FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W1971049968> ?p ?o ?g. }

• W1971049968 endingPage "2" @default.
• W1971049968 startingPage "1" @default.
• W1971049968 abstract "Recent studies have shown an increase in mastectomies among women with early stage breast cancers, and researchers are trying to determine why. At the Mayo Clinic, for example, the mastectomy rate fell from 44% in 1997 to 30% in 2003 but then rose to 43% in 2006. The study included a reviewof 5414 women who had surgery for early stage breast cancer during that time.1 “We wanted to evaluate if changes in the rate of mastectomy occurred once MRI was introduced into the practice,” says Amy Degnim, MD, a breast surgeon and oncologist at the Mayo Clinic in Rochester, Minnesota, and coauthor of the study. Indeed, when Mayo physicians first began using MRI preoperatively in 2003, the mastectomy rate rose. Patients who underwent MRIs were 10% to 15% more likely to have a mastectomy than those who did not. MRI is not the only factor involved, however, because the mastectomy rate increased even among women who did not undergo MRI. “There was a more global trend happening with the utilization of mastectomies that was not isolated to MRIs,” Dr. Degnim notes. “The pendulum may be swinging away from breast-conservation treatment back a little toward women opting for mastectomy more frequently.” Because MRIs are the most sensitive imaging modality for the breast, it is not uncommon for MRI to find additional sites that require more biopsies—leading to greater stress and anxiety for the patient. Regardless of whether more cancer is found, some women may opt to remove the entire breast because of the psychological burden, Dr. Degnim adds. Opponents of preoperative or “staging” MRIs cite multiple studies indicating that this imaging technology increases mastectomy rates. One such study, led by Fox Chase Cancer Center and presented at the 2008 American Society of Clinical Oncology (ASCO) Breast Cancer Symposium, found that women who received an MRI after diagnosis faced a 3-week delay in starting treatment and were more likely to receive a mastectomy. For the study, researchers reviewed the records of 577 breast cancer patients in a multidisciplinary breast clinic. We do need to remember that mastectomy is a sound treatment option for breast cancer if that's a woman's choice. But there is still a lot of unknown information as to how much of this decision is a woman's choice.—Amy Degnim, MD With increasing concerns over rising healthcare costs, preoperative MRI for breast cancer is one of the costly technologies coming into question. Scientists are also looking into whether the practice is more of a regional or global trend. “There seems to be wide range across the country in use of MRI for women with a new diagnosis of breast cancer,” Dr. Degnim says. “In some practices, MRI is obtained for every newly diagnosed breast cancer patient, while other practices use it very selectively. In our practice at Mayo Clinic Rochester, we use it selectively, not routinely.” The mastectomy rate is rising at the Mayo Clinic, and women with preoperative MRIs are more likely to have a mastectomy, a new study finds. A study at Fox Chase Cancer Center found that women who received an MRI after diagnosis faced a 3-week delay in starting treatment and were more likely to receive a mastectomy. The mastectomy rate increased even among patients who didn't receive MRIs at theMayo Clinic, so MRIs aren't the only factor. A study into whether MRIs improve breast cancer outcomes is needed, researchers say. Another study concluded that most surgeons recommend breast-conserving surgery to their early stage breast cancer patients. The mastectomy rate is rising at the Mayo Clinic, and women with preoperative MRIs are more likely to have a mastectomy, a new study finds. A study at Fox Chase Cancer Center found that women who received an MRI after diagnosis faced a 3-week delay in starting treatment and were more likely to receive a mastectomy. The mastectomy rate increased even among patients who didn't receive MRIs at the Mayo Clinic, so MRIs aren't the only factor. A study into whether MRIs improve breast cancer outcomes is needed, researchers say. Another study concluded that most surgeons recommend breast-conserving surgery to their early stage breast cancer patients. Meanwhile, Dr. Degnim adds, other factors likely are influencing mastectomy rates. These factors may include a better awareness of breast reconstruction options as well as concerns about the side effects and toxicity risks of radiation after lumpectomy. Several recent studies have also shown an increase in prophylactic contralateral mastectomies among women with unilateral breast cancer who want to prevent cancer in their second breast. Such increases are yet another indication that more women are electing to take a more aggressive, proactive approach to reduce their chances of having to deal with another breast cancer, Dr. Degnim says. “We do need to remember that mastectomy is a sound treatment option for breast cancer if that's a woman's choice,” she adds. “But there is still a lot of unknown information as to how much of this decision is a woman's choice.” 75.4% had BCS as initial surgical therapy, whereas 23% had mastectomy; 13.4% had initial mastectomies based on surgeon recommendation; 8.8% received initial mastectomy when the first surgeon did not recommend 1 procedure over another; and 8.8% had unsuccessful BCS that required revision Results were based on data reported to the metropolitan Los Angeles and Detroit Surveillance, Epidemiology, and End Results (SEER) registries. The authors concluded that “most surgeons in 2 large, diverse, urban regions appropriately recommended local therapy options for patients with breast cancer,” and that, “our findings suggest that a combined approach of education for patients and healthcare professionals targeting specific areas may improve decision making.”" @default.
• W1971049968 created "2016-06-24" @default.
• W1971049968 creator A5062959891 @default.
• W1971049968 date "2010-01-11" @default.
• W1971049968 modified "2023-09-24" @default.
• W1971049968 title "Studies examine reasons for increase in mastectomies" @default.
• W1971049968 cites W2045414638 @default.
• W1971049968 cites W2117381783 @default.
• W1971049968 doi "https://doi.org/10.1002/cncr.24847" @default.
• W1971049968 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/20066721" @default.
• W1971049968 hasPublicationYear "2010" @default.
• W1971049968 type Work @default.
• W1971049968 sameAs 1971049968 @default.
• W1971049968 citedByCount "0" @default.
• W1971049968 crossrefType "journal-article" @default.
• W1971049968 hasAuthorship W1971049968A5062959891 @default.
• W1971049968 hasBestOaLocation W19710499681 @default.
• W1971049968 hasConcept C118552586 @default.
• W1971049968 hasConcept C121608353 @default.
• W1971049968 hasConcept C126322002 @default.
• W1971049968 hasConcept C141071460 @default.
• W1971049968 hasConcept C146357865 @default.
• W1971049968 hasConcept C151730666 @default.
• W1971049968 hasConcept C2777111374 @default.
• W1971049968 hasConcept C2777757722 @default.
• W1971049968 hasConcept C2780472235 @default.
• W1971049968 hasConcept C530470458 @default.
• W1971049968 hasConcept C558461103 @default.
• W1971049968 hasConcept C61434518 @default.
• W1971049968 hasConcept C71924100 @default.
• W1971049968 hasConcept C86803240 @default.
• W1971049968 hasConceptScore W1971049968C118552586 @default.
• W1971049968 hasConceptScore W1971049968C121608353 @default.
• W1971049968 hasConceptScore W1971049968C126322002 @default.
• W1971049968 hasConceptScore W1971049968C141071460 @default.
• W1971049968 hasConceptScore W1971049968C146357865 @default.
• W1971049968 hasConceptScore W1971049968C151730666 @default.
• W1971049968 hasConceptScore W1971049968C2777111374 @default.
• W1971049968 hasConceptScore W1971049968C2777757722 @default.
• W1971049968 hasConceptScore W1971049968C2780472235 @default.
• W1971049968 hasConceptScore W1971049968C530470458 @default.
• W1971049968 hasConceptScore W1971049968C558461103 @default.
• W1971049968 hasConceptScore W1971049968C61434518 @default.
• W1971049968 hasConceptScore W1971049968C71924100 @default.
• W1971049968 hasConceptScore W1971049968C86803240 @default.
• W1971049968 hasIssue "1" @default.
• W1971049968 hasLocation W19710499681 @default.
• W1971049968 hasLocation W19710499682 @default.
• W1971049968 hasOpenAccess W1971049968 @default.
• W1971049968 hasPrimaryLocation W19710499681 @default.
• W1971049968 hasRelatedWork W101127828 @default.
• W1971049968 hasRelatedWork W1987134635 @default.
• W1971049968 hasRelatedWork W2001911143 @default.
• W1971049968 hasRelatedWork W2063475905 @default.
• W1971049968 hasRelatedWork W2408119890 @default.
• W1971049968 hasRelatedWork W2408851026 @default.
• W1971049968 hasRelatedWork W2410141770 @default.
• W1971049968 hasRelatedWork W3203750400 @default.
• W1971049968 hasRelatedWork W3214498050 @default.
• W1971049968 hasRelatedWork W4311143983 @default.
• W1971049968 hasVolume "116" @default.
• W1971049968 isParatext "false" @default.
• W1971049968 isRetracted "false" @default.
• W1971049968 magId "1971049968" @default.
• W1971049968 workType "article" @default.