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Association Between Treatment With Brachytherapy vs Whole-Breast Irradiation and Subsequent Mastectomy, Complications, and Survival Among Older Women With Invasive Breast Cancer
Author(s) -
Grace L. Smith,
Ying Xu,
Thomas A. Buchholz,
Sharon H. Giordano,
Jing Jiang,
YaChen Tina Shih,
Benjamin D. Smith
Publication year - 2012
Publication title -
jama
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.688
H-Index - 680
eISSN - 1538-3598
pISSN - 0098-7484
DOI - 10.1001/jama.2012.3481
Subject(s) - medicine , brachytherapy , lumpectomy , breast cancer , cumulative incidence , mastectomy , hazard ratio , proportional hazards model , population , cohort , randomized controlled trial , radiation therapy , odds ratio , incidence (geometry) , oncology , cancer , gynecology , confidence interval , physics , environmental health , optics
Brachytherapy is a radiation treatment that uses an implanted radioactive source. In recent years, use of breast brachytherapy after lumpectomy for early breast cancer has increased substantially despite a lack of randomized trial data comparing its effectiveness with standard whole-breast irradiation (WBI). Because results of long-term randomized trials will not be reported for years, detailed analysis of clinical outcomes in a nonrandomized setting is warranted.

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