A first look at variations in use of breast conserving surgery at five teaching hospitals in Japan

International Journal for Quality in Health Care

Volumn 14, Issue 5, 2002, Pages 411-418

  Ishizaki, Tatsuro ^a   Imanaka, Yuichi ^a   Hirose, Masahiro ^a   Kuwabara, Kazuaki ^a   Ogawa, Toshio ^a   Harada, Yoshiaki ^a  

^a KYOTO UNIVERSITY GRADUATE SCHOOL OF MEDICINE   (Japan)

Author keywords

Breast cancer; Breast conserving surgery; Cost; Japan; Length of stay; Mastectomy

Indexed keywords

ADULT; ARTICLE; BREAST CANCER; CONSERVATIVE TREATMENT; CONTROLLED STUDY; DATA BASE; FEMALE; HOSPITAL BILLING; HUMAN; JAPAN; LENGTH OF STAY; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MASTECTOMY; PRIORITY JOURNAL; TEACHING HOSPITAL;

ADULT; AGED; FEMALE; HEALTH SERVICES RESEARCH; HOSPITALS, TEACHING; HUMANS; JAPAN; LENGTH OF STAY; MASTECTOMY, SEGMENTAL; MIDDLE AGED; PHYSICIAN'S PRACTICE PATTERNS; QUALITY INDICATORS, HEALTH CARE;

EID: 0036799748     PISSN: 13534505     EISSN: None     Source Type: Journal    
DOI: 10.1093/intqhc/14.5.411     Document Type: Article

References (27)

1. Fisher B, Bauer M, Margolese R et al. Five-year results of a randomized clinical trial comparing total mastectomy and segmental mastectomy with or without radiation in the treatment of breast cancer. N Engl J Med 1985; 312: 665-673.
2. Fisher B, Redmond C, Poisson R et al. Eight-year results of a randomized clinical trial comparing total mastectomy and lumpectomy with or without irradiation in the treatment of breast cancer. N Engl J Med 1989; 320: 822-828.
3. Fisher B, Anderson S, Redmond CK, Wolmark N, Wickerham DL, Cronin WM. Reanalysis and results after 12 years of follow-up in a randomized clinical trial comparing total mastectomy with lumpectomy with or without irradiation in the treatment of breast cancer. N Engl J Med 1995; 333: 1456-1461.
4. Nattinger AB, Gottlieb MS, Hoffman RG, Walker AP, Goodwin JS. Minimal increase in use of breast-conserving surgery from 1986 to 1990. Med Care 1996; 34: 479-489.
5. Lazovich D, White E, Thomas DB, Moe RE, Taplin S. Change in the use of breast-conserving surgery in western Washington after the 1990 NIH Consensus Development Conference. Arch Surg 1997; 132: 418-423.
6. Du X, Freeman JL, Freeman DH, Syblik DA, Goodwin JS. Temporal and regional variation in the use of breast-conserving surgery and radiotherapy for older women with early-stage breast cancer from 1983 to 1995. J Gerontol 1999; 54: M474-M478.
7. Morris CR, Cohen R, Schlag R, Wright WE. Increasing trends in the use of breast-conserving surgery in California. Am J Public Health 2000; 90: 281-284.
8. Takashima S. Progress in treatment for breast cancer (in Japanese). J Jpn Med Assoc 2001; 125: 1707-1717.
9. Health and Welfare Statistics Association. Health State of the Nation, Annual Report 2000. Tokyo, Japan: Kosei Tokei Kyokai, 2000 (in Japanese).
10. Farrow DC, Hunt WC, Samet JM. Geographic variation in the treatment of localized breast cancer. N Engl Med 1992; 326: 1097-1101.
11. Nattinger AB, Gottlieb MS, Veum J, Yahnke D, Goodwin JS. Geographic variation in the use of breast-conserving treatment for breast cancer. N Engl J Med 1992; 326: 1102-1107.
12. Sarr MG, Donohue JH, Grant CS, van Heerden JA, McIlrath DC. Breast-conserving surgery and radiation therapy: are they underused? J Am Med Assoc 1992; 268: 869-870.
13. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 1987; 40: 373-383.
14. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol 1992; 45: 613-619.
15. Hosmer D, Lemeshow S. Applied Logistic Regression. New York, NY: John Wiley & Son, Inc., 1989, pp. 140-145.
16. Verbeke G, Molenberghs G. Linear Mixed Models in Practice. New York, NY: Springer, 1997.
17. SAS Institute Inc. SAS/STAT Software: Changes and Enhancements through Release 6.12. Cary, NC: SAS Institute Inc., 1997.
18. Samet JM, Hunt WC, Farrow DC. Determinants of receiving breast-conserving surgery. The Surveillance, Epidemiology, and End Results Program, 1983-1986. Cancer 1994; 73: 2344-2351.
19. Johantgen ME, Coffey RM, Harris DR, Levy H, Clinton JJ. Treating early-stage breast cancer: hospital characteristics associated with breast-conserving surgery. Am J Public Health 1995; 85: 1432-1434.
20. Ballard-Batbash R, Potosky AL, Harlan LC, Nayfield SG, Kessler LG. Factors associated with surgical and radiation therapy for early stage breast cancer in older women. J Natl Cancer Inst 1996; 88: 716-726.
21. Kotwall CA, Covington DL, Rutledge R, Churchill MP, Meyer AA. Patient, hospital, and surgeon factors associated with breast conservation surgery. A statewide analysis in North Carolina. Ann Surg 1996; 224: 419-426.
22. Kotwall C, Covington D, Churchill P, Brinker C, Weintritt D, Maxwell JG. Breast conservation surgery for breast cancer at a regional medical center. Am J Surg 1998; 176: 510-514.
23. Athas WF, Adams-Cameron M, Hunt WC, Amir-Fazli A, Key CR. Travel distance to radiation therapy and receipt of radiotherapy following breast-conserving surgery. J Natl Cancer Inst 2000; 92: 269-271.
24. Tarbox BB, Rockwood JK, Abernathy CM. Are modified radical mastectomies done for T1 breast cancers because of surgeon's advice or patient's choice? Am J Surg 1992; 164: 417-420.
25. Organization for Economic Cooperation and Development. OECD Health Data 2000. Paris: OECD Publication Service, 2000.
26. Hasegawa T. The Strategy of Shortening Length of Hospital Stay for Hospital Management (in Japanese). Tokyo, Japan: Igaku Shoin Co. Ltd, 2001.
27. Ministry of Health and Welfare. Patient Survey, 1996 (in Japanese). Tokyo, Japan: Health and Welfare Statistics Association, 1998.