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Am J Public Health. 2000 Feb;90(2):281-4.

Increasing trends in the use of breast-conserving surgery in California.

Author information

  • 1California Cancer Registry, Public Health Institute, Sacramento, Calif. 95815-4402, USA. cyllene@ccr.ca.gov

Abstract

OBJECTIVES:

The purpose of this study was to determine temporal trends in breast-conserving surgery in California from 1988 through 1995.

METHODS:

Logistic regression was used to analyze data on 104,466 cases of early-stage breast cancer reported to the California Cancer Registry.

RESULTS:

A monotonically increasing trend in breast-conserving surgery was detected after adjustment for age, race/ethnicity, stage at diagnosis, and neighborhood education level. Breast-conserving surgery increased at similar rates among all racial/ethnic groups. Older age, Asian or Hispanic race/ethnicity, late-stage diagnosis, and residence in an undereducated neighborhood were factors associated with lower use of breast-conserving surgery.

CONCLUSIONS:

Although disparities are evident, use of breast-conserving surgery increased steadily in all groups examined in this study.

PMID:
10667193
[PubMed - indexed for MEDLINE]
PMCID:
PMC1446135
Free PMC Article
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