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MORE WOMEN HAVING DOUBLE MASTECTOMY BUT SURVIVAL NO BETTER THAN BREAST CONSERVING SURGERY PLUS RADIATION

INTRO:Women diagnosed with cancer in one breast can choose several treatments, including removing the cancerous breast, removing both breasts or having breast conserving surgery combined with radiation. A new study examined the use of these different options for women in California and whether there were any differences in the survival rates for these women. Catherine Dolf has more in this week’s JAMA Report.

VIDEO
B-ROLL
Breast cancer surgery

Super: JAMA File @ :02

AUDIO
VO
DURING RECENT YEARS MORE AND MORE WOMEN HAVE BEEN CHOOSING A DOUBLE MASTECTOMY TO TREAT CANCER DIAGNOSED IN JUST ONE BREAST.

AUDIO
SOT/FULL Super@ :06 Scarlett L. Gomez, Ph.D., – Cancer Prevention Institute of California Runs:07
“The use of double mastectomy indeed increased steadily over time from the period of 1988 to 2011.”

AUDIO
SOT/FULL Super@:17 Allison W. Kurian, M.D., M.Sc., – Stanford University School of Medicine Runs:07
“What we don’t know is what happens to those women afterward and whether they gain any benefit in terms of survival.”

(Video covering 1st part of bite: breast cancer surgery)

VIDEO
B-ROLL

Dr. Kurian and Dr. Gomez walking, standing looking at graph,Graphic:
EARLY STAGE CANCER IN ONE BREAST
SINGLE MASTECTOMY
DOUBLE MASTECTOMY
BREAST CONSERVING SURGERY WITH RADIATION

AUDIO
VO
DR. ALLISON KURIAN (KERR-EE-ANN) FROM STANFORD UNIVERSITY SCHOOL OF MEDICINE AND DR. SCARLETT GOMEZ FROM THE CANCER PREVENTION INSTITUTE OF CALIFORNIA AND CO-AUTHORS STUDIED A DATABASE OF WOMEN DIAGNOSED WITH BREAST CANCER IN CALIFORNIA DURING THE PAST DECADE. THEY EXAMINED RECORDS OF WOMEN WITH EARLY STAGE CANCER DIAGNOSED IN JUST ONE BREAST, WHO UNDERWENT A SINGLE MASTECTOMY, DOUBLE MASTECTOMY OR BREAST CONSERVING SURGERY WITH RADIATION.

AUDIO
SOT/FULL Super@ :42 Allison W. Kurian, M.D., M.Sc., – Stanford University School of Medicine Runs:06
“We ended up studying more than 189,000 women for at least seven years each.”

AUDIO
SOT/FULL Super@:51 Scarlett L. Gomez, Ph.D., – Cancer Prevention Institute of California Runs:07
“We were able to study the experiences of women from many different racial, ethnic groups and socioeconomic backgrounds.”

(Video covering 1st part of bite: Dr. Kurian examining a patient)

AUDIO
SOT/FULL Super@ :54 Voice of:Allison W. Kurian, M.D., M.Sc., – Stanford University School of Medicine Runs:07
“The rates of double mastectomy to treat a one-sided breast cancer have increased at a rate of 14 percent a year.”

(Video covering bite: breast cancer surgery)

AUDIO
SOT/FULL Super@1:06 Scarlett L. Gomez, Ph.D., – Cancer Prevention Institute of California Runs:11
“Women under age 40 were using double mastectomy at a much higher rate. In 2011 nearly a third of women in that age group were having double mastectomy.”

(Video covering 1st part of bite: breast cancer surgery)

GXF FULL
JAMA COVER

AUDIO
VO
THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO
SOT/FULL Super@1:15 Scarlett L. Gomez, Ph.D., – Cancer Prevention Institute of California Runs:09
“Women who had double mastectomy did not seem to have any better survival than women who had the other two surgical procedures.”

(Video covering 2nd half of bite: breast cancer surgery)

AUDIO
SOT/FULL Super@ 1:25 Allison W. Kurian, M.D., M.Sc., – Stanford University School of Medicine Runs:06
“The women that had the single mastectomy did have worse survival than the other groups of women.”

(Video covering 1st part of bite: breast cancer surgery)

VIDEO
B-ROLL
Graphic:

DOUBLE MASTECTOMY
NON-HISPANIC, WHITE WOMEN
HIGHER SOCIOECONOMIC STATUS
PRIVATE INSURANCE

SINGLE MASTECTOMY
MINORITIES
LOWER SOCIOECONOMIC STATUS
PUBLIC INSURANCE

AUDIO
VO
THE RESEARCHERS FOUND THAT WOMEN HAVING DOUBLE MASTECTOMY TENDED TO BE NON-HISPANIC WHITES WITH A HIGHER SOCIOECONOMIC STATUS AND PRIVATE INSURANCE. IN CONTRAST, THOSE HAVING SINGLE MASTECTOMY WERE MORE LIKELY MINORITIES, WITH LOWER SOCIOECONMIC STATUS AND PUBLIC INSURANCE.

AUDIO
SOT/FULL Super@ 1:44 Allison W. Kurian, M.D., M.Sc., – Stanford University School of Medicine Runs:11
“We really need to improve on our strategies for communicating this kind of information to a patient who’s making choices on how to treat her early breast cancer.”

(Video covering end of bite: patient talking with Dr. Kurian)

B-ROLL
Patient talking with Dr. Kurian

AUDIO
VO
CATHERINE DOLF, THE JAMA REPORT.

TAG: DOUBLE MASTECTOMY ALSO HAS A HIGHER COMPLICATION RATE THAN SINGLE MASTECTOMY OR BREAST CONSERVING SURGERY WITH RADIATION.

INTRO:Women diagnosed with cancer in one breast can choose several treatments, including removing the cancerous breast, removing both breasts or having breast conserving surgery combined with radiation. A new study examined the use of these different options for women in California and whether there were any differences in the survival rates for these women. Catherine Dolf has more in this week’s JAMA Report.

VIDEO
B-ROLL
Breast cancer surgery

Super: JAMA File @ :02

AUDIO
VO
DURING RECENT YEARS MORE AND MORE WOMEN HAVE BEEN CHOOSING A DOUBLE MASTECTOMY TO TREAT CANCER DIAGNOSED IN JUST ONE BREAST.

AUDIO
SOT/FULL Super@ :06 Scarlett L. Gomez, Ph.D., – Cancer Prevention Institute of California Runs:07
“The use of double mastectomy indeed increased steadily over time from the period of 1988 to 2011.”

AUDIO
SOT/FULL Super@:17 Allison W. Kurian, M.D., M.Sc., – Stanford University School of Medicine Runs:07
“What we don’t know is what happens to those women afterward and whether they gain any benefit in terms of survival.”

(Video covering 1st part of bite: breast cancer surgery)

VIDEO
B-ROLL

Dr. Kurian and Dr. Gomez walking, standing looking at graph,Graphic:
EARLY STAGE CANCER IN ONE BREAST
SINGLE MASTECTOMY
DOUBLE MASTECTOMY
BREAST CONSERVING SURGERY WITH RADIATION

AUDIO
VO
DR. ALLISON KURIAN (KERR-EE-ANN) FROM STANFORD UNIVERSITY SCHOOL OF MEDICINE AND DR. SCARLETT GOMEZ FROM THE CANCER PREVENTION INSTITUTE OF CALIFORNIA AND CO-AUTHORS STUDIED A DATABASE OF WOMEN DIAGNOSED WITH BREAST CANCER IN CALIFORNIA DURING THE PAST DECADE. THEY EXAMINED RECORDS OF WOMEN WITH EARLY STAGE CANCER DIAGNOSED IN JUST ONE BREAST, WHO UNDERWENT A SINGLE MASTECTOMY, DOUBLE MASTECTOMY OR BREAST CONSERVING SURGERY WITH RADIATION.

AUDIO
SOT/FULL Super@ :42 Allison W. Kurian, M.D., M.Sc., – Stanford University School of Medicine Runs:06
“We ended up studying more than 189,000 women for at least seven years each.”

AUDIO
SOT/FULL Super@:51 Scarlett L. Gomez, Ph.D., – Cancer Prevention Institute of California Runs:07
“We were able to study the experiences of women from many different racial, ethnic groups and socioeconomic backgrounds.”

(Video covering 1st part of bite: Dr. Kurian examining a patient)

AUDIO
SOT/FULL Super@ :54 Voice of:Allison W. Kurian, M.D., M.Sc., – Stanford University School of Medicine Runs:07
“The rates of double mastectomy to treat a one-sided breast cancer have increased at a rate of 14 percent a year.”

(Video covering bite: breast cancer surgery)

AUDIO
SOT/FULL Super@1:06 Scarlett L. Gomez, Ph.D., – Cancer Prevention Institute of California Runs:11
“Women under age 40 were using double mastectomy at a much higher rate. In 2011 nearly a third of women in that age group were having double mastectomy.”

(Video covering 1st part of bite: breast cancer surgery)

GXF FULL
JAMA COVER

AUDIO
VO
THE STUDY APPEARS IN JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.

AUDIO
SOT/FULL Super@1:15 Scarlett L. Gomez, Ph.D., – Cancer Prevention Institute of California Runs:09
“Women who had double mastectomy did not seem to have any better survival than women who had the other two surgical procedures.”

(Video covering 2nd half of bite: breast cancer surgery)

AUDIO
SOT/FULL Super@ 1:25 Allison W. Kurian, M.D., M.Sc., – Stanford University School of Medicine Runs:06
“The women that had the single mastectomy did have worse survival than the other groups of women.”

(Video covering 1st part of bite: breast cancer surgery)

VIDEO
B-ROLL
Graphic:

DOUBLE MASTECTOMY
NON-HISPANIC, WHITE WOMEN
HIGHER SOCIOECONOMIC STATUS
PRIVATE INSURANCE

SINGLE MASTECTOMY
MINORITIES
LOWER SOCIOECONOMIC STATUS
PUBLIC INSURANCE

AUDIO
VO
THE RESEARCHERS FOUND THAT WOMEN HAVING DOUBLE MASTECTOMY TENDED TO BE NON-HISPANIC WHITES WITH A HIGHER SOCIOECONOMIC STATUS AND PRIVATE INSURANCE. IN CONTRAST, THOSE HAVING SINGLE MASTECTOMY WERE MORE LIKELY MINORITIES, WITH LOWER SOCIOECONMIC STATUS AND PUBLIC INSURANCE.

AUDIO
SOT/FULL Super@ 1:44 Allison W. Kurian, M.D., M.Sc., – Stanford University School of Medicine Runs:11
“We really need to improve on our strategies for communicating this kind of information to a patient who’s making choices on how to treat her early breast cancer.”

(Video covering end of bite: patient talking with Dr. Kurian)

B-ROLL
Patient talking with Dr. Kurian

AUDIO
VO
CATHERINE DOLF, THE JAMA REPORT.

TAG: DOUBLE MASTECTOMY ALSO HAS A HIGHER COMPLICATION RATE THAN SINGLE MASTECTOMY OR BREAST CONSERVING SURGERY WITH RADIATION.

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