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Table 2 Characteristics of breast cancer patients diagnosed in 2005, 2008 and 2011 in Catalonia, Spain, according to type of surgery

From: Trends in the surgical procedures of women with incident breast cancer in Catalonia, Spain, over a 7-year period (2005–2011)

 

Conservative surgery

Radical surgery

2005

2008

2011

 

2005

2008

2011

 

n

(%)

n

(%)

n

(%)

β* (95% CI)

n

(%)

n

(%)

n

(%)

β* (95% CI)

Age

             

  ≤49

528

(26.2)

614

(26.3)

583

(23.7)

-0.017 (-0.034; -0.001)

267

(28.0)

301

(34.0)

293

(33.8)

0.030 (0.008;0.053)

  50- 69

1005

(49.8)

1229

(52.7)

1343

(54.5)

0.015 (0.006; 0.024)

339

(35.6)

282

(31.9)

299

(34.5)

-0.006 (-0.027; 0.016)

  ≥ 70

485

(24.0)

490

(21.0)

537

(21.8)

-0.016 (-0.034; 0.003)

347

(36.4)

302

(34.1)

275

(31.7)

-0.023 (-0.044;-0.002)

Stage

            

cp

 

  Local

1849

(91.6)

2072

(88.8)

2039

(82.8)

-0.016 (-0.020; -0.013)

864

(90.7)

722

(81.6)

646

(74.5)

-0.033 (-0.040;-0.026)

  Regional

153

(7.6)

250

(10.7)

398

(16.2)

0.128 (0.100; 0.157)

73

(7.7)

131

(14.8)

184

(21.2)

0.161 (0.122; 0.201)

  Distant

16

(0.8)

11

(0.5)

26

(1.1)

0.064 (-0.047; 0.179)

16

(1.7)

32

(3.6)

37

(4.3)

0.141 (0.054; 0.230)

Charlson Comorbidity Index

              

  No comorbidity

1718

(85.1)

1947

(83.5)

1995

(81.0)

-0.008 (-0.013; -0.004)

772

(81.0)

704

(79.5)

679

(78.3)

-0.006 (-0.013;0.002)

  Low comorbidity

243

(12.0)

305

(13.1)

355

(14.4)

0.030 (0.005; 0.055)

132

(13.9)

135

(15.3)

130

(15.0)

0.013 (-0.024;0.050)

  High comorbidity

57

(2.8)

81

(3.5)

113

(4.6)

0.082 (0.031; 0.134)

49

(5.1)

46

(5.2)

58

(6.7)

0.045 (-0.018;0.108)

Type of surgery

              

  Tumorectomy/Partial mastectomy

2018

(100.0)

2333

(100.0)

2463

(100.0)

 

-

-

-

-

-

-

 

  Simple mastectomy

-

-

-

-

-

-

 

812

(85.2)

757

(85.5)

719

(82.9)

-0.004 (-0.011;0.002)

  Radical mastectomy

-

-

-

-

-

-

 

124

(13.0)

107

(12.1)

110

(12.7)

-0.005 (-0.045;0.306)

  Subcutaneous mastectomy

-

-

-

-

-

-

 

17

(1.8)

21

(2.4)

38

(4.4)

0.157 (0.064; 0.254)

Lymph node removal

1556

(77.1)

1990

(85.3)

2122

(86.2)

0.016 (0.012; 0.021)

830

(87.1)

783

(88.5)

776

(89.5)

0.005 (-0.001;0.010)

Type of lymph node removal 1

              

  Simple

759

(48.8)

1349

(67.8)

1516

(71.4)

0.070 (0.061; 0.079)

528

(63.6)

559

(71.4)

526

(67.8)

0.015 (0.002;0.027)

  Radical

797

(51.2)

641

(32.2)

606

(28.6)

-0.082 (-0.097;-0.067)

302

(36.4)

224

(28.6)

250

(32.2)

-0.018 (-0.042;0.007)

Hospital complexity

              

  Low

309

(15.3)

422

(18.1)

466

(18.9)

0.034 (0.012; 0.055)

172

(18.0)

138

(15.6)

153

(17.6)

-0.005 (-0.039;0.029)

  Medium

892

(44.2)

1068

(45.8)

1193

(48.4)

0.015 (0.005; 0.026)

405

(42.5)

390

(44.1)

420

(48.4)

0.022 (0.005;0.039)

  High

817

(40.5)

843

(36.1)

804

(32.6)

-0.036 (-0.049;-0.023)

376

(39.5)

357

(40.3)

294

(33.9)

-0.023 (-0.043;-0.004)

In-hospital deaths 2

1

(0.0)

0

(0.0)

2

(0.1)

0.144 (-0.355; 0.749)

4

(0.4)

1

(0.1)

1

(0.1)

-0.260 (-0.718; 0.088)

Discharge destination

              

  Domicile

2008

(99.5)

2328

(99.8)

2451

(99.5)

0 (-0.001; 0.001)

943

(99.0)

872

(98.5)

848

(97.8)

-0.002 (-0.004; 0.001)

  With support

9

(0.4)

4

(0.2)

11

(0.4)

0.009 (-0.156; 0.178)

8

(0.8)

11

(1.2)

19

(2.2)

0.164 (0.032;0.304)

  Other3

1

(0.0)

1

(0.0)

1

(0.0)

-0.033 (-0.535; 0.469)

2

(0.2)

2

(0.2)

0

(0.0)

-0.260 (-0.850;0.162)

Total 4

2018

(67.9)

2333

(72.5)

2463

(74.0)

0.014 (0.009; 0.019)

953

(32.1)

885

(27.5)

867

(26.0)

-0.035 (-0.048;-0.022)

  1. *β is the slope of the log-binomial model used to measure the temporal trend; 95% CI: 95%Confidence Interval; In bold, statistically significant; 1Percentages were calculated taking into account the total number of lymph node removal; 2Mortality within 30 days after admission; 3Includes hospital mortality during hospitalization (in-hospital mortality); 4Percentages were calculated taking into account the total number of surgical patients in the respective years.