Mieke J. Aarts|V.C. Hamelinck|Esther Bastiaannet|J.W.W. Coebergh|G.J. Liefers|Adri C. Voogd|M.J.C. van der Sangen|Marieke W. J. Louwman
Small but significant socioeconomic inequalities in axillary staging and treatment of breast cancer in the Netherlands
Eindhoven Cancer Registry|Leiden University Medical Center|Leiden University Medical Center|Eindhoven Cancer Registry|Leiden University Medical Center|Eindhoven Cancer Registry|Catharina Ziekenhuis|Radboud University Nijmegen|Eindhoven Cancer Registry
use sentinel node biopsy snb lymph node dissection breastconserving surgery radiotherapy chemotherapy hormonal treatment breast cancer evaluated relation socioeconomic status ses netherlands access care assumed equalfemale breast cancer patients diagnosed 1994 2008 selected nationwide populationbased netherlands cancer registry n176 505 socioeconomic status assessed based income employment education postal code level multivariable models included age year diagnosis stagesentinal node biopsy less often applied highses patients multivariable analyses 49 years odds ratio 070 95 ci 056089 5075 years 085 073099 additionally lymph node dissection less common lowses patients aged 76 years 134 095189 socioeconomic statusrelated differences treatment significant age group 5075 years highses women stage t12 likely undergo breastconserving surgery radiotherapy 115 109122 116 109122 respectively chemotherapy use among nodepositive patients higher highses group significant multivariable analysis hormonal therapy related sessmall significant differences observed use snb lymph node dissection breastconserving surgery according ses dutch breast cancer patients despite assumed equal access health care