Document Detail


Trends in breast conserving surgery among Asian Americans and Pacific Islanders, 1992-2000.
MedLine Citation:
PMID:  16050854     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Mita Sanghavi Goel; Risa B Burns; Russell S Phillips; Roger B Davis; Quyen Ngo-Metzger; Ellen P McCarthy
Related Documents :
11138824 - Increased breast cancer risk among women who work predominantly at night.
9065374 - The nurses' health study: 20-year contribution to the understanding of health among women.
896994 - Personality characteristics of women seeking breast augmentation. comparison to small-b...
19851944 - Perceived benefits of online support groups for women with metastatic breast cancer.
24680384 - Treatment of subclinical hypothyroidism in pregnancy using fixed thyroxine daily doses ...
19932904 - Gender differences among patients with secondary hyperparathyroidism undergoing parathy...
Publication Detail:
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:
Title:  Journal of general internal medicine     Volume:  20     ISSN:  1525-1497     ISO Abbreviation:  J Gen Intern Med     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-07-29     Completed Date:  2006-06-12     Revised Date:  2013-06-09    
Medline Journal Info:
Nlm Unique ID:  8605834     Medline TA:  J Gen Intern Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  604-11     Citation Subset:  IM    
Affiliation:
Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA. mgoel@nmff.org
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
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:
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

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Racial disparities in the content of primary care office visits.
Next Document:  Relationship between increased personal well-being and enhanced empathy among internal medicine resi...