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Recent trends in breast surgery in the usa and uk



Recent trends in breast surgery in the usa and uk



British Medical Journal 292(6534): 1487-1491



Data on breast surgery form national samples of patients discharged from the hospital in the USA and in England and Wales [UK] were reviewed for the years 1970-80. In the USA the rate of breast surgery increased dramatically in 1974 and 1975, but in Britain it remained constant and well below the level in the USA. In both countries the proportion of radical mastectomies declined and the proportion of less extensive procedures rose. The increase in mastectomy rates in the USA probably resulted from increased public concern about breast cancer and from the promotion of breast screening in the mid-1970s. The costs, morbidity, and early mortality associated with a higher rate of mastectomy are substantial and the advantages unclear.

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