Current state of breast cancer surgery in Andalusia and Catalonia

Article information

Abstract

Background

Surgery is an essential element of breast cancer treatment. The aim of this study was to describe the progress and current practice in oncological breast surgery in Catalonia and Andalusia.

Material and method

An observational study was conducted, collecting data from the Minimum Basic Data Set at Hospital Discharge.

Results

A total of 37 537 women from Catalonia and 24 186 from Andalusia were studied. The rate of admission due to breast cancer in women increased substantially during the study period, as well as the percentage of women who underwent breast-conserving surgery. However, the increase in breast-conserving surgery has not been consistent among age groups and hospital levels.

Conclusions

As a whole, the increase in breast-conserving surgery has shown the need for interventions to promote the use of procedures of proven effectiveness.

Keywords:

Breast cancer

Oncological surgery

Mastectomy

Trends

Catalonia

Andalusia

Resumen

Introducción

La cirugía es un elemento esencial en el tratamiento del cáncer de mama. El objetivo del trabajo es describir la evolución y el estado actual de la cirugía oncológica de mama en Cataluña y Andalucía.

Material y método

Se llevó a cabo un estudio observacional basado en el análisis del Conjunto Mínimo Básico de Datos de Altas Hospitalarias en el período 1996–2005.

Resultados

La muestra incluyó a 37.537 mujeres de Cataluña y 24.186 de Andalucía. En el periodo estudiado se produjo un notable incremento de las tasas de hospitalización. Igualmente hay un marcado incremento en el porcentaje de casos intervenidos mediante cirugía conservadora. Sin embargo, esta difusión de la cirugía conservadora ha sido desigual por grupos de edad y tipo de centro.

Conclusiones

En conjunto se pone de relieve el aumento de la proporción de mujeres tratadas con mastectomía subtotal y la necesidad de estrategias que favorezcan la diseminación de intervenciones de probada efectividad

Palabras clave:

Cáncer de mama

Cirugía oncológica

Mastectomía

Tendencias

Cataluña

Andalucía

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