title: Breast cancer care in the community: challenges, opportunities, and outcomes.
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.
authors.affiliation: Department of Surgery, Christiana Care Breast Center, Helen F Graham Cancer Center, 4701 Ogletown-Stanton Road, Newark, DE 19713, USA. DDickson-Witmer@Christianacare.org
authors.forename: Diana
authors.initials: D
authors.lastname: Dickson-Witmer
authors.forename: Aaron D
authors.initials: AD
authors.lastname: Bleznak
authors.forename: John S
authors.initials: JS
authors.lastname: Kennedy
authors.forename: Andrew K
authors.initials: AK
authors.lastname: Stewart
authors.forename: Bryan E
authors.initials: BE
authors.lastname: Palis
authors.forename: Lisa
authors.initials: L
authors.lastname: Bailey
authors.forename: Alison L
authors.initials: AL
authors.lastname: Laidley
authors.forename: Emily J
authors.initials: EJ
authors.lastname: Penman
mesh_terms: D001943:Breast Neoplasms / Q000401:mortality / Q000601:surgery*; D019058:Community Networks; D003695:Delivery of Health Care; D005260:Female; D006801:Humans; D008408:Mastectomy; D017063:Outcome Assessment, Health Care; D010818:Practice Patterns, Physicians'; D019984:Quality Indicators, Health Care; D015996:Survival Rate