Explanatory factors for variation in the use of breast conserving surgery and radiotherapy in the Netherlands, 1990-2001

S. Siesling; L.V. van de Poll-Franse; J.J. Jobsen; O.J. Repelaer van Driel; A.C. Voogd

doi:10.1016/j.breast.2007.05.004

Explanatory factors for variation in the use of breast conserving surgery and radiotherapy in the Netherlands, 1990-2001

S. Siesling^*
, L.V. van de Poll-Franse
, J.J. Jobsen
, O.J. Repelaer van Driel
, A.C. Voogd

^*Corresponding author for this work

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

24 Citations (Scopus)

Abstract

The use of Breast Conserving Surgery (BCS) followed by radiotherapy (BSC-RT) in pT1 (≤2 cm) and pT2-tumours (2-≤5 cm) was investigated in the Netherlands from 1990 to 2001. From the Netherlands Cancer Registry, patients were selected with invasive tumours <5.0 cm. Trends were determined and explanatory factors were determined by multivariate logistic regression. Over the period 52,937 pT1-tumours and 36,285 pT2-tumours were diagnosed. The percentage BCS and BCS-RT in patients 80 years or older remained lowest. Multivariate logistic regression revealed that older age (70+), tumour size >2 cm, positive clinical nodes and medium hospital size decreased the chance of BCS. For BCS-RT the same factors and negative pathological nodes decreased the chance of BCS-RT. Between regions large differences were seen. Cancer registry data are useful to monitor the guideline implementation strategies. Multidisciplinary treatment planning, surgeon and patient education could increase the use of BCS combined with RT in all age groups.

Original language	English
Pages (from-to)	606-614
Number of pages	9
Journal	The Breast
Volume	16
Issue number	6
DOIs	https://doi.org/10.1016/j.breast.2007.05.004
Publication status	Published - 1 Dec 2007
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

Breast conserving surgery
Cancer registry
Hospital volume
Radiotherapy
Regional variation
n/a OA procedure

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10.1016/j.breast.2007.05.004

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title = "Explanatory factors for variation in the use of breast conserving surgery and radiotherapy in the Netherlands, 1990-2001",

abstract = "The use of Breast Conserving Surgery (BCS) followed by radiotherapy (BSC-RT) in pT1 (≤2 cm) and pT2-tumours (2-≤5 cm) was investigated in the Netherlands from 1990 to 2001. From the Netherlands Cancer Registry, patients were selected with invasive tumours <5.0 cm. Trends were determined and explanatory factors were determined by multivariate logistic regression. Over the period 52,937 pT1-tumours and 36,285 pT2-tumours were diagnosed. The percentage BCS and BCS-RT in patients 80 years or older remained lowest. Multivariate logistic regression revealed that older age (70+), tumour size >2 cm, positive clinical nodes and medium hospital size decreased the chance of BCS. For BCS-RT the same factors and negative pathological nodes decreased the chance of BCS-RT. Between regions large differences were seen. Cancer registry data are useful to monitor the guideline implementation strategies. Multidisciplinary treatment planning, surgeon and patient education could increase the use of BCS combined with RT in all age groups.",

keywords = "Breast conserving surgery, Cancer registry, Hospital volume, Radiotherapy, Regional variation, n/a OA procedure",

author = "S. Siesling and \{van de Poll-Franse\}, L.V. and J.J. Jobsen and \{Repelaer van Driel\}, O.J. and A.C. Voogd",

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AU - Siesling, S.

AU - van de Poll-Franse, L.V.

AU - Jobsen, J.J.

AU - Repelaer van Driel, O.J.

AU - Voogd, A.C.

PY - 2007/12/1

Y1 - 2007/12/1

N2 - The use of Breast Conserving Surgery (BCS) followed by radiotherapy (BSC-RT) in pT1 (≤2 cm) and pT2-tumours (2-≤5 cm) was investigated in the Netherlands from 1990 to 2001. From the Netherlands Cancer Registry, patients were selected with invasive tumours <5.0 cm. Trends were determined and explanatory factors were determined by multivariate logistic regression. Over the period 52,937 pT1-tumours and 36,285 pT2-tumours were diagnosed. The percentage BCS and BCS-RT in patients 80 years or older remained lowest. Multivariate logistic regression revealed that older age (70+), tumour size >2 cm, positive clinical nodes and medium hospital size decreased the chance of BCS. For BCS-RT the same factors and negative pathological nodes decreased the chance of BCS-RT. Between regions large differences were seen. Cancer registry data are useful to monitor the guideline implementation strategies. Multidisciplinary treatment planning, surgeon and patient education could increase the use of BCS combined with RT in all age groups.

AB - The use of Breast Conserving Surgery (BCS) followed by radiotherapy (BSC-RT) in pT1 (≤2 cm) and pT2-tumours (2-≤5 cm) was investigated in the Netherlands from 1990 to 2001. From the Netherlands Cancer Registry, patients were selected with invasive tumours <5.0 cm. Trends were determined and explanatory factors were determined by multivariate logistic regression. Over the period 52,937 pT1-tumours and 36,285 pT2-tumours were diagnosed. The percentage BCS and BCS-RT in patients 80 years or older remained lowest. Multivariate logistic regression revealed that older age (70+), tumour size >2 cm, positive clinical nodes and medium hospital size decreased the chance of BCS. For BCS-RT the same factors and negative pathological nodes decreased the chance of BCS-RT. Between regions large differences were seen. Cancer registry data are useful to monitor the guideline implementation strategies. Multidisciplinary treatment planning, surgeon and patient education could increase the use of BCS combined with RT in all age groups.

KW - Breast conserving surgery

KW - Cancer registry

KW - Hospital volume

KW - Radiotherapy

KW - Regional variation

KW - n/a OA procedure

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M3 - Article

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AN - SCOPUS:35048891310

SN - 0960-9776

VL - 16

SP - 606

EP - 614

JO - The Breast

JF - The Breast

IS - 6

ER -

Explanatory factors for variation in the use of breast conserving surgery and radiotherapy in the Netherlands, 1990-2001

Abstract

UN SDGs

Keywords

Access to Document

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