Travel distance to radiation therapy and receipt of radiotherapy following breast-conserving surgery.
@article{Athas2000TravelDT, title={Travel distance to radiation therapy and receipt of radiotherapy following breast-conserving surgery.}, author={William F. Athas and Meg Adams-Cameron and William C. Hunt and A Amir-Fazli and Charles R. Key}, journal={Journal of the National Cancer Institute}, year={2000}, volume={92 3}, pages={ 269-71 } }
Breast-conserving surgery (BCS) followed by radiation therapy is an efficacious alternative treatment to mastectomy for women with early-stage breast cancer(1,2).However, 15%–30% of the women treated with BCS for early-stage disease fail to undergo postoperative breast irradiation, despite the known increased risk of ipsilateral recurrence associated with the omission of radiotherapy (3–8). Older age has been identified as a major determinant of not receiving radiotherapy after BCS (4,6,7,9…
408 Citations
Relationship of distance from a radiotherapy facility and initial breast cancer treatment.
- MedicineJournal of the National Cancer Institute
- 2001
The lower probability of undergoing BCS was statistically significant for women residing 15 miles or more from the nearest hospital with a radiotherapy facility, and any relationship of distance to radiotherapy site and therapy undergone might be more prominent among older women because older women may have more difficulties with transportation.
Effect of Travel Distance and Time to Radiotherapy on Likelihood of Receiving Mastectomy
- Medicine, PsychologyAnnals of Surgical Oncology
- 2014
These data found that travel distance and time from RT facility act as barriers to undergoing BCS in women with early-stage breast cancer, and despite being in an urban region, a significant number of women in NJ withEarly-Stage breast cancer did not receive BCS.
TARGeted Intraoperative radiotherapy (TARGIT): an innovative approach to partial-breast irradiation.
- MedicineSeminars in radiation oncology
- 2005
Breast-conserving surgery with intra-operative radiotherapy: the right approach for the 21st century?
- MedicineClinical oncology (Royal College of Radiologists (Great Britain))
- 2006
Conservative surgery with and without radiotherapy in elderly patients with early-stage breast cancer: a prospective randomised multicentre trial.
- MedicineBreast
- 2009
Novel approaches to postoperative radiation therapy as part of breast-conserving therapy for early-stage breast cancer.
- MedicineClinical breast cancer
- 2003
Allowing for the identification of specific subsets of patients who are likely to be safely treated by partial-breast radiation (instead of radiation to the whole breast) with more accelerated regimens is recommended.
Breast-conserving Surgery with Intraoperative Radiotherapy : The Right Approach for the 21 st Century ?
- Medicine
- 2006
To test the possibility of replacing the whole of the EBRT 3e6 week programme by a single application of IORT at the time of surgery, a large scale prospectively randomised clinical trail in selected patients is commenced.
Accelerated partial breast irradiation as a part of breast conservation therapy.
- MedicineJournal of clinical oncology : official journal of the American Society of Clinical Oncology
- 2005
The present data suggests that the radiation dose delivery can be safely accelerated and reduced to a treatment time of 5 days, and APBI has the potential to provide more women with an alternative BCT option.
Current application and research directions for partial-breast irradiation.
- MedicineOncology
- 2007
This review hopes to clarify the rationale behind APBI and discuss in depth data concerning various partial-breast irradiation techniques that are being used throughout the United States and around the world.
References
SHOWING 1-10 OF 17 REFERENCES
Underutilization of breast-conserving surgery and radiation therapy among women with stage I or II breast cancer.
- MedicineJAMA
- 1991
Despite scientific evidence of the equivalent efficacy of BCS with radiation therapy and mastectomy, BCS is not performed on the majority of women with stage I or II breast cancer, and factors are associated with its use that differ from selection criteria outlined by the National Institutes of Health.
Underutilization of breast-conserving surgery and radiation therapy among women with stage I or II breast cancer
- Medicine
- 1991
Despite scientific evidence of the equivalent efficacy of BCS with radiation therapy and mastectomy, BCS is not performed on the majority of women with stage I or II breast cancer, and factors are associated with its use that differ from selection criteria outlined by the National Institutes of Health.
Radiation therapy and patient age in the survival from early-stage breast cancer.
- MedicineInternational journal of radiation oncology, biology, physics
- 1999
Geographic variation in the treatment of localized breast cancer.
- MedicineThe New England journal of medicine
- 1992
BACKGROUND
Breast-conserving surgery followed by radiation therapy is as effective as modified radical mastectomy in treating women with localized breast cancer, as demonstrated by clinical trials…
Dissemination of clinical results. Mastectomy versus lumpectomy and radiation therapy.
- MedicineMedical care
- 1996
Analysis of inpatient and outpatient claims data from four insurers for 5 years (1986-1990) of breast-conserving surgery followed by radiation therapy as an alternative treatment to mastectomy for early-stage breast cancer illustrates the usefulness of administrative claims data in describing trends and practice patterns.
Factors associated with surgical and radiation therapy for early stage breast cancer in older women.
- MedicineJournal of the National Cancer Institute
- 1996
After adjustment for multiple clinical and nonclinical factors influencing treatment, chronologic age remains an important independent factor associated with the receipt of radiation therapy after breast-conserving surgery among women aged 65 years or more who were diagnosed with early stage breast cancer.
The changing treatment of breast cancer.
- MedicineJAMA
- 1988
In this review, it is stated that "the apparent lack of adjuvant radiotherapy in some women receiving conservative therapy may prove to be a deleterious consequence" of breast-conserving operations for the treatment of breast cancer.
Changing treatment of breast cancer in New Mexico from 1969 through 1985.
- MedicineJAMA
- 1988
There has been a marked shift in New Mexico in the surgical approach to local-stage breast cancer in the 1980s, and the apparent lack of adjuvant radiotherapy in some women receiving conservative surgeries may prove to be a deleterious consequence.
Stage at diagnosis and treatment patterns among older women with breast cancer: an HMO and fee-for-service comparison.
- MedicineJAMA
- 1999
Treatment of early-stage breast cancer in HMOs often differs from local FFS patterns, but not in a consistent way, and elderly HMO enrollees did not appear to have systematic access problems with adjuvant radiation therapy following BCS compared with women in an FFS setting.