TY - JOUR T1 - Provider-level characteristics are significantly associated with the increased likelihood of mastectomy over conservative surgery among elderly women with breast cancer JF - Evidence Based Nursing JO - Evid Based Nurs DO - 10.1136/ebnurs-2019-103153 SP - ebnurs-2019-103153 AU - Mahzabin Ferdous AU - Tanvir C Turin Y1 - 2019/09/06 UR - http://ebn.bmj.com/content/early/2019/09/05/ebnurs-2019-103153.abstract N2 - Commentary on: Boero IJ, Paravati AJ, Hou J, et al. The impact of surgeons on the likelihood of mastectomy in breast cancer. Ann Surg 2019;269(5):951-58. doi:10.1097/SLA.0000000000002698.The significant association between provider-level (individual physicians and treatment hospitals) characteristics and the likelihood of the type of surgery (mastectomy vs breast-conserving surgery) among patients with breast cancer provides insight on how elements of the healthcare system can influence a treatment choice.Future research is required to clarify the complex interaction between patient-level and provider-level factors and how they influence the decision-making for choosing treatment modality.Two of the major surgical treatment options available for invasive breast cancer include mastectomy and breast-conserving surgery (BCS). Recent studies have shown a better survival rate for BCS followed by radiation therapy compared with mastectomy, emphasising the importance of understanding the reasons behind choosing mastectomy … ER -