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JNCI Journal of the National Cancer Institute 2001 93(17):1344-1346; doi:10.1093/jnci/93.17.1344
© 2001 by Oxford University Press
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Journal of the National Cancer Institute, Vol. 93, No. 17, 1344-1346, September 5, 2001
© 2001 Oxford University Press

BRIEF COMMUNICATION

Relationship of Distance From a Radiotherapy Facility and Initial Breast Cancer Treatment

Ann Butler Nattinger, Ronald T. Kneusel, Raymond G. Hoffmann, Mary Ann Gilligan

Affiliations of authors: A. B. Nattinger, R. T. Kneusel, M. A. Gilligan (Department of Medicine), R. G. Hoffmann (Department of Biostatistics), Medical College of Wisconsin, Milwaukee.

Correspondence to: Ann Butler Nattinger, M.D., M.P.H., Division of General Internal Medicine, FEC Medical Office Building, Suite 4200, 9200 W. Wisconsin Ave., Milwaukee, WI 53226 (e-mail: anatting@mcw.edu).

Substantial variation has been described in the use of breast-conserving surgery (BCS) for early-stage breast cancer (1–4) and in the receipt of radiotherapy by patients undergoing BCS (2,4–6). Increased use of BCS is associated with urban residence and with treatment in a hospital with radiotherapy available (1,3).

These findings raise the question of whether the distance that a patient must travel to a radiotherapy facility affects the likelihood that BCS will be used or that the patient will receive radiotherapy in conjunction with BCS (4,5,7). According to current guidelines, women undergoing BCS should receive postoperative radiotherapy to decrease the likelihood of local disease recurrence (8). Radiotherapy is typically provided in treatments that are given 5 days per week for 5–6 weeks (9,10).

To address . . . [Full Text of this Article]

NOTES

REFERENCES


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