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Discrepancy between Consensus Recommendations and Actual Community Use of Adjuvant Chemotherapy in Women with Breast Cancer


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Table 1. Use of Chemotherapy in Women with Breast Cancer from 1991 through 1997 in New Mexico, by Patient Age and Tumor Stage

 

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Table 2. Use of Adjuvant Chemotherapy in Women with Stage I, Stage II, or Stage IIIA Breast Cancer from 1991 through 1997 in New Mexico by Age, Lymph Node Status, and Hormone Receptor Status

 

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Table 3. Use of Adjuvant Chemotherapy and Adjuvant Hormone Therapy in Women with Stage I, Stage II, or Stage IIIA Breast Cancer from 1991 through 1997 in New Mexico by Patient Age

 


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Figure. Receipt of adjuvant chemotherapy as a function of age and tumor characteristics in women with breast cancer. Women with stage I, stage II, or stage IIIA breast cancer are categorized into two groups based on their tumor characteristics—characteristics for which the 1990 National Institute of Health (NIH) Consensus Conference (3) generally recommended chemotherapy (n = 2486; dotted line) and characteristics for which the consensus conference recommended decisions on an individual, discretionary basis (n = 2615; solid line). The 2000 NIH Consensus Conference recommended chemotherapy for all breast tumors 1.0 cm or larger in size; however, these recommendations were made after we conducted our study. For women 70 to 74 years of age and women 75 years of age and older, the NIH Consensus Conference made no specific consensus recommendations on treatment with chemotherapy.

 

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Table 4. Multivariable Analysis for the Odds or Probability of Receiving Chemotherapy in Women with Stage I, Stage II, or Stage IIIA Breast Cancer from 1991 through 1997 in New Mexico

 





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