Changing Treatment of Breast Cancer in New Mexico From 1969 Through 1985

Bruce A. Mann, Jonathan M. Samet, William C. Hunt, Charles R. Key, Jean M. Goodwin, James Goodwin

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

A review of information from the New Mexico Tumor Registry on women diagnosed as having primary breast cancer from 1969 through 1985 revealed temporal changes in the surgical treatment of this disease. After 1980 the percentage of women receiving breast-conserving surgery for local-stage disease increased from 6% to 25%. Most surgeons performing operations for breast cancer had not performed a breast-conserving operation before 1981 but had used this procedure at least once in the period from 1981 through 1985. Women younger than 50 years or older than 80 years were most likely to undergo this procedure. In that period, radiotherapy after breast-conserving surgery could not be documented for 26% of the women 65 years old or younger or for 56% of the women aged 65 years or older. Thus, there has been a marked shift in New Mexico in the surgical approach to local-stage breast cancer in the 1980s. This shift involved most surgeons treating the disease and included women of all age groups. The apparent lack of adjuvant radiotherapy in some women receiving conservative surgeries may prove to be a deleterious consequence of this change in surgical management.

Original languageEnglish (US)
Pages (from-to)3413-3417
Number of pages5
JournalJAMA - Journal of the American Medical Association
Volume259
Issue number23
DOIs
StatePublished - Jun 17 1988
Externally publishedYes

Fingerprint

Breast Neoplasms
Segmental Mastectomy
Therapeutics
Adjuvant Radiotherapy
Registries
Breast
Radiotherapy
Age Groups
Neoplasms
Surgeons

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Changing Treatment of Breast Cancer in New Mexico From 1969 Through 1985. / Mann, Bruce A.; Samet, Jonathan M.; Hunt, William C.; Key, Charles R.; Goodwin, Jean M.; Goodwin, James.

In: JAMA - Journal of the American Medical Association, Vol. 259, No. 23, 17.06.1988, p. 3413-3417.

Research output: Contribution to journalArticle

Mann, Bruce A. ; Samet, Jonathan M. ; Hunt, William C. ; Key, Charles R. ; Goodwin, Jean M. ; Goodwin, James. / Changing Treatment of Breast Cancer in New Mexico From 1969 Through 1985. In: JAMA - Journal of the American Medical Association. 1988 ; Vol. 259, No. 23. pp. 3413-3417.
@article{e33555a6821c44629cf8b4549e88e838,
title = "Changing Treatment of Breast Cancer in New Mexico From 1969 Through 1985",
abstract = "A review of information from the New Mexico Tumor Registry on women diagnosed as having primary breast cancer from 1969 through 1985 revealed temporal changes in the surgical treatment of this disease. After 1980 the percentage of women receiving breast-conserving surgery for local-stage disease increased from 6{\%} to 25{\%}. Most surgeons performing operations for breast cancer had not performed a breast-conserving operation before 1981 but had used this procedure at least once in the period from 1981 through 1985. Women younger than 50 years or older than 80 years were most likely to undergo this procedure. In that period, radiotherapy after breast-conserving surgery could not be documented for 26{\%} of the women 65 years old or younger or for 56{\%} of the women aged 65 years or older. Thus, there has been a marked shift in New Mexico in the surgical approach to local-stage breast cancer in the 1980s. This shift involved most surgeons treating the disease and included women of all age groups. The apparent lack of adjuvant radiotherapy in some women receiving conservative surgeries may prove to be a deleterious consequence of this change in surgical management.",
author = "Mann, {Bruce A.} and Samet, {Jonathan M.} and Hunt, {William C.} and Key, {Charles R.} and Goodwin, {Jean M.} and James Goodwin",
year = "1988",
month = "6",
day = "17",
doi = "10.1001/jama.1988.03720230023024",
language = "English (US)",
volume = "259",
pages = "3413--3417",
journal = "JAMA - Journal of the American Medical Association",
issn = "0002-9955",
publisher = "American Medical Association",
number = "23",

}

TY - JOUR

T1 - Changing Treatment of Breast Cancer in New Mexico From 1969 Through 1985

AU - Mann, Bruce A.

AU - Samet, Jonathan M.

AU - Hunt, William C.

AU - Key, Charles R.

AU - Goodwin, Jean M.

AU - Goodwin, James

PY - 1988/6/17

Y1 - 1988/6/17

N2 - A review of information from the New Mexico Tumor Registry on women diagnosed as having primary breast cancer from 1969 through 1985 revealed temporal changes in the surgical treatment of this disease. After 1980 the percentage of women receiving breast-conserving surgery for local-stage disease increased from 6% to 25%. Most surgeons performing operations for breast cancer had not performed a breast-conserving operation before 1981 but had used this procedure at least once in the period from 1981 through 1985. Women younger than 50 years or older than 80 years were most likely to undergo this procedure. In that period, radiotherapy after breast-conserving surgery could not be documented for 26% of the women 65 years old or younger or for 56% of the women aged 65 years or older. Thus, there has been a marked shift in New Mexico in the surgical approach to local-stage breast cancer in the 1980s. This shift involved most surgeons treating the disease and included women of all age groups. The apparent lack of adjuvant radiotherapy in some women receiving conservative surgeries may prove to be a deleterious consequence of this change in surgical management.

AB - A review of information from the New Mexico Tumor Registry on women diagnosed as having primary breast cancer from 1969 through 1985 revealed temporal changes in the surgical treatment of this disease. After 1980 the percentage of women receiving breast-conserving surgery for local-stage disease increased from 6% to 25%. Most surgeons performing operations for breast cancer had not performed a breast-conserving operation before 1981 but had used this procedure at least once in the period from 1981 through 1985. Women younger than 50 years or older than 80 years were most likely to undergo this procedure. In that period, radiotherapy after breast-conserving surgery could not be documented for 26% of the women 65 years old or younger or for 56% of the women aged 65 years or older. Thus, there has been a marked shift in New Mexico in the surgical approach to local-stage breast cancer in the 1980s. This shift involved most surgeons treating the disease and included women of all age groups. The apparent lack of adjuvant radiotherapy in some women receiving conservative surgeries may prove to be a deleterious consequence of this change in surgical management.

UR - http://www.scopus.com/inward/record.url?scp=0023719516&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023719516&partnerID=8YFLogxK

U2 - 10.1001/jama.1988.03720230023024

DO - 10.1001/jama.1988.03720230023024

M3 - Article

VL - 259

SP - 3413

EP - 3417

JO - JAMA - Journal of the American Medical Association

JF - JAMA - Journal of the American Medical Association

SN - 0002-9955

IS - 23

ER -