Indigent breast cancer patients among all racial and ethnic groups present with more advanced disease compared withnationally reported data

Differences in breast carcinoma characteristics in newly diagnosed African–American and Caucasian patients

“…These data are consistent with other large population-based studies of racial differences in breast carcinoma presentation at the time of diagnosis. 4,[6][7][8][9]20 Our study also illustrates that data available in the TJUH registry reflects national trends in demographics, and that further studies from this registry may be utilized as consistent parallel indicators. To our knowledge, the current study also evaluated the largest number of patients presented to date.…”

“…4 Invasive breast carcinomas diagnosed in African-American patients are described as more aggressive compared with those in Caucasian patients. Several studies entered into the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) database have confirmed that not only are African-American women more likely to be diagnosed at later stages of the disease, 5 most notably stages IIIB and higher, 4,[6][7][8] but they are also more likely to present with higher grade tumors. 6 African-American women are more likely to have more aggressive breast cancer pathologies such as inflammatory, medullary, or papillary carcinomas, and are less likely to have lobular or tubular carcinomas than Caucasian women.…”

A Multi-Institutional Analysis of the Socioeconomic Determinants of Breast Reconstruction

“…It has been reported that patients of lower SES tend to present with more advanced disease and more severe comorbidities. 22,[33][34][35][36][37] Additionally, it has been suggested that these patients may be more likely to partake in "risky" behaviors such as the use tobacco and alcohol. 38 Finally, healthcare differences according to SES could reflect differences in culture, patient preference, and attitudes toward healthcare, as well as provider bias.…”

Life‐Threatening Disparities: The Treatment of Black and White Cancer Patients

“…Cancer researchers have identified several factors that may contribute to these outcomes. Relative to White women, Black women often have more aggressive disease (Gordon, 2003; Thomson, Hole, Twelves, Brewster, & Black, 2001), more advanced disease at the time of initial diagnosis (Naik et al, 2003); a higher incidence of obesity, which is associated with a worse prognosis in breast cancers (Daling et al, 2001; Petrelli, Calle, Rodriguez, & Thun, 2002); and higher rates of other illnesses (Calle et al, 2002; Fleming, Pursley, Newman, Pavlov, & Chen, 2005). However, as is true with other cancers, the higher mortality rates among Black women remain even when these factors are controlled (Griggs, Sorbero, Stark, Heininger, & Dick, 2003).…”