Predictors of surgery choices in women with early-stage breast cancer in China: a retrospective study.
Predictors of surgery choices in women with early-stage breast cancer in China: a retrospective study.
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DOI：
10.1186/s12885-023-10510-4
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发表时间：
2023-01-06
期刊：
影响因子：
3.8
通讯作者：
中科院分区：
文献类型：
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作者：
与西方国家相比，中国的保乳手术和乳房再造率相对较低。此外，中国乳腺癌女性手术选择的预测因素尚未探索。本研究旨在探讨具有不同人口统计学和临床特征的女性在手术选择上的差异，以及影响早期乳腺癌女性手术选择的预测因素。这项回顾性研究包括2009年至2017年期间在厦门大学附属医院接受手术的早期（0-II）乳腺癌女性。使用医疗记录，收集了11个变量：女性的年龄，诊断年份，医院，婚姻状况，付款方式，癌症分期，腋窝淋巴结阳性，组织学，新辅助化疗，放疗和他们选择的手术类型。二元逻辑回归用于分析手术选择的预测因素。本研究共纳入1，787例病例。在乳腺癌患者总数中，61.3%的患者接受了乳房切除术而未进行乳房再造，26.4%的患者接受了乳房切除术并进行了乳房再造，其余12.2%的患者选择了保乳手术。具有不同人口统计学和临床特征的妇女接受了不同类型的手术。癌症分期、新辅助化疗、放疗和医院选择是保乳手术的预测因素。与此同时，年龄、诊断年份、付款方式、新辅助化疗和医院选择是早期乳腺癌患者乳房切除术后重建的预测因素。在中国，女性乳腺癌患者的手术选择多样化。医护人员应了解不同年龄女性的手术偏好。为了早期发现乳腺癌，应提供乳房自我检查和乳腺癌筛查的知识。应提供有关重建安全性的充分信息，并倡导重建的医疗保险覆盖范围。乳房外科医生需要针对不同类型的乳房手术进行专门培训和标准化方案。这些行动将帮助女性对乳房手术做出更好、更明智的决定。
The breast-conserving surgery and reconstruction rate in China is relatively low when compared with those in Western countries. Moreover, predictors of surgical choices for women with breast cancer in China have not yet been explored. This study aims to explore differences in the surgical choices of women with different demographic and clinical characteristics and the predictors that influence surgical choices of women with early-stage breast cancer. This retrospective study included women with early-stage (0-II) breast cancer who underwent surgeries at one of two Xiamen University-affiliated hospitals between 2009 and 2017. Using medical records, eleven variables were collected: the woman's age, year of diagnosis, hospital, marital status, payment method, cancer stage, presence of positive axillary lymph node, histology, neoadjuvant chemotherapy, radiotherapy, and the type(s) of surgery they chose. Binary logistic regression was used to analyse predictors of surgical choice. A total of 1,787 cases were included in this study. Of the total number of women with breast cancer, 61.3% underwent mastectomy without breast reconstruction, 26.4% underwent mastectomy with breast reconstruction, and the remaining 12.2% chose breast-conserving surgery. Women with different demographic and clinical characteristics underwent different types of surgery. Cancer stage, neoadjuvant chemotherapy, radiotherapy, and the choice of hospital were found to be predictors of breast-conserving surgery. Meanwhile, age, year of diagnosis, payment method, neoadjuvant chemotherapy, and the choice of hospital were found to be predictors of reconstruction after mastectomy in women with early-stage breast cancer. In China, surgical choices for women with breast cancer have diversified. Healthcare workers should understand the surgical preferences of women of different ages. For early detection of breast cancer, knowledge of breast self-examination and breast cancer screening should be provided. Adequate information about the safety of reconstruction and advocacy for medical insurance coverage of reconstruction should be offer. Breast surgeons need specialised training and standardising protocols towards different types of breast surgery. These actions will help women make better, well-informed decisions about their breast surgeries.
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影响因子：
29.4
作者：
Jun, Jae Kwan;Choi, Kui Son;Lee, Dukhyoung
通讯作者：
Lee, Dukhyoung
影响因子：
16.9
作者：
Kummerow, Kristy L.;Du, Liping;Hooks, Mary A.
通讯作者：
Hooks, Mary A.
影响因子：
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作者：
Greenup, Rachel A.;Rushing, Christel;Hwang, E. Shelley
通讯作者：
Hwang, E. Shelley
影响因子：
3.7
作者：
Kumar, Nishant Ganesh;Berlin, Nicholas L.;Momoh, Adeyiza O.
通讯作者：
Momoh, Adeyiza O.
DOI：
10.1093/bjs/znac131
发表时间：
2022-08-16
期刊：
The British journal of surgery
影响因子：
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作者：
通讯作者：
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