| Trends in breast conserving surgery among Asian Americans and Pacific Islanders, 1992-2000. | |
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MedLine Citation:
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PMID: 16050854 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Breast-conserving surgery (BCS) has been the recommended treatment for early-stage breast cancer since 1990 yet many women still do not receive this procedure. OBJECTIVE: To examine the relationship between birthplace and use of BCS in Asian-American and Pacific-Islander (AAPI) women, and to determine whether disparities between white and AAPI women persist over time. DESIGN: Retrospective cohort study. SETTING AND PARTICIPANTS: Women with newly diagnosed stage I or II breast cancer from 1992 to 2000 in the Surveillance, Epidemiology, and End Results program. OUTCOME: Receipt of breast -conserving surgery for initial treatment of stage I or II breast cancer. MAIN RESULTS: Overall, AAPI women had lower rates of BCS than white women (47% vs 59%; P<.01). Foreign-born AAPI women had lower rates of BCS than U.S.-born AAPI and white women (43% vs 56% vs 59%; P<.01). After adjustment for age, marital status, tumor registry, year of diagnosis, stage at diagnosis, tumor size, histology, grade, and hormone receptor status, foreign-born AAPI women (adjusted OR [aOR], 0.49; 95% CI, 0.32 to 0.76) and U.S.-born AAPI women (aOR, 0.77; 95% CI, 0.62 to 0.95) had lower odds of receiving BCS than white women. Use of BCS increased over time for each racial/ethnic group; however, foreign-born AAPI women had persistently lower rates of BCS than non-Hispanic white women. CONCLUSIONS: AAPI women, especially those who are foreign born, are less likely to receive BCS than non-Hispanic white women. Of particular concern, differences in BCS use among foreign-born and U.S.-born AAPI women and non-Hispanic white women have persisted over time. These differences may reflect inequities in the treatment of early-stage breast cancer for AAPI women, particularly those born abroad. |
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Authors:
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Mita Sanghavi Goel; Risa B Burns; Russell S Phillips; Roger B Davis; Quyen Ngo-Metzger; Ellen P McCarthy |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Journal of general internal medicine Volume: 20 ISSN: 1525-1497 ISO Abbreviation: J Gen Intern Med Publication Date: 2005 Jul |
Date Detail:
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Created Date: 2005-07-29 Completed Date: 2006-06-12 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 8605834 Medline TA: J Gen Intern Med Country: United States |
Other Details:
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Languages: eng Pagination: 604-11 Citation Subset: IM |
Affiliation:
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Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA. mgoel@nmff.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Distribution Aged Asia / ethnology Asian Americans / statistics & numerical data* Breast Neoplasms / ethnology*, surgery, therapy Combined Modality Therapy Female Humans Mastectomy, Segmental / trends* Middle Aged Neoplasm Staging Oceanic Ancestry Group / statistics & numerical data* SEER Program United States |
| Grant Support | |
ID/Acronym/Agency:
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5T32PE11001-15/PE/BHP HRSA HHS; K24 AT00589-01A1/AT/NCCAM NIH HHS; R29 CA79052/CA/NCI NIH HHS; U01 CA86322/CA/NCI NIH HHS |
| Comments/Corrections | |
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