Determinants of mastectomy in breast conservation therapy candidates

Waddah Al-Refaie; Henry M. Kuerer; Alam Khuwaja; Allison Perry; Kelly K. Hunt; Barry Feig; Frederick Ames; Merrick Ross; S. Eva Singletary; Funda Meric-Bernstam; Gildy V. Babiera

doi:10.1016/j.amjsurg.2005.06.022

Determinants of mastectomy in breast conservation therapy candidates

Waddah Al-Refaie, Henry M. Kuerer, Alam Khuwaja, Allison Perry, Kelly K. Hunt, Barry Feig, Frederick Ames, Merrick Ross, S. Eva Singletary, Funda Meric-Bernstam, Gildy V. Babiera

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

Background: Although underused, breast conservation therapy (BCT) is an accepted method for treatment of noninvasive and early breast cancer. The purpose of this analysis was to identify factors associated with receiving mastectomy when eligible for BCT. Methods: From a recent experience, 397 patients at the University of Texas M. D. Anderson Cancer Center presented with clinical stage 0, I, or II breast cancer. Demographics and tumor characteristics of patients who underwent BCT versus mastectomy were compared. Results: Of 293 BCT candidates, 203 patients (69%) underwent BCT and 90 patients (31%) received a mastectomy. Of those 90 patients, 66 patients (73%) had documented concerns about receiving BCT. Multivariate analyses showed that widow status was a factor associated with receiving mastectomy at presentation (P = .04). Conclusions: The majority of BCT candidates with early stage breast cancer undergo BCT. In our study, widow status was a predictive factor of mastectomy in BCT candidates.

Original language	English (US)
Pages (from-to)	602-605
Number of pages	4
Journal	American Journal of Surgery
Volume	190
Issue number	4
DOIs	https://doi.org/10.1016/j.amjsurg.2005.06.022
State	Published - Oct 2005

Keywords

Breast conservation therapy
Breast conservation treatment
Early breast cancer
Mastectomy

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2005.06.022

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title = "Determinants of mastectomy in breast conservation therapy candidates",

abstract = "Background: Although underused, breast conservation therapy (BCT) is an accepted method for treatment of noninvasive and early breast cancer. The purpose of this analysis was to identify factors associated with receiving mastectomy when eligible for BCT. Methods: From a recent experience, 397 patients at the University of Texas M. D. Anderson Cancer Center presented with clinical stage 0, I, or II breast cancer. Demographics and tumor characteristics of patients who underwent BCT versus mastectomy were compared. Results: Of 293 BCT candidates, 203 patients (69%) underwent BCT and 90 patients (31%) received a mastectomy. Of those 90 patients, 66 patients (73%) had documented concerns about receiving BCT. Multivariate analyses showed that widow status was a factor associated with receiving mastectomy at presentation (P = .04). Conclusions: The majority of BCT candidates with early stage breast cancer undergo BCT. In our study, widow status was a predictive factor of mastectomy in BCT candidates.",

keywords = "Breast conservation therapy, Breast conservation treatment, Early breast cancer, Mastectomy",

author = "Waddah Al-Refaie and Kuerer, {Henry M.} and Alam Khuwaja and Allison Perry and Hunt, {Kelly K.} and Barry Feig and Frederick Ames and Merrick Ross and Singletary, {S. Eva} and Funda Meric-Bernstam and Babiera, {Gildy V.}",

year = "2005",

month = oct,

doi = "10.1016/j.amjsurg.2005.06.022",

language = "English (US)",

volume = "190",

pages = "602--605",

journal = "American Journal of Surgery",

issn = "0002-9610",

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T1 - Determinants of mastectomy in breast conservation therapy candidates

AU - Al-Refaie, Waddah

AU - Kuerer, Henry M.

AU - Khuwaja, Alam

AU - Perry, Allison

AU - Hunt, Kelly K.

AU - Feig, Barry

AU - Ames, Frederick

AU - Ross, Merrick

AU - Singletary, S. Eva

AU - Meric-Bernstam, Funda

AU - Babiera, Gildy V.

PY - 2005/10

Y1 - 2005/10

N2 - Background: Although underused, breast conservation therapy (BCT) is an accepted method for treatment of noninvasive and early breast cancer. The purpose of this analysis was to identify factors associated with receiving mastectomy when eligible for BCT. Methods: From a recent experience, 397 patients at the University of Texas M. D. Anderson Cancer Center presented with clinical stage 0, I, or II breast cancer. Demographics and tumor characteristics of patients who underwent BCT versus mastectomy were compared. Results: Of 293 BCT candidates, 203 patients (69%) underwent BCT and 90 patients (31%) received a mastectomy. Of those 90 patients, 66 patients (73%) had documented concerns about receiving BCT. Multivariate analyses showed that widow status was a factor associated with receiving mastectomy at presentation (P = .04). Conclusions: The majority of BCT candidates with early stage breast cancer undergo BCT. In our study, widow status was a predictive factor of mastectomy in BCT candidates.

AB - Background: Although underused, breast conservation therapy (BCT) is an accepted method for treatment of noninvasive and early breast cancer. The purpose of this analysis was to identify factors associated with receiving mastectomy when eligible for BCT. Methods: From a recent experience, 397 patients at the University of Texas M. D. Anderson Cancer Center presented with clinical stage 0, I, or II breast cancer. Demographics and tumor characteristics of patients who underwent BCT versus mastectomy were compared. Results: Of 293 BCT candidates, 203 patients (69%) underwent BCT and 90 patients (31%) received a mastectomy. Of those 90 patients, 66 patients (73%) had documented concerns about receiving BCT. Multivariate analyses showed that widow status was a factor associated with receiving mastectomy at presentation (P = .04). Conclusions: The majority of BCT candidates with early stage breast cancer undergo BCT. In our study, widow status was a predictive factor of mastectomy in BCT candidates.

KW - Breast conservation therapy

KW - Breast conservation treatment

KW - Early breast cancer

KW - Mastectomy

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Determinants of mastectomy in breast conservation therapy candidates

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Keywords

ASJC Scopus subject areas

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