title: Patterns of Care for Localized Breast Cancer in Oklahoma, 2003-2006.
abstract: Despite well-established clinical guidelines for breast cancer treatment, Standard of Care (SOC) is not universal in the U.S. The purpose of this study was to describe the extent to which patients receive guideline-based, stage-specific treatments for localized female breast cancer in Oklahoma. Data were obtained from the Oklahoma Central Cancer Registry for the period 2003-2006. We included localized, invasive female breast cancers and analyzed both treatment and demographic factors. We used the National Comprehensive Cancer Network (NCCN) treatment guidelines to determine SOC. Among women who received breast conserving surgery (BCS), we used logistic regression to evaluate factors related to SOC. In Oklahoma, 92 percent of the 4,177 localized breast cancer patients were treated with recognized SOC. In women aged ≥65 years with BCS, those ≥75 years had a lower adjusted odds of meeting SOC than did those without insurance, with comorbid conditions, or whose comorbid status was unknown. Among women aged <65 years, those with Medicare/Medicaid, Medicare only, or without insurance, along with comorbid conditions, had a lower adjusted odds of meeting SOC. Overall, 92 percent of women met SOC. Factors such as age, insurance type, and comorbid conditions were associated with meeting SOC.
authors.affiliation: a Department of Biostatistics and Epidemiology , College of Public Health, University of Oklahoma Health Sciences Center , Oklahoma City , Oklahoma , USA.
authors.forename: Janis E
authors.initials: JE
authors.lastname: Campbell
authors.affiliation: a Department of Biostatistics and Epidemiology , College of Public Health, University of Oklahoma Health Sciences Center , Oklahoma City , Oklahoma , USA.
authors.forename: Amanda E
authors.initials: AE
authors.lastname: Janitz
authors.affiliation: a Department of Biostatistics and Epidemiology , College of Public Health, University of Oklahoma Health Sciences Center , Oklahoma City , Oklahoma , USA.
authors.forename: Sara K
authors.initials: SK
authors.lastname: Vesely
authors.affiliation: b Department of Health Information Management , Southwestern Oklahoma State University , Weatherford , Oklahoma , USA.
authors.forename: Dana
authors.initials: D
authors.lastname: Lloyd
authors.affiliation: c School of Nursing and Allied Health Sciences , Southwestern Oklahoma State University , Weatherford , Oklahoma , USA.
authors.forename: Anne
authors.initials: A
authors.lastname: Pate
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000175:diagnosis / Q000601:surgery*; D016208:Databases, Factual / Q000706:statistics & numerical data; D005260:Female; D019983:Guideline Adherence / Q000706:statistics & numerical data*; D019538:Health Care Surveys; D054625:Healthcare Disparities / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D015412:Mastectomy, Segmental / Q000706:statistics & numerical data*; D008484:Medicaid / Q000706:statistics & numerical data; D006278:Medicare / Q000706:statistics & numerical data; D008875:Middle Aged; D009367:Neoplasm Staging; D009825:Oklahoma; D012042:Registries; D012959:Socioeconomic Factors; D059039:Standard of Care; D014481:United States
keywords: Oklahoma; breast cancer; localized; standard of care