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J. Kosecoff, D. Kanouse, R. Brook (1990)
Changing practice patterns in the management of primary breast cancer: Consensus Development Program.Health services research, 25 5
C. Sherman, A. Potosky, K. Weis, J. Ferguson (1992)
The Consensus Development Program: Detecting Changes in Medical Practice Following A Consensus Conference on the Treatment of Prostate CancerInternational Journal of Technology Assessment in Health Care, 8
J. Moxley, J. Allegra, J. Henney, F. Muggia (1980)
Treatment of primary breast cancer. Summary of the National Institutes of Health Consensus Development Conference.JAMA, 244
N. Gleicher (1984)
Cesarean Section Rates in the United States: The Short-term Failure of the National Consensus Development Conference in 1980JAMA, 252
G. Swanson, E. Satariano, W. Satariano, J. Osuch (1990)
Trends in conserving treatment of invasive carcinoma of the breast in females.Surgery, gynecology & obstetrics, 171 6
A. Nattinger, Mark Gottlieb, Judith Veum, David Yahnke, James Goodwin (1992)
Geographic variation in the use of breast-conserving treatment for breast cancer.The New England journal of medicine, 326 17
J. Kosecoff, D. Kanouse, William Rogers, Lois McCloskey, C. Winslow, R. Brook (1987)
Effects of the National Institutes of Health Consensus Development Program on physician practice.JAMA, 258 19
D. Sarrazin, M. Lê, R. Arriagada, G. Contesso, F. Fontaine, M. Spielmann, F. Rochard, T. Chevalier, J. Lacour (1989)
Ten-year results of a randomized trial comparing a conservative treatment to mastectomy in early breast cancer.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology, 14 3
D. Lazovich, E. White, D. Thomas, R. Moe (1991)
Underutilization of breast-conserving surgery and radiation therapy among women with stage I or II breast cancerJAMA, 266
U. Veronesi, A. Banfi, M. Vecchio, R. Saccozzi, C. Clemente, M. Greco, A. Luini, E. Marubini, G. Muscolino, F. Rilke, V. Sacchini, B. Salvadori, A. Zecchini, R. Zucali (1986)
Comparison of Halsted mastectomy with quadrantectomy, axillary dissection, and radiotherapy in early breast cancer: long-term results.European journal of cancer & clinical oncology, 22 9
J. Winkler, D. Kanouse, L. Brodsley, R. Brook (1986)
Popular press coverage of eight National Institutes of Health consensus development topics.JAMA, 255 10
B. Fisher, M. Bauer, R. Margolese, R. Poisson, Y. Pilch, C. Redmond, E. Fisher, N. Wolmark, M. Deutsch, E. Montague, E. Saffer, L. Wickerham, H. Lerner, A. Glass, H. Shibata, P. Deckers, A. Ketcham, R. Oishi, I. Russell (1985)
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E. Satariano, G Swanson, P Moll (1992)
Nonclinical factors associated with surgery received for treatment of early-stage breast cancer.American journal of public health, 82 2
R. Osteen, Glenn Steele, H. Menck, David Winchester (1992)
Regional differences in surgical management of breast cancerCA: A Cancer Journal for Clinicians, 42
I. Jacoby, S. Clark (1986)
Direct mailing as a means of disseminating NIH consensus statements. A comparison with current techniques.JAMA, 255 10
N. Breslow, N. Day (1980)
The analysis of case-control studies
A. Turnbull, A. Chant, R. Buchanan, D. Turner, J. Shepherd, J. Fraser (1978)
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Eight-year results of a randomized clinical trial comparing total mastectomy and lumpectomy with or without irradiation in the treatment of breast cancer.The New England journal of medicine, 320 13
D. Sarrazin (1985)
Conservative treatment versus mastectomy in breast cancer tumors with macroscopic diameter of 20 millimeters or lessPlastic and Reconstructive Surgery, 75
F. Mullan, I. Jacoby (1985)
The town meeting for technology. The maturation of consensus conferences.JAMA, 254 8
D. Sarrazin, M. Lê, J. Rouëssé, G. Contesso, J. Petit, J. Lacour, Janine Viguier, C. Hill (1984)
Conservative treatment versus mastectomy in breast cancer tumors with macroscopic diameter of 20 millimeters or less the experience of the institut gustave‐roussyCancer, 53
L. Polissar, M. Finley (1985)
Time trends and key factors in the choice of one-step or two-step biopsy and surgery for breast cancer.Social science & medicine, 21 7
B. Mann, J. Samet, W. Hunt, C. Key, Jean Goodwin, J. Goodwin (1988)
Changing treatment of breast cancer in New Mexico from 1969 through 1985.JAMA, 259 23
U. Veronesi, R. Saccozzi, M. Vecchio, A. Banfi, C. Clemente, M. Lena, G. Gallus, M. Greco, A. Luini, E. Marubini, G. Muscolino, F. Rilke, B. Salvadori, A. Zecchini, R. Zucali (1981)
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Abstract Objective: To evaluate the use of breast-conserving surgery in western Washington before and after the National Institutes of Health Consensus Development Conference (June 18-21, 1990) during which breast-conserving surgery was recommended for most women with early invasive breast cancer. Design: Survey. Setting: Population-based cancer registry in the Seattle-Puget Sound (Washington) region. Participants: The survey included 13 541 women in whom American Joint Committee on Cancer stage I or II breast cancer was diagnosed between January 1, 1983, and December 31, 1993. Main Outcome Measure: Proportion of participants who underwent breast-conserving surgery. Results: From April 1985, after results of a US randomized controlled trial showing equivalent survival in women undergoing mastectomy or breast-conserving surgery were published, to the time of the Conference, breast-conserving surgery was performed on 44.8% of women with stage I and 25.8% with stage 11 breast cancer. These percentages increased to 54.9% and 35.2%, respectively, during the post-Conference period. While women with stage II breast cancer were less likely than women with stage I breast cancer to undergo breast-conserving surgery before and after the Conference, trends for age and education were attenuated after the Conference. Differences in the use of breast-conserving surgery observed before the Conference between counties of residence and among hospital types were also reduced after the Conference. Conclusions: These findings suggest that the Conference recommendations had an effect on the adoption of breast-conserving surgery, particularly among groups who were previously least likely to undergo such surgery. Despite progress toward the Conference recommendation that the majority of women with early invasive breast cancer undergo breast-conserving surgery, the majority of women with stage II breast cancer undergo mastectomy.Arch Surg. 1997;132:418-423 References 1. 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Archives of Surgery – American Medical Association
Published: Apr 1, 1997
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