Racial differences in treatment and survival from early-stage breast carcinoma.

摘要: BACKGROUND African-American women have a significantly worse prognosis from breast carcinoma compared with white women, even when the stage at diagnosis is equivalent. The purpose of this study was to analyze racial differences in treatment (use breast-conserving surgery and radiation therapy) early-stage resulting effects on survival rates. METHODS Subjects included 10,073 African-American 123,127 diagnosed Stage I, IIA, or IIB National Cancer Institute's Surveillance, Epidemiology, End Results program between 1988 1998. Comparisons were made by race treatment, age, hormone receptor status, time diagnosis. Survival analyses conducted compare risk death for while controlling stage, status. RESULTS Among who receive surgery, less likely follow-up therapy every 10-year age group except older than 85 group. Whether equivalent suboptimal, worse. However, equivalent, associated suboptimal treatment. CONCLUSIONS Significant exist carcinoma. Public health efforts eliminate would reduce, but not eliminate, disparity survival. 2002;95:1759–66. © 2002 American Society. DOI 10.1002/cncr.10827