Differences in Breast Cancer Stage, Treatment, and Survival by Race and Ethnicity

Li, Christopher I.; Malone, Kathleen E.; Daling, Janet R.

doi:10.1001/archinte.163.1.49

Cited by 583 publications

(553 citation statements)

References 33 publications

Supporting

Mentioning

505

Contrasting

Order By: Relevance

“…This correlation was found for various cancers, that is, carcinomas of the breast (Li et al, 2003;Ward et al, 2004), uterine cervix (Ward et al, 2004) and oesophagus (Silverstein et al, 2002).…”

mentioning

confidence: 89%

“…Finally, for breast cancer (Li et al, 2003;Ward et al, 2004) differences in the use of specific treatment modalities were present for SES in the USA. Patients with a higher SES were more likely to undergo a more appropriate treatment modality compared to patients with a lower SES, meaning that patients with a lower SES were at risk to receive unsatisfactory health care.…”

mentioning

confidence: 98%

See 1 more Smart Citation

The role of socio-economic status in the decision making on diagnosis and treatment of oesophageal cancer in The Netherlands

et al. 2006

View full text Add to dashboard Cite

In the United States (USA), a correlation has been demonstrated between socio-economic status (SES) of patients on the one hand, and tumour histology, stage of the disease and treatment modality of various cancer types on the other hand. It is unknown whether such correlations are also involved in patients with oesophageal cancer in The Netherlands. Between 1994 and 2003, 888 oesophageal cancer patients were included in a prospective database with findings on the diagnostic work-up and treatment of oesophageal cancer. Socio-economic status of patients was defined as the average net yearly income. Linear-by-linear association testing revealed that oesophageal adenocarcinoma was more frequently observed in patients with higher SES and squamous cell carcinoma in patients with lower SES (P ¼ 0.02). Multivariable logistic regression analysis showed no correlation between SES and staging procedures and preoperative TNM stage. The adjusted odds ratio (OR) for stent placement was 0.82 (95% CI 0.71 -0.95), indicating that with an increase in SES by 1200 h, the likelihood that a stent was placed declined by 18%. Patients with a higher SES more frequently underwent resection or were treated with chemotherapy (OR: 1.15; 95% CI 1.01 -1.32 and OR: 1.16; 95% CI 1.02 -1.32, respectively). Socio-economic factors are involved in oesophageal cancer in The Netherlands, as patients with a higher SES are more likely to have an adenocarcinoma and patients with a lower SES a squamous cell carcinoma. Moreover, the correlations between SES and different treatment modalities suggest that both patient and doctor determinants contribute to the decision on the most optimal treatment modality in patients with oesophageal cancer.

show abstract

mentioning

confidence: 89%

mentioning

confidence: 98%

The role of socio-economic status in the decision making on diagnosis and treatment of oesophageal cancer in The Netherlands

et al. 2006

View full text Add to dashboard Cite

show abstract

“…[1][2][3][4][5] Compared to non-Hispanic (NH) White women, most U.S. ethnic minority populations have lower breast cancer survival, much of which is attributable to socioeconomic factors. [5][6][7][8][9][10][11] One of the reasons for these disparities in breast cancer outcomes is the well-documented tendency toward later stage at diagnosis among women of lower socioeconomic status (SES) and women of color. 5,8,9,[12][13][14] Differences in mammography utilization are widely believed to contribute to observed socioeconomic and racial/ethnic variation in prevalence of late-stage diagnosis.…”

Section: Introductionmentioning

confidence: 99%

“…[5][6][7][8][9][10][11] One of the reasons for these disparities in breast cancer outcomes is the well-documented tendency toward later stage at diagnosis among women of lower socioeconomic status (SES) and women of color. 5,8,9,[12][13][14] Differences in mammography utilization are widely believed to contribute to observed socioeconomic and racial/ethnic variation in prevalence of late-stage diagnosis. Despite recommendations for routine annual or biannual mammography for all women age 40 years and older, significant gaps exist in uptake across population subgroups.…”

Section: Introductionmentioning

confidence: 99%

Spatial Equity in Facilities Providing Low- or No-Fee Screening Mammography in Chicago Neighborhoods

Zenk

Tarlov²,

Sun³

2006

J Urban Health

View full text Add to dashboard Cite

Recent research suggests living in an economically disadvantaged neighborhood is associated with decreased likelihood of undergoing mammography and increased risk of late-stage breast cancer diagnosis. Long distances and travel times to facilities offering low-or no-fee mammography may be important barriers to adherence to mammography screening recommendations for women living in economically disadvantaged urban neighborhoods, in which African-Americans are disproportionately represented. The purpose of this study was to examine whether the spatial distribution of facilities providing low-or no-fee screening mammography in Chicago, Illinois, is equitable on the basis of neighborhood socioeconomic and racial characteristics. We found that distance and travel times via automobile and public transportation to facilities generally decrease as neighborhood poverty increases. However, we also found that the strength of the association between neighborhood poverty level and two of the spatial accessibility measures-distance and public transportation travel time-is less strong in African-American neighborhoods. Among neighborhoods with the greatest need for facilities (i.e., neighborhoods with the highest proportions of residents in poverty), African-American neighborhoods have longer travel distances and public transportation travel times than neighborhoods with proportionately fewer African-American residents. Thus, it appears that the spatial accessibility of low-and no-fee mammography services is inequitable in Chicago. In view of persistent social disparities in health such as breast cancer outcomes, these findings suggest it is important for researchers to examine the spatial distribution of health resources by both the socioeconomic and racial characteristics of urban neighborhoods.

show abstract

“…Approximately, 10% of newly diagnosed breast cancer patients have locally advanced and/or metastatic disease at the time of presentation (Sant, 2001;Li et al, 2003). In addition, more than 40% of patients, who are diagnosed with early-stage breast carcinoma, will eventually experience later recurrence and/or metastatic disease (Early Breast Cancer Trialists' Collaborative Group, 1998).…”

mentioning

confidence: 99%

Evaluation of an inflammation-based prognostic score (GPS) in patients with metastatic breast cancer

Murri¹,

Bartlett²,

et al. 2006

View full text Add to dashboard Cite

Prediction of outcome in patients with metastatic breast cancer remains problematical. The present study evaluated the value of an inflammation-based score (Glasgow Prognostic Score, GPS) in patients with metastatic breast cancer. The GPS was constructed as follows: patients with both an elevated C-reactive protein (410 mg l À1 ) and hypoalbuminaemia (o35 g l À1 ) were allocated a score of 2. Patients in whom only one or none of these biochemical abnormalities was present were allocated a score of 1 or 0, respectively. In total, 96 patients were studied. During follow-up 51 patients died of their cancer. On multivariate analysis of the GPS and treatment received, only the GPS (HR 2.26, 95% CI 1.45 -3.52, Po0.001) remained significantly associated with cancer-specific survival. The presence of a systemic inflammatory response (the GPS) appears to be a useful indicator of poor outcome independent of treatment in patients with metastatic breast cancer.

show abstract

Differences in Breast Cancer Stage, Treatment, and Survival by Race and Ethnicity

Abstract: Differences in breast cancer stage, treatments, and mortality rates are present by race and ethnicity. Breast cancer survival may be improved by targeting factors, particularly socioeconomic factors, that underlie these differences.

Cited by 583 publications

References 33 publications

The role of socio-economic status in the decision making on diagnosis and treatment of oesophageal cancer in The Netherlands

The role of socio-economic status in the decision making on diagnosis and treatment of oesophageal cancer in The Netherlands

Spatial Equity in Facilities Providing Low- or No-Fee Screening Mammography in Chicago Neighborhoods

Evaluation of an inflammation-based prognostic score (GPS) in patients with metastatic breast cancer

Contact Info

Product

Resources

About