Breast conservation, mastectomy and axillary surgery in New South Wales women in 1992 and 1995
2001

Breast Cancer Treatment Trends in New South Wales

Sample size: 4903 publication Evidence: moderate

Author Information

Author(s): Kricker A, Haskill J, Armstrong B K

Primary Institution: National Breast Cancer Centre, NSW Cancer Council, Sydney, Australia

Hypothesis

What factors influence the uptake of breast conservation therapy (BCT) among women with breast cancer in New South Wales?

Conclusion

Breast conservation therapy increased from 39% in 1992 to 45% in 1995, particularly among women with smaller cancers.

Supporting Evidence

  • Breast conservation therapy increased from 39% in 1992 to 45% in 1995.
  • Mastectomy was more common in women with larger cancers.
  • Urban women had fewer mastectomies than rural women.
  • Axillary surgery was common and increased with cancer size.

Takeaway

More women in New South Wales are choosing to keep their breasts instead of having them removed when they have cancer, especially if their cancer is small.

Methodology

The study analyzed Cancer Registry records linked to surgical treatment data for women with breast cancer.

Potential Biases

Potential bias due to the reliance on linked data from registries and hospital records.

Limitations

The study relied on existing cancer registry data, which may not capture all treatment details.

Participant Demographics

Women with breast cancer in New South Wales, with a focus on urban versus rural differences.

Statistical Information

Confidence Interval

95% CI 2.9–10.7

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1054/bjoc.2001.1932

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