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A clinical study released by the Solucient Leadership Institute in Evanston, IL, finds that 10 years after the National Institutes of Health in Bethesda, MD, recommended breast-conserving surgery (BCS) for eligible patients, only women at the nation’s top-performing hospitals receive less invasive procedures. In addition, the report reveals wide variance in the treatment of breast cancer based on geographic and demographic variables.
Specifically, Solucient found that:
"An area of concern identified in this study is that women on Medicaid are significantly less likely to have immediate reconstructive surgery than privately insured women," notes Jean Chenoweth, executive director of the Solucient Leadership Institute. "This underscores the fact that women with breast cancer may not be offered the same options, and that some treatments may not reflect best practice and follow-up care."
The study, "100 Top Hospitals’ Clinical Research Program: Management of Breast Cancer," compared the performance of 100 top performing hospitals as identified by Solucient, formerly the HCIA-Sachs Institute, to other hospitals on each of the following three outcomes:
Excerpts from the study and ordering information are available on the institute’s Web site at www.100tophospitals.com.