Featured Research

from universities, journals, and other organizations

Surgeons impact whether a woman gets breast reconstruction

Date:
September 1, 2010
Source:
University of Michigan Health System
Summary:
When breast cancer surgeons regularly confer with plastic surgeons prior to surgery, their patients are more likely to have reconstruction, according to a new study.

When breast cancer surgeons regularly confer with plastic surgeons prior to surgery, their patients are more likely to have reconstruction, according to a new study led by researchers at the University of Michigan Comprehensive Cancer Center.

Where a woman goes for breast cancer treatment can vary widely -- ranging from small private practices to large hospital settings. That choice can impact the type of care a woman receives when it comes to reconstruction.

"Breast reconstruction is a very complex treatment issue that requires a lot of discussion. Our results suggest that discussion can be quite different depending on where a patient gets initial treatment," says lead study author Steven J. Katz, M.D., M.P.H., professor of internal medicine at the U-M Medical School and of health management and policy at the U-M School of Public Health.

"Patients with similar characteristics or preferences may get a different story from different surgeons -- and this depends largely on whether a plastic surgeon is on the treatment decision team from the get-go. Plastic surgeons are the ones with the expertise to explain the increasingly complicated procedure options," Katz adds.

Results of the study appear online in the journal Medical Care and will be published in the October issue.

Researchers from the Cancer Surveillance and Outcomes Research Team, a multidisciplinary collaboration among five centers across the country, surveyed breast cancer patients and their surgeons about treatment choices.

They found that use of mastectomy over breast-conserving lumpectomy varied little by surgeon. Primarily, women who were not eligible for lumpectomy or who preferred mastectomy received the more aggressive surgery. This supports previous research by the CanSORT team that shows surgeons generally are consistent in their approach to mastectomy use.

Reconstruction is another story. About one-third of women who undergo mastectomy go on to have breast reconstruction. While there are multiple reasons why a woman might not have reconstruction, this study found that 31 percent of the variation could be attributed solely to how often the patient's surgeon talked to a plastic surgeon prior to initial surgery.

"This is a deeply intimate and important decision that women have to make. It should be made with the right information about reconstruction options in consultation with a plastic surgeon involved up front in the treatment planning," says Katz, co-director of the socio-behavioral program at the U-M Comprehensive Cancer Center.

"Patients should be particularly attentive to engaging their surgeons on the first visit about this important treatment option."

Methodology:

Researchers surveyed 1,780 women diagnosed with breast cancer in the Los Angeles and Detroit metropolitan areas, and matched them to 291 surgeons. Patients were identified from the Surveillance, Epidemiology and End Results registry.

Breast cancer statistics:

209,060 Americans will be diagnosed with breast cancer this year and 40,230 will die from the disease, according to the American Cancer Society.

Additional authors:

From U-M: Sarah T. Hawley, Ph.D., M.P.H.; Paul Abrahamse, M.A., Christopher R. Friese, R.N., Ph.D.; Amy K. Alderman, M.D., M.P.H.; Jennifer J. Griggs, M.D., M.P.H.; and Timothy P. Hofer, M.D., M.Sc.; from Memorial Sloan-Kettering Cancer Center: Monica Morrow, M.D.; from University of Southern California: Ann Hamilton, Ph.D., M.A.; and from Robert Wood Johnson Medical School: John J. Graff, Ph.D., M.S.

Funding:

National Cancer Institute

Reference: Medical Care, Vol. 48, No. 10, October 2010, published online Aug. 28, 2010


Story Source:

The above story is based on materials provided by University of Michigan Health System. Note: Materials may be edited for content and length.


Cite This Page:

University of Michigan Health System. "Surgeons impact whether a woman gets breast reconstruction." ScienceDaily. ScienceDaily, 1 September 2010. <www.sciencedaily.com/releases/2010/09/100901121505.htm>.
University of Michigan Health System. (2010, September 1). Surgeons impact whether a woman gets breast reconstruction. ScienceDaily. Retrieved July 30, 2014 from www.sciencedaily.com/releases/2010/09/100901121505.htm
University of Michigan Health System. "Surgeons impact whether a woman gets breast reconstruction." ScienceDaily. www.sciencedaily.com/releases/2010/09/100901121505.htm (accessed July 30, 2014).

Share This




More Health & Medicine News

Wednesday, July 30, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Generics Eat Into Pfizer's Sales

Generics Eat Into Pfizer's Sales

Reuters - Business Video Online (July 29, 2014) Pfizer, the world's largest drug maker, cut full-year revenue forecasts because generics could cut into sales of its anti-arthritis drug, Celebrex. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
Nigeria Ups Ebola Stakes on 1st Death

Nigeria Ups Ebola Stakes on 1st Death

Reuters - Business Video Online (July 29, 2014) Nigerian authorities have shut and quarantined a Lagos hospital where a Liberian man died of the Ebola virus, the first recorded case of the highly-infectious disease in Africa's most populous economy. David Pollard reports Video provided by Reuters
Powered by NewsLook.com
Running 5 Minutes A Day Might Add Years To Your Life

Running 5 Minutes A Day Might Add Years To Your Life

Newsy (July 29, 2014) According to a new study, just five minutes of running or jogging a day could add years to your life. Video provided by Newsy
Powered by NewsLook.com
Ebola Outbreak Poses Little Threat To U.S.: CDC

Ebola Outbreak Poses Little Threat To U.S.: CDC

Newsy (July 29, 2014) The Ebola outbreak in West Africa poses little threat to Americans, according to officials with the Centers for Disease Control and Prevention. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins