Surgical caseload and outcomes for women with invasive breast cancer treated in Western Australia
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- 作者：D.M. Ingram ; S.P. McEvoy ; M.J. Byrne ; L. Fritschi ; D.J. Joseph ; K. Jamrozik
- 关键词：Invasive breast cancer ; Surgical caseload ; Outcomes ; Survival
- 刊名：The Breast
- 出版年：2005
- 出版时间：February 2005
- 年：2005
- 卷：14
- 期：1
- 页码：11-17
- 全文大小：208 K
文摘
We have assessed the outcomes for all women diagnosed with invasive breast cancer in Western Australia during 1989, 1994 and 1999, and compared the results for surgeons who treat 20 or more cases per year with those of surgeons who treat less. Women treated by high caseload surgeons were more likely to retain their breast (53.3 % vs. 36.7 % , e538d9e187109c1d079713235b6b"" title=""Click to view the MathML source"">p<0.001), have adjuvant radiotherapy (50.0 % vs. 30.6 % , p<0.001), and be alive after 4 years (1989, 86 % vs. 82 % ; 1994, 89 % vs. 84 % ; 1999, 90 % vs. 79 % , HR 0.71, p=0.03). Adjusting for age and year of diagnosis, women were not more likely to be treated with adjuvant chemotherapy (29.2 % vs. 20.9 % , p=0.28). In 1989 35 % of women were treated by high caseload surgeons. By 1999 this had risen to 82 % . The results confirm that women treated by high caseload surgeons have better outcomes.