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

  1. Xianglin L. Du, MD, PhD;
  2. Charles R. Key, MD, PhD;
  3. Cynthia Osborne, MD;
  4. Jonathan D. Mahnken, MS; and
  5. James S. Goodwin, MD
  1. From University of Texas Medical Branch, Galveston, Texas; and University of New Mexico, Albuquerque, New Mexico.
    1. Figure. 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 generally recommended chemotherapy ( = 2486; ) and characteristics for which the consensus conference recommended decisions on an individual, discretionary basis ( = 2615; ). 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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      Figure. 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 generally recommended chemotherapy ( = 2486; ) and characteristics for which the consensus conference recommended decisions on an individual, discretionary basis ( = 2615; ). 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. Receipt of adjuvant chemotherapy as a function of age and tumor characteristics in women with breast cancer.(3)ndotted linensolid line

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    1. Ann Intern Med January 21, 2003 vol. 138 no. 2 90-97
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