We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Breast Cancer: Treatment Differences and Survival

Andy Amster, MSPH; Allen B. Bredt, MD; Diana Petitti, MD
JAMA. 1994;272(15):1165. doi:10.1001/jama.1994.03520150031017.
Text Size: A A A
Published online


To the Editor.  —We are concerned about the conclusion that Dr Lee-Feldstein and colleagues1 reached about poor breast cancer survival in health maintenance organization (HMO) hospitals in Orange County, California. As the largest hospital-based HMO in Southern California, Kaiser Permanente for years has supported comparison of medical outcomes of all health care organizations. Therefore, we believe it is mandatory for us to provide an accurate reflection of our breast cancer statistics for stage at diagnosis and survival.The Kaiser Permanente Medical Care Program in Southern California has operated its own hospital-based cancer registries for more than 40 years. All but two of our 10 registries are certified by the American College of Surgeons. At all our registries, follow-up rates are more than 97%. The data on stage at diagnosis and survival rate are derived from this rich and unique data source.We analyzed 7819 patients with newly diagnosed breast


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.