Breast Cancer Disparities Mostly Explained by Facility Factors

Share this content:
Breast Cancer Disparities Mostly Explained by Facility Factors
Breast Cancer Disparities Mostly Explained by Facility Factors

THURSDAY, Jan. 3, 2019 (HealthDay News) -- Delays in diagnosis and use of under-resourced health centers account for most racial and ethnic disparities in breast cancer diagnosis, according to a study published online Jan. 2 in Cancer Epidemiology, Biomarkers & Prevention.

Richard B. Warnecke, Ph.D., from the University of Illinois at Chicago, and colleagues assessed the role of neighborhood context, patient resources, facility characteristics, and mode of detection in determining the disparity in later stage at diagnosis of breast cancer among non-Hispanic black (NHBlack) and Hispanic patients versus non-Hispanic white (NHWhite) patients. Participants in the Breast Cancer Care in Chicago study (411 NHBlack, 397 NHWhite, and 181 Hispanic patients) were interviewed. Medical records were reviewed for information on screening and diagnostic follow-up.

After adjusting for neighborhood context, mode of detection, and facility accreditation/resources, the researchers found no significant disparity in later-stage breast cancer diagnosis between NHBlack or Hispanic patients versus NHWhite patients. NHBlack and Hispanic patients were more likely to be diagnosed at a disproportionate share facility versus NHWhite patients (37 and 47 percent, respectively, versus 11 percent). Further, NHBlack and Hispanic patients were more likely to experience a diagnostic delay in excess of 60 days compared with NHWhite patients (27 and 32 percent, respectively, versus 12 percent). Racial/ethnic differences in mode of detection and facility accreditation/resources accounted for most of the disparity in stage at diagnosis.

"Understanding the referral process and referral decisions made by primary care physicians could improve access to care among underserved women," Warnecke said in a statement.

Abstract/Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

FDA Head Says Feds May Intervene to Cut Vaccine Exemptions

FDA Head Says Feds May Intervene to Cut ...

If states do not change lax vaccine laws, federal authorities may be forced to take action

New Kaiser Permanente Medical School Plans to Waive Tuition

New Kaiser Permanente Medical School Plans to Waive ...

School will waive all tuition for the full four years of school for its first five classes

Experimental Test May Quickly Diagnose Sepsis

Experimental Test May Quickly Diagnose Sepsis

Microelectrode device analyzes a patient's blood, provides results in as quickly as 2.5 minutes

is free, fast, and customized just for you!




Already a member?

Sign In Now »