ArticleAmerican journal of surgery2013
Breast conserving surgery versus mastectomy: the influence of comorbidities on choice of surgical operation in the Department of Defense health care system.
Article in American journal of surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
10 citing papers in PubMed.
- The Therapeutic Potential of Photoimmunotherapy as a Safe, Effective and Non-Toxic Treatment Option for Superficial Triple Negative Breast Cancer.Cancer medicine · 2025Review
- Alzheimer Disease in Breast Cancer Survivors.JAMA network open · 2025Article
- Impact of diabetes on surgery and radiotherapy for breast cancer.Breast cancer research and treatment · 2023Article
- Time to Surgical Treatment and Facility Characteristics as Potential Drivers of Racial Disparities in Breast Cancer Mortality.Annals of surgical oncology · 2022Article
- Racial Differences in Time to Breast Cancer Surgery and Overall Survival in the US Military Health System.JAMA surgery · 2019Article
- Cancer Care at Times of Crisis and War: The Syrian Example.Journal of global oncology · 2017Article
- Geographical Inequalities in Surgical Treatment for Localized Female Breast Cancer, Queensland, Australia 1997-2011: Improvements over Time but Inequalities Remain.International journal of environmental research and public health · 2016Article
- A Prognostic Model to Predict Mortality among Non-Small-Cell Lung Cancer Patients in the U.S. Military Health System.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2015Article
- Trends in Radical Surgical Treatment Methods for Breast Malignancies in China: A Multicenter 10-Year Retrospective Study.The oncologist · 2015Article
- The influence of diabetes severity on receipt of guideline-concordant treatment for breast cancer.Breast cancer research and treatment · 2014Article
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundStudies 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.
methodsThis 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.
resultsBreast 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).
conclusionsIn an equal access health care system, comorbidity was associated with having a mastectomy and with a delay in undergoing operation.
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