Document Detail

Trends in breast conserving surgery among Asian Americans and Pacific Islanders, 1992-2000.
MedLine Citation:
PMID:  16050854     Owner:  NLM     Status:  MEDLINE    
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.
Mita Sanghavi Goel; Risa B Burns; Russell S Phillips; Roger B Davis; Quyen Ngo-Metzger; Ellen P McCarthy
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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    
Division of General Internal Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
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MeSH Terms
Age Distribution
Asia / ethnology
Asian Americans / statistics & numerical data*
Breast Neoplasms / ethnology*,  surgery,  therapy
Combined Modality Therapy
Mastectomy, Segmental / trends*
Middle Aged
Neoplasm Staging
Oceanic Ancestry Group / statistics & numerical data*
SEER Program
United States
Grant Support
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

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

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