Official Journal of the European Society of Mastology·Daniela F VeigaLydia M Ferreira
Apr 16, 2010·The Breast : Official Journal of the European Society of Mastology·Lisa Bailey
Oct 6, 2009·Journal of the American College of Surgeons·Grace L SmithThomas A Buchholz
Jun 11, 2015·Journal of Cancer Education : the Official Journal of the American Association for Cancer Education·Jory S Simpson, A S Scheer
Jul 20, 2007·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Jennifer F WaljeeSteven J Katz
Dec 4, 2019·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Brigid K KilleleaCary P Gross
Nov 29, 2016·Annals of Surgery·Rachel A GreenupE Shelley Hwang
Mar 21, 2020·The Journal of Surgical Research·Ko Un ParkMegan E Gregory

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