Are There Differences in Treatment and Survival Between Poor, Older Black and White Women with Breast Cancer?

作者: Himani Aggarwal , Christopher M. Callahan , Kathy D. Miller , Wanzhu Tu , Patrick J. Loehrer

DOI: 10.1111/JGS.13669

关键词: Cohort studyRetrospective cohort studyGerontologyCohortMedicineCancerBody mass indexProportional hazards modelBreast cancerDemographyHazard ratio

摘要: Objectives To explore differences in treatment and survival outcome between poor, older black white women with breast cancer. Design Retrospective cohort study. Setting Public safety net hospital. Participants Women aged 65 diagnosed cancer from 1999 to 2008 (n = 1,000). Measurements Breast treatments that sought were compared using the Pearson chi-square test. All-cause mortality of was hazard ratios derived a multivariate Cox proportional hazards model. Results There no significant difference surgical treatment, radiation therapy, chemotherapy, or hormone therapy over study period. Race not predictor model controlled for stage cancer, age at diagnosis, dual-eligibility status, comorbid conditions, body mass index, smoking history, mammogram screening, cancer. Conclusion Race did appear affect low socioeconomic status. This may be associated similar healthcare delivery equivalent access health care this study.

参考文章(45)
Steve R. Martinez, Warren H. Tseng, Robert J. Canter, Allen M. Chen, Steven L. Chen, Richard J. Bold, Do radiation use disparities influence survival in patients with advanced breast cancer Cancer. ,vol. 118, pp. 196- 204 ,(2012) , 10.1002/CNCR.26231
Patricia G. Moorman, Beth A. Jones, Robert C. Millikan, Ingrid J. Hall, Beth Newman, Race, Anthropometric Factors, and Stage at Diagnosis of Breast Cancer American Journal of Epidemiology. ,vol. 153, pp. 284- 291 ,(2001) , 10.1093/AJE/153.3.284
Jennifer J. Griggs, Melony E. S. Sorbero, Gary H. Lyman, Undertreatment of Obese Women Receiving Breast Cancer Chemotherapy Archives of Internal Medicine. ,vol. 165, pp. 1267- 1273 ,(2005) , 10.1001/ARCHINTE.165.11.1267
Eugenia E. Calle, Rudolf Kaaks, Overweight, obesity and cancer: epidemiological evidence and proposed mechanisms Nature Reviews Cancer. ,vol. 4, pp. 579- 591 ,(2004) , 10.1038/NRC1408
Vickie L. Shavers, Linda C. Harlan, Jennifer L. Stevens, Racial/ethnic variation in clinical presentation, treatment, and survival among breast cancer patients under age 35. Cancer. ,vol. 97, pp. 134- 147 ,(2003) , 10.1002/CNCR.11051
Chun Wang, Jesse Civan, Yinzhi Lai, Massimo Cristofanilli, Terry Hyslop, Juan P. Palazzo, Ronald E. Myers, Bingshan Li, Zhong Ye, Kejin Zhang, Jinliang Xing, Hushan Yang, Racial disparity in breast cancer survival: the impact of pre-treatment hematologic variables Cancer Causes & Control. ,vol. 26, pp. 45- 56 ,(2015) , 10.1007/S10552-014-0481-4
Christopher M. Callahan, Timothy E. Stump, Kevin T. Stroupe, William M. Tierney, Cost of Health Care for a Community of Older Adults in an Urban Academic Healthcare System Journal of the American Geriatrics Society. ,vol. 46, pp. 1371- 1377 ,(1998) , 10.1111/J.1532-5415.1998.TB06003.X
Michael Fisch, Christopher M. Callahan, Joseph G. Kesterson, Craig Nichols, William M. Tierney, The use of an electronic patient record system to identify advanced cancer patients and antidepressant drug use. Journal of Palliative Medicine. ,vol. 2, pp. 403- 409 ,(1999) , 10.1089/JPM.1999.2.403