For patients with breast cancer geographic and social disparities are independent determinants of access to specialized surgeons. A eleven-year population-based multilevel analysis

摘要

BackgroundIt has been shown in several studies that survival in cancer patients who were operated on by a high-volume surgeon was better. Why then do all patients not benefit from treatment by these experienced surgeons? The aim of our work was to study the hypothesis that in breast cancer, geographical isolation and the socio-economic level have an impact on the likelihood of being treated by a specialized breast-cancer surgeon.