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Letters.
Mastectomy in U.S., U.K.
A recent article related several possible explanations for the increased mastectomy rate in the United States compared with the United Kingdom, including a pejorative suggestion that U.S. surgeons are "out of touch" with current treatment trends ("High U.S. Mastectomy Rate Reported in Landmark Trial," Jan. 15, 2003, p. 1).
In addition, in a country that practices primarily socialized medicine, patients may not be used to having as much input concerning decisions regarding their medical care and therefore would be more willing to follow conservative therapy.
The United States and the United Kingdom have very different populations and medical care systems. There may be significant differences in the perceptions and fears regarding breast cancer in American women compared with British women.
I do not believe that physicians in the United Kingdom are subject to the same degree of malpractice risk as in this country Many U.S. physicians practice defensive medicine, and patients expect aggressive treatments for breast cancer.
James Wang, M.D.
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Source: HighBeam Research, Letters.