{"id":"https://openalex.org/W4313891237","doi":"https://doi.org/10.1158/1538-7755.disp22-b125","title":"Abstract B125: Use of ambulatory surgery centers for breast cancer surgery is associated with better survival: A population-based assessment in California","display_name":"Abstract B125: Use of ambulatory surgery centers for breast cancer surgery is associated with better survival: A population-based assessment in California","publication_year":2023,"publication_date":"2023-01-01","ids":{"openalex":"https://openalex.org/W4313891237","doi":"https://doi.org/10.1158/1538-7755.disp22-b125"},"language":"en","primary_location":{"id":"doi:10.1158/1538-7755.disp22-b125","doi":"https://doi.org/10.1158/1538-7755.disp22-b125","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1158/1538-7755.disp22-b125","pdf_url":null,"source":{"id":"https://openalex.org/S8391440","display_name":"Cancer Epidemiology Biomarkers & Prevention","issn_l":"1055-9965","issn":["1055-9965","1538-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320273","host_organization_name":"American Association for Cancer Research","host_organization_lineage":["https://openalex.org/P4310320273"],"host_organization_lineage_names":["American Association for Cancer Research"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cancer Epidemiology, Biomarkers &amp; Prevention","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5100359391","display_name":"Lihua Liu","orcid":"https://orcid.org/0000-0003-2252-8407","observed_orcids":["https://orcid.org/0000-0003-2252-8407","https://orcid.org/0000-0002-1201-4624","https://orcid.org/0009-0005-0175-6517"]},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Lihua Liu","raw_affiliation_strings":["1University of Southern California, Los Angeles, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1University of Southern California, Los Angeles, CA","institution_ids":["https://openalex.org/I1174212"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100454741","display_name":"Juanjuan Zhang","orcid":"https://orcid.org/0000-0003-2982-2668","observed_orcids":["https://orcid.org/0000-0003-2982-2668"]},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Juanjuan Zhang","raw_affiliation_strings":["1University of Southern California, Los Angeles, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1University of Southern California, Los Angeles, CA","institution_ids":["https://openalex.org/I1174212"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063601484","display_name":"Kathy Wojcik","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kathy Wojcik","raw_affiliation_strings":["1University of Southern California, Los Angeles, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1University of Southern California, Los Angeles, CA","institution_ids":["https://openalex.org/I1174212"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055664434","display_name":"Irene M. Kang","orcid":"https://orcid.org/0000-0002-9472-3853","observed_orcids":["https://orcid.org/0000-0002-9472-3853"]},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Irene Kang","raw_affiliation_strings":["1University of Southern California, Los Angeles, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1University of Southern California, Los Angeles, CA","institution_ids":["https://openalex.org/I1174212"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024929910","display_name":"Mary Falcone","orcid":"https://orcid.org/0000-0002-8451-2438","observed_orcids":["https://orcid.org/0000-0002-8451-2438"]},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mary Falcone","raw_affiliation_strings":["1University of Southern California, Los Angeles, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1University of Southern California, Los Angeles, CA","institution_ids":["https://openalex.org/I1174212"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5061725200","display_name":"Caryn E. Lerman","orcid":"https://orcid.org/0000-0002-7553-8724","observed_orcids":["https://orcid.org/0000-0002-7553-8724"]},"institutions":[{"id":"https://openalex.org/I1174212","display_name":"University of Southern California","ror":"https://ror.org/03taz7m60","country_code":"US","type":"education","lineage":["https://openalex.org/I1174212"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Caryn Lerman","raw_affiliation_strings":["1University of Southern California, Los Angeles, CA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"1University of Southern California, Los Angeles, CA","institution_ids":["https://openalex.org/I1174212"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1174212"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"32","issue":"1_Supplement","first_page":"B125","last_page":"B125"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":0.8349999785423279,"subfield":{"id":"https://openalex.org/subfields/1306","display_name":"Cancer Research"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10183","display_name":"Breast Cancer Treatment Studies","score":0.8349999785423279,"subfield":{"id":"https://openalex.org/subfields/1306","display_name":"Cancer Research"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.14319999516010284,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13544","display_name":"Women's cancer prevention and management","score":0.0027000000700354576,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ambulatory-surgery-centers","display_name":"ambulatory surgery centers","score":0.9789999723434448},{"id":"https://openalex.org/keywords/breast-cancer-surgery","display_name":"breast cancer surgery","score":0.9890000224113464},{"id":"https://openalex.org/keywords/breast-cancer-survival","display_name":"breast cancer survival","score":0.8679999709129333},{"id":"https://openalex.org/keywords/breast-conserving-surgery","display_name":"breast-conserving surgery","score":0.8289999961853027},{"id":"https://openalex.org/keywords/mastectomy","display_name":"mastectomy","score":0.9950000047683716},{"id":"https://openalex.org/keywords/tumor-stage","display_name":"tumor stage","score":0.6990000009536743},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.46700000762939453},{"id":"https://openalex.org/keywords/california-cancer-registry","display_name":"California Cancer Registry","score":0.7480000257492065},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.34299999475479126},{"id":"https://openalex.org/keywords/socioeconomic-status","display_name":"socioeconomic status","score":0.48100000619888306},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.7120000123977661},{"id":"https://openalex.org/keywords/racial-and-ethnic-disparities","display_name":"racial and ethnic disparities","score":0.6029999852180481},{"id":"https://openalex.org/keywords/health-insurance-status","display_name":"health insurance status","score":0.3889999985694885}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9065430164337158},{"id":"https://openalex.org/C530470458","wikidata":"https://www.wikidata.org/wiki/Q128581","display_name":"Breast cancer","level":3,"score":0.7422485947608948},{"id":"https://openalex.org/C2779572924","wikidata":"https://www.wikidata.org/wiki/Q542022","display_name":"Lumpectomy","level":5,"score":0.7304776310920715},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.6016644239425659},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.5784711837768555},{"id":"https://openalex.org/C2778527826","wikidata":"https://www.wikidata.org/wiki/Q1787017","display_name":"Cancer registry","level":3,"score":0.5632134675979614},{"id":"https://openalex.org/C2777757722","wikidata":"https://www.wikidata.org/wiki/Q848318","display_name":"Mastectomy","level":4,"score":0.5283616185188293},{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.46441787481307983},{"id":"https://openalex.org/C207103383","wikidata":"https://www.wikidata.org/wiki/Q3930246","display_name":"Hazard ratio","level":3,"score":0.4390188753604889},{"id":"https://openalex.org/C2777704003","wikidata":"https://www.wikidata.org/wiki/Q4959802","display_name":"Breast surgery","level":4,"score":0.42935997247695923},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3630818724632263},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.280692458152771},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1158/1538-7755.disp22-b125","doi":"https://doi.org/10.1158/1538-7755.disp22-b125","is_oa":false,"landing_page_url":"http://dx.doi.org/10.1158/1538-7755.disp22-b125","pdf_url":null,"source":{"id":"https://openalex.org/S8391440","display_name":"Cancer Epidemiology Biomarkers & Prevention","issn_l":"1055-9965","issn":["1055-9965","1538-7755"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320273","host_organization_name":"American Association for Cancer Research","host_organization_lineage":["https://openalex.org/P4310320273"],"host_organization_lineage_names":["American Association for Cancer Research"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cancer Epidemiology, Biomarkers &amp; Prevention","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2090230340","https://openalex.org/W4367672979","https://openalex.org/W7213464298","https://openalex.org/W2333446766","https://openalex.org/W2982009514","https://openalex.org/W4384522746","https://openalex.org/W4281689628","https://openalex.org/W4413051311","https://openalex.org/W2906838477","https://openalex.org/W3033707271"],"abstract_inverted_index":{"Abstract":[0],"Background:":[1],"Ambulatory":[2],"surgery":[3,79,187,219,225,246,250,270,324,371,421,426],"centers":[4,422],"(ASCs)":[5],"offer":[6],"patients":[7,101,297],"the":[8,18,48,114,118,126,132,144,177,197,203,208,238,281,302,328,339,348,366,394,441,446,456],"convenience":[9],"of":[10,22,61,73,95,147,162,242,256,269,290,321,370,381,419,440,448],"having":[11],"surgeries":[12,64],"and":[13,42,54,105,121,131,139,151,193,224,262,286,307,323,344,357,396,455],"procedures":[14],"performed":[15],"safely":[16],"outside":[17],"hospital":[19],"setting.":[20],"Use":[21,289,418],"ASCs":[23,104,291,317,382],"has":[24,84],"gained":[25],"growing":[26],"popularity":[27],"since":[28],"its":[29],"inception":[30],"in":[31,67,80,103,108,176,202,272,365,399,435,452],"1970":[32],"due":[33],"to":[34,90,236,276,327,389,392],"high":[35],"quality":[36],"service,":[37],"patient-centered":[38],"care,":[39],"reduced":[40],"costs,":[41],"patient":[43],"satisfaction.":[44],"Breast":[45],"cancer":[46,51,63,78,100,119,169,185,198,213,401,425],"is":[47,292,313,427],"most":[49],"common":[50],"among":[52,280,295,301],"women":[53,159,360],"generally":[55],"treated":[56,102,107],"with":[57,165,172,379,429],"surgery.":[58],"Increasing":[59],"volumes":[60],"breast":[62,77,99,168,184,400,424],"now":[65],"happen":[66],"ASCs.":[68],"Although":[69],"there":[70],"were":[71],"reports":[72],"favorable":[74],"outcomes":[75,377],"following":[76],"ASCs,":[81,273],"population-based":[82,93,433],"assessment":[83,94,434],"been":[85],"lacking.":[86],"Our":[87],"objective":[88],"was":[89,234,278,335],"provide":[91],"a":[92],"survival":[96,122,211,312,331,376],"differences":[97],"between":[98,117],"those":[106],"inpatient":[109,340],"settings.":[110],"Methods:":[111],"We":[112,155,206],"used":[113,235],"linked":[115],"dataset":[116],"incidence":[120],"data":[123,136],"collected":[124,142],"by":[125,143,212,245,249],"California":[127,145,436],"Cancer":[128,449,467],"Registry":[129],"(CCR)":[130],"patient-level":[133],"service":[134],"utilization":[135],"from":[137],"hospitals":[138],"healthcare":[140],"facilities":[141],"Office":[146],"Statewide":[148],"Health":[149,450],"Planning":[150],"Development":[152],"(OSHPD)":[153],"records.":[154],"identified":[156],"191,400":[157],"adult":[158],"(>=18":[160],"years":[161],"age)":[163],"diagnosed":[164],"first":[166,183],"primary":[167],"during":[170,200],"2005-2019":[171],"known":[173],"disease":[174],"stage":[175,214,322],"CCR":[178],"data,":[179],"who":[180],"also":[181],"had":[182],"related":[186],"records":[188],"within":[189],"2":[190],"months":[191,195],"before":[192],"12":[194],"after":[196],"diagnosis":[199],"2005-2020":[201],"OSHPD":[204],"data.":[205],"compared":[207],"5-year":[209,311],"observed":[210],"(localized,":[215],"regional,":[216],"or":[217,222,228],"distant),":[218],"type":[220],"(lumpectomy":[221],"mastectomy),":[223],"setting":[226],"(inpatient":[227],"ASC).":[229],"Cox":[230],"proportional":[231],"hazards":[232],"model":[233],"calculate":[237],"hazard":[239],"ratios":[240],"(HRs)":[241],"death":[243],"probabilities":[244],"setting,":[247],"stratified":[248],"type,":[251],"while":[252],"controlling":[253],"for":[254,316,332,342,347,352,423],"confounders":[255],"age,":[257],"race/ethnicity,":[258],"socioeconomic":[259,397],"status,":[260],"stage,":[261],"Charlson":[263],"comorbidity":[264],"score.":[265],"Results:":[266],"The":[267,310,374],"proportion":[268],"done":[271,391],"as":[274],"opposed":[275],"inpatients,":[277],"96%":[279],"localized-lumpectomy":[282],"patients,":[283,304],"89%":[284],"regional-lumpectomy,":[285],"80%":[287],"distant-lumpectomy.":[288],"substantially":[293],"lower":[294],"mastectomy":[296,349],"across":[298],"stage:":[299],"45%":[300],"localized-mastectomy":[303],"40%":[305],"regional-mastectomy,":[306],"36%":[308],"distant-mastectomy.":[309],"consistently":[314],"higher":[315,337,346],"than":[318,338],"inpatients":[319],"regardless":[320,369],"type.":[325,372],"According":[326],"multivariable":[329],"HRs,":[330],"ASC":[333],"group":[334,341,350],"25%":[336],"lumpectomy":[343],"12%":[345],"(p<0.0001":[351],"both).":[353],"However,":[354],"non-Hispanic":[355],"black":[356],"low":[358],"SES":[359],"respectively":[361],"experienced":[362],"excessive":[363],"mortality":[364],"multivariate":[367],"analysis":[368],"Conclusion:":[373],"better":[375,430],"associated":[378,428],"use":[380],"are":[383],"reassuring.":[384],"But":[385],"more":[386],"work":[387],"needs":[388],"be":[390],"address":[393],"racial":[395],"disparities":[398],"treatment":[402],"outcomes.":[403],"Citation":[404],"Format:":[405],"Lihua":[406],"Liu,":[407],"Juanjuan":[408],"Zhang,":[409],"Kathy":[410],"Wojcik,":[411],"Irene":[412],"Kang,":[413],"Mary":[414],"Falcone,":[415],"Caryn":[416],"Lerman.":[417],"ambulatory":[420],"survival:":[431],"A":[432],"[abstract].":[437],"In:":[438],"Proceedings":[439],"15th":[442],"AACR":[443],"Conference":[444],"on":[445],"Science":[447],"Disparities":[451],"Racial/Ethnic":[453],"Minorities":[454],"Medically":[457],"Underserved;":[458],"2022":[459],"Sep":[460],"16-19;":[461],"Philadelphia,":[462],"PA.":[463],"Philadelphia":[464],"(PA):":[465],"AACR;":[466],"Epidemiol":[468],"Biomarkers":[469],"Prev":[470],"2022;31(1":[471],"Suppl):Abstract":[472],"nr":[473],"B125.":[474]},"counts_by_year":[],"updated_date":"2026-09-24T07:57:37.273135","created_date":"2023-01-10T00:00:00"}