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Access to multidisciplinary cancer care : Is it linked to the use of breast-conserving surgery with radiation for early-stage breast carcinoma? by Laura-Mae Baldwin; Stephen H. Taplin; Harvey Friedman; Roger Moe is a Medicine article available to read on EtoBox.
What is Access to multidisciplinary cancer care : Is it linked to the use of breast-conserving surgery with radiation for early-stage breast carcinoma? about?
## Abstract ## BACKGROUND Breast‐conserving surgery (BCS) with radiation (BCSR) requires a multidisciplinary care approach between surgeons and radiation oncologists. ## METHODS This retrospective cohort study examined the use of preoperative radiation oncology consultation and whether use of or distance to this care was associated with treatment choice among 1188 women age ≥ 65 years who were diagnosed with local or regional breast carcinoma in Washington State in 1994 and 1995. Study outcomes included rates of BCSR; BCS alone; and mastectomy; and radiation therapy among women who underwent BCS. ## RESULTS Only 29% of patients in the current study consulted with a radiation oncologist preoperatively, and less than half of the patients (46.6%) consulted with either a medical oncologist or a radiation oncologist. Among women who underwent either BCSR or mastectomy, the odds of undergoing BCSR among women who had a preoperative radiation oncology consultation were 6.7 times the odds of women who did not have the consultation (__P__ ≤ 0.001). Similarly, the odds of receiving radiation therapy among women who underwent BCS and had a preoperative radiation oncology consultation were 5 t
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- Author
- Laura-Mae Baldwin; Stephen H. Taplin; Harvey Friedman; Roger Moe
- Publisher
- John Wiley and Sons; Wiley (John Wiley & Sons); John Wiley & Sons Inc.; Wiley (ISSN 0008-543X)
- Published
- 2004
- Language
- EN
- Field
- Medicine (Health Sciences)