Evaluation of migratory intraregional flow for the surgical treatment of breast cancer
Govoni, D.; Bologna, A.; Ciraolo, F.; Fabbri, S.; Paci, E.
Epidemiologia E Prevenzione 22(1): 37-43
1998
ISSN/ISBN: 1120-9763 PMID: 9621503 Document Number: 489833
The migratory intraregional flows for the treatment of breast cancer have been analyzed in Tuscany. The analysis has been carried out taking the province of Pistoia as a sample and the main sanitarian Florentine structures as a pole of migration in the years 1992-93. The patients suffering from breast cancer were 269 in the two years. The expected number of cases of breast cancer in the province is of 137.25/year. In the period considered the patients that addressed to Florence were 41.63% while the women remained in the province were 58.36%. The migration toward Florence seems to have been mainly affected by age, since most of the hospitalization in this pole referred to patients younger than 54. The sick women choose to be admitted to Florence irrespective of their residence municipality. The provincial hospitals in which the investigation has been carried out are those of Pistoia and Pescia. As far as concerns the type of intervention carried out in the three sanitarian poles, the surgery of conservative type prevails in Florence, the mastectomies in Pescia, while in Pistoia the two types of interventions show a comparable frequency. From such evidences we can assume the choice of the Florentine pole as a structure for the treatment of breast cancer; also in relation to the fact that in the examined province, in the years considered, a service of radiotherapy was not still active.