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Table 2 Physician perspective on factors determining treatment decisions (N = 80), Greater San Francisco Bay Area, 2005–2006

From: Why do Asian-American women have lower rates of breast conserving surgery: results of a survey regarding physician perceptions

Physician perspective

% indicating "yes" *

Most important factors for stage I and II patients treated with MRM over last 2 years

 

   Presence of multifocal or multicentric disease

86.2

   Tumor size

71.2

   Patient's attitude toward preserving the breast

66.2

   Breast size

50.0

   Age

28.8

   Location of tumor

25.0

   Patient's ability/willingness to travel to receive adjuvant radiation therapy

22.5

   Family history

18.8

   Cosmetic result

17.5

   Adverse effects/outcome

6.2

Most important factors for stage I and II patients treated with BCT over last 2 years

 

   Patient's attitude toward preserving the breast

87.5

   Tumor size

77.5

   Cosmetic result

73.8

   Breast size

55.0

   Patient's ability/willingness to travel to receive adjuvant radiation therapy

38.8

   Presence of multifocal or multicentric disease

32.5

   Age

30.0

   Location of tumor

22.5

   Adverse effects/outcome

7.5

   Family history

6.2

Reasons why Asian subgroups are more likely to get MRM over BCT

 

   Patient's attitude toward preserving the breast

52.5

   Breast size

25.0

   Age

11.2

   Patient's ability/willingness to travel to receive adjuvant radiation therapy

10.0

   Tumor size

8.8

   Adverse effects/outcome

8.8

   Cosmetic result

7.5

   Presence of multifocal or multicentric disease

6.2

   Location of tumor

5.0

   Family history

2.5

   Don't know

17.5

   Other

18.8

   Cultural factors

6.2

   Fear

6.2

  1. *Non-response was counted as "No" for that factor.