Racial Differences in the Use of Adjuvant Chemotherapy for Breast Cancer in a Large Urban Integrated Health System
Joint Authors
Ruterbusch, Julie J.
Simon, Michael S.
Booza, Jason C.
Krajenta, Richard
Lamerato, Lois
Kunz, Sara
Schwartz, Kendra
Source
International Journal of Breast Cancer
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-05-20
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Racial differences in breast cancer survival may be in part due to variation in patterns of care.
To better understand factors influencing survival disparities, we evaluated patterns of receipt of adjuvant chemotherapy among 2,234 women with invasive, nonmetastatic breast cancer treated at the Henry Ford Health System (HFHS) from 1996 through 2005.
Methods.
Sociodemographic and clinical information were obtained from linked datasets from the HFHS, Metropolitan Detroit Cancer Surveillance Systems, and U.S.
Census.
Comorbidity was measured using the Charlson comorbidity index (CCI), and economic deprivation was categorized using a neighborhood deprivation index.
Results.
African American (AA) women were more likely than whites to have advanced tumors with more aggressive clinical features, to have more comorbidity and to be socioeconomically deprived.
While in the unadjusted model, AAs were more likely to receive chemotherapy (odds ratio (OR) 1.22, 95% confidence interval (CI) 1.02–1.46) and to have a delay in receipt of chemotherapy beyond 60 days (OR 1.68, 95% CI, 1.26–1.48), after multivariable adjustment there were no racial differences in receipt (odds ratio (OR) 1.02, 95% confidence interval (CI) 0.73–1.43), or timing of chemotherapy (OR 1.18, 95 CI, 0.8–1.74).
Conclusions.
Societal factors and not race appear to have an impact on treatment delay among African American women with early breast cancer.
American Psychological Association (APA)
Simon, Michael S.& Lamerato, Lois& Krajenta, Richard& Booza, Jason C.& Ruterbusch, Julie J.& Kunz, Sara…[et al.]. 2012. Racial Differences in the Use of Adjuvant Chemotherapy for Breast Cancer in a Large Urban Integrated Health System. International Journal of Breast Cancer،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-472841
Modern Language Association (MLA)
Simon, Michael S.…[et al.]. Racial Differences in the Use of Adjuvant Chemotherapy for Breast Cancer in a Large Urban Integrated Health System. International Journal of Breast Cancer No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-472841
American Medical Association (AMA)
Simon, Michael S.& Lamerato, Lois& Krajenta, Richard& Booza, Jason C.& Ruterbusch, Julie J.& Kunz, Sara…[et al.]. Racial Differences in the Use of Adjuvant Chemotherapy for Breast Cancer in a Large Urban Integrated Health System. International Journal of Breast Cancer. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-472841
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-472841