Timeliness of Breast Cancer Diagnosis and Initiation of Treatment in the National Breast and Cervical Cancer Early Detection Program, 1996–2005

Richardson, Lisa C.; Royalty, Janet; Howe, William; Helsel, William; Kammerer, William; Benard, Vicki B.

doi:10.2105/ajph.2009.160184

Cited by 86 publications

(102 citation statements)

References 44 publications

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“…3,5 Keeping the wait times between diagnosis and surgery below 60 days is considered an important measure of quality of care as well. [36][37][38] Two recent studies specifically examined surgical delay and predictors associated with it; only one of the studies included race and reported significant differences. 5,39 Similarly, AAs in our study were more likely than whites to experience surgical delay after accounting for differences in their sociodemographic and clinical characteristics.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Surgical Delays in African American and White Women with Early-Stage Breast Cancer

George

Chandwani

Gabel

et al. 2015

Journal of Women's Health

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Background: Delays in diagnosis and treatment for breast cancer may contribute to excess deaths among African Americans. We examined racial differences in delays in diagnosis and surgical treatment for early-stage breast cancer and evaluated race-specific predictors associated with delay. Methods: A retrospective cohort study was conducted among 634 African American and white women diagnosed with invasive breast cancer between 2005 and 2010 in New Jersey. Detailed medical-chart abstraction and patient interviews were undertaken. Time intervals were calculated from symptom recognition to diagnosis (diagnosis delay) and from diagnosis to first operation (surgical delay). Binomial regression models were used to examine racial differences in delay and factors associated with ‡ 2 months delay in the overall population and stratified by race. Reasons responsible for diagnosis delay were also examined by race. Results: Compared to white women, African American women experienced significantly higher risk of ‡ 2 months delay in diagnosis and surgical treatment (adjusted relative risks = 1.44 (1.12-1.86) and 3.08 (1.88-5.04), respectively). For the African Americans, predictors of diagnosis delay included mode of detection, insurance, and tumor size; for whites, mode of detection and tumor grade. Surgical delay was associated with operation type and education among African Americans but with operation type and tumor size for whites. Patient-related factors were commonly noted as reasons for diagnosis delay. Conclusions: These findings emphasize the need to raise further awareness, especially among African American patients and their providers, of the importance of prompt evaluation and treatment of breast abnormalities. Research on effective ways to accomplish this is needed.

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Section: Discussionmentioning

confidence: 99%

Diagnosis and Surgical Delays in African American and White Women with Early-Stage Breast Cancer

George

Chandwani

Gabel

et al. 2015

Journal of Women's Health

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“…6 Additionally, Richardson et al 16 examined the timeliness of breast cancer diagnosis and treatment in the NBCCEDP and also found that minority women had longer median times to diagnosis of breast cancer than did white women. There may be multiple explanations for these findings, including individual characteristics, miscommunication of results, provider characteristics, or the healthcare facilities where minorities receive care.…”

Section: Discussionmentioning

confidence: 99%

Timeliness of Cervical Cancer Diagnosis and Initiation of Treatment in the National Breast and Cervical Cancer Early Detection Program

Benard

Howe²,

Royalty³

et al. 2012

Journal of Women's Health

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Objectives-To examine time intervals from cervical cancer screening to diagnosis and treatment initiation among low-income and uninsured women in the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) during two consecutive time periods.Methods-We analyzed NBCCEDP data for women with abnormal Pap tests (n = 100,167), from which 1,417 invasive cervical cancers were diagnosed. We examined two time intervals for this study: diagnostic interval (time from abnormal Pap test to the date of definitive diagnosis) and treatment initiation interval (time from definitive diagnosis to treatment initiation) for two time periods : 1996-2002 and 2003-2009. We compared median time intervals for diagnostic and treatment initiation using the Kruskal-Wallis test. Adjusted proportions (predicted marginals) were calculated using logistic regression to examine diagnosis and treatment within program benchmarks (≤ 60 days).Results-Median diagnostic intervals decreased overall by 6 days (54 vs. 48 days, p < 0.001). This decrease in the median diagnostic interval was noted for all variables examined. The median treatment initiation intervals remained stable over the two time periods.Conclusions-Women screened by the NBCCEDP receive diagnostic follow-up and initiate treatment within preestablished program guidelines.

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“…According to the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) benchmark, the time frame between identification of any suspicious mammogram screening test and diagnosis should not exceed 60 days and maximum another 60 days till initiation of treatment [7].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Adjuvant Chemotherapy Initiation Time on the Outcome of Cancer Breast

Mosalam¹,

Aziz²,

Seed³

et al. 2017

J Oncol Transl Res

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Timeliness of Breast Cancer Diagnosis and Initiation of Treatment in the National Breast and Cervical Cancer Early Detection Program, 1996–2005

Abstract: Women screened by the NBCCEDP received diagnostic follow-up and initiated treatment within preestablished program guidelines.

Cited by 86 publications

References 44 publications

Diagnosis and Surgical Delays in African American and White Women with Early-Stage Breast Cancer

Diagnosis and Surgical Delays in African American and White Women with Early-Stage Breast Cancer

Timeliness of Cervical Cancer Diagnosis and Initiation of Treatment in the National Breast and Cervical Cancer Early Detection Program

The Impact of Adjuvant Chemotherapy Initiation Time on the Outcome of Cancer Breast

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