Effects of specialisation on treatment and outcomes in screen-detected breast cancers in Wales: cohort study.

Another study from the Thames Cancer Registry found a significant trend with increasing hospital volume of increasing access to services meeting quality of care criteria for women with breast cancer ( Mikeljevic et al , 2003 ).

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The HR for surgeon volume for breast cancer survival for women with invasive tumours was similar to that from all cause (HR (95% CI): 0.991 (0.981–1.001, P =0.08)), although the difference was marginally nonsignificant owing to fewer events.

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