Women's Health Weekly
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Breast Cancer
Case-mix failed to explain variation in mastectomy rates
March 31st, 2005
Case-mix has failed to explain the variation in mastectomy rates. According to a study from England, "Wide variation in the surgical management of breast cancer exists at hospital, regional, national and international level. To demonstrate whether variation in surgical practice observed at aggregate level between breast units persists following adjustment for case-mix, individual patient-level data from the Trent Breast Screening Program Quality Assurance database (1997-2003) was analyzed." "Expected case-mix adjusted mastectomy rates were derived by logistic regression using the variables tumor size, site and grade, patient age and year of...
Source: Women's Health Weekly (2005-03-31)
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