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Race and ethnicity are associated with delays in breast cancer treatment (2003-2006).
- Source :
-
Journal of health care for the poor and underserved [J Health Care Poor Underserved] 2011 Feb; Vol. 22 (1), pp. 128-41. - Publication Year :
- 2011
-
Abstract
- Access to timely treatment may be one contributing factor to survival differences by race/ethnicity among breast cancer patients. In this study, we examined the relationship between race and treatment delay among breast cancer patients diagnosed between 2003 and 2006 with Stage I-III breast cancer from the National Cancer Database (n=250,007). We evaluated factors associated with receipt of initial treatment more than 30, 60, and 90 days after biopsy using multivariable log binomial models to estimate risk ratios (RR) and 95% confidence intervals (CI). The average time to treatment was 34.30 days (±31.77). Independent of health insurance, stage at diagnosis, and age, Black and Hispanic patients had higher risks of 30, 60, and 90-day treatment delay compared with White patients. Further studies are needed to define the role of structural, health system, physician, clinical and patient factors in treatment delay among Black and Hispanic women and appropriate interventions.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Breast Neoplasms pathology
Breast Neoplasms therapy
Female
Humans
Insurance, Health statistics & numerical data
Middle Aged
Neoplasm Staging
Odds Ratio
Retrospective Studies
Time Factors
Young Adult
Black People statistics & numerical data
Breast Neoplasms ethnology
Healthcare Disparities ethnology
Hispanic or Latino statistics & numerical data
White People statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1548-6869
- Volume :
- 22
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of health care for the poor and underserved
- Publication Type :
- Academic Journal
- Accession number :
- 21317511
- Full Text :
- https://doi.org/10.1353/hpu.2011.0006