51. Patterns of Care for Localized Breast Cancer in Oklahoma, 2003-2006
- Author
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Anne Pate, Sara K. Vesely, Amanda E. Janitz, Dana Lloyd, and Janis E. Campbell
- Subjects
Adult ,medicine.medical_specialty ,Standard of care ,Databases, Factual ,medicine.medical_treatment ,Breast Neoplasms ,Logistic regression ,Mastectomy, Segmental ,Medicare ,Article ,Odds ,Breast cancer ,Internal medicine ,medicine ,Breast-conserving surgery ,otorhinolaryngologic diseases ,Humans ,Registries ,Healthcare Disparities ,Aged ,Neoplasm Staging ,Gynecology ,Patterns of care ,Aged, 80 and over ,business.industry ,Medicaid ,Age Factors ,Cancer ,Oklahoma ,Standard of Care ,General Medicine ,Middle Aged ,medicine.disease ,United States ,Cancer registry ,Logistic Models ,Socioeconomic Factors ,Health Care Surveys ,Female ,Guideline Adherence ,business - Abstract
Despite well-established clinical guidelines for breast cancer treatment, Standard of Care (SOC) is not universal in the U.S. The purpose of this study was to describe the extent to which patients receive guideline-based, stage-specific treatments for localized female breast cancer in Oklahoma. Data were obtained from the Oklahoma Central Cancer Registry for the period 2003–2006. We included localized, invasive female breast cancers and analyzed both treatment and demographic factors. We used the National Comprehensive Cancer Network (NCCN) treatment guidelines to determine SOC. Among women who received breast conserving surgery (BCS), we used logistic regression to evaluate factors related to SOC. In Oklahoma, 92 percent of the 4,177 localized breast cancer patients were treated with recognized SOC. In women aged ≥65 years with BCS, those ≥75 years had a lower adjusted odds of meeting SOC than did those without insurance, with comorbid conditions, or whose comorbid status was unknown. Among women aged
- Published
- 2015