Variation in Deescalated Axillary Surgical Practices in Older Women with Early-Stage Breast Cancer.

ABSTRACT:

Background

Randomized controlled trials show that certain axillary surgical practices can be safely deescalated in older adults with early-stage breast cancer. Hospital volume is often equated with surgical quality, but it is unclear whether this includes performance of low-value surgeries. We sought to describe how utilization of two low-value axillary surgeries has varied by time and hospital volume.

Methods

Women aged ≥ 70 years diagnosed with breast cancer from 2013 to 2016 were identified in the National Cancer Database. The outcomes of interest were sentinel lymph node biopsy (SLNB) in cT1N0 hormone receptor-positive cancer patients and axillary lymph node dissection (ALND) in cT1-2N0 patients undergoing breast-conserving surgery with ≤ 2 pathologically positive nodes.

SUBMITTER: Minami CA 

PROVIDER: S-EPMC9982465 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature