Breast cancer care in the community: challenges, opportunities, and outcomes

Diana Dickson-Witmer; Aaron D Bleznak; John S Kennedy; Andrew K Stewart; Bryan E Palis; Lisa Bailey; Alison L Laidley; Emily J Penman

doi:10.1016/j.soc.2011.01.007

Breast cancer care in the community: challenges, opportunities, and outcomes

Surg Oncol Clin N Am. 2011 Jul;20(3):555-80, ix. doi: 10.1016/j.soc.2011.01.007.

Authors

Diana Dickson-Witmer¹, Aaron D Bleznak, John S Kennedy, Andrew K Stewart, Bryan E Palis, Lisa Bailey, Alison L Laidley, Emily J Penman

Affiliation

¹ Department of Surgery, Christiana Care Breast Center, Helen F Graham Cancer Center, 4701 Ogletown-Stanton Road, Newark, DE 19713, USA. DDickson-Witmer@Christianacare.org

PMID: 21640921
DOI: 10.1016/j.soc.2011.01.007

Abstract

In the USA, 80% of patients with breast cancer are treated by community breast surgeons. NCDB data indicate that there are only small differences in outcomes between lower volume cancer programs and higher volume programs. There is some evidence that breast cancer patients of high-volume breast focused surgeons may have improved outcomes. This article discusses the challenges community breast surgeons face and some ways that the quality of care could be monitored and improved. Quality reporting programs of the Commission on Cancer and Mastery of Breast Surgery Program of the American Society of Breast Surgeons are recommended as tools to track and improve outcomes in breast cancer care.

MeSH terms

Breast Neoplasms / mortality
Breast Neoplasms / surgery*
Community Networks*
Delivery of Health Care*
Female
Humans
Mastectomy
Outcome Assessment, Health Care*
Practice Patterns, Physicians'*
Quality Indicators, Health Care
Survival Rate