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Data from 984 black and 849 white Medicare-insured women aged 67 years or older who had localized breast cancer were analyzed, and a national subset of 732 surviving women were interviewed 3 to 4 years after treatment. Black women were 36 percent more likely than white women to receive mastectomy versus breast-conserving surgery and radiation. Further, when black women received BCS, they were 48 percent more likely than white women to not have radiotherapy. Mandelblatt, Kerner, Hadley, et al., Cancer 95:1401-1414, 2002 (AHRQ grant HS08395). Patient age and provider specialty affect the use national of national axillary dissection. Using medical records for 464 elderly women with stage 1-2 breast cancer who had breast-conserving surgery and 158 surgeon surveys, investigators examined patient, clinical, and surgeon characteristics associated with the non-use of axillary lymph node biopsy.
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