Breast conserving surgery versus mastectomy: The influence of comorbidities on choice of surgical operation in the department of defense health care system

Jing Zhou, Lindsey Enewold, Shelia H. Zahm, Ismail Jatoi, Craig Shriver, William F. Anderson, Diana D. Jeffery, Abegail Andaya, John F. Potter, Katherine A. McGlynn, Kangmin Zhu

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

Background: Studies on the effect of comorbidities on breast cancer operation have been limited and inconsistent. This study investigated whether pre-existing comorbidities influenced breast cancer surgical operation in an equal access health care system. Methods: This study was based on linked Department of Defense cancer registry and medical claims data. The study subjects were patients diagnosed with stage I to III breast cancer during 2001 to 2007. Logistic regression was used to determine if comorbidity was associated with operation type and time between diagnosis and operation. Results: Breast cancer patients with comorbidities were more likely to receive mastectomy (odds ratio [OR] = 1.27; 95% confidence interval [CI], 1.14 to 1.42) than breast conserving surgery plus radiation. Patients with comorbidities were also more likely to delay having operation than those without comorbidities (OR = 1.27; 95% CI, 1.14 to 1.41). Conclusions: In an equal access health care system, comorbidity was associated with having a mastectomy and with a delay in undergoing operation.

Original languageEnglish (US)
Pages (from-to)393-399
Number of pages7
JournalAmerican journal of surgery
Volume206
Issue number3
DOIs
StatePublished - Sep 2013

Keywords

  • Breast cancer
  • Breast conserving surgery
  • Comorbidity
  • Department of Defense health system
  • Mastectomy
  • Military

ASJC Scopus subject areas

  • Surgery

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    Zhou, J., Enewold, L., Zahm, S. H., Jatoi, I., Shriver, C., Anderson, W. F., Jeffery, D. D., Andaya, A., Potter, J. F., McGlynn, K. A., & Zhu, K. (2013). Breast conserving surgery versus mastectomy: The influence of comorbidities on choice of surgical operation in the department of defense health care system. American journal of surgery, 206(3), 393-399. https://doi.org/10.1016/j.amjsurg.2013.01.034