Do age and ethnicity predict breast cancer treatment received? A cross-sectional urban population based study. Breast cancer treatment: Age and ethnicity Journal Article
| Authors: | Naeim, A.; Hurria, A.; Leake, B.; Maly, R. C. |
| Article Title: | Do age and ethnicity predict breast cancer treatment received? A cross-sectional urban population based study. Breast cancer treatment: Age and ethnicity |
| Abstract: | Purpose: To evaluate the treatment patterns of women aged 55 years or older with newly diagnosed breast cancer and to examine the association between age and ethnicity/race on treatment selection. Methods: A cross-sectional survey between January 1 and June 30, 2001 of 401 women was performed of Hispanic, black and non-Hispanic white women in Los Angeles County, aged 55 years or older with newly diagnosed breast cancer. Regression analysis examined the association between: (a) age and treatment selection and (b) ethnicity/race and treatment selection, adjusting for the effect of possible confounders. Results: In this study of urban breast cancer patients (64.1% response rate), blacks were less likely to receive hormone (OR = 0.36) or chemotherapy therapy (OR = 0.50) while older patients were less likely to receive lymph node dissection after lumpectomy (OR = 0.48) and chemotherapy (OR = 0.22). Conclusion: Although there are racial and age disparities in breast cancer treatment, other factors such as education, income status, insurance plan, functional status, and comorbidity also play an important role. © 2006 Elsevier Ireland Ltd. All rights reserved. |
| Keywords: | adult; cancer chemotherapy; controlled study; aged; aged, 80 and over; middle aged; major clinical study; review; antineoplastic agents; cancer patient; antineoplastic agent; cancer diagnosis; lymph node dissection; lymph nodes; physician's practice patterns; disease association; breast cancer; age factors; breast neoplasms; prediction; groups by age; risk assessment; cancer hormone therapy; health insurance; education; partial mastectomy; comorbidity; data analysis; cross-sectional studies; hormone; regression analysis; african american; functional status; patient care planning; mastectomy, segmental; geriatrics; urban population; hormones; hispanic; ethnic groups; ethnology; los angeles; ethnic minorities |
| Journal Title: | Critical Reviews in Oncology/Hematology |
| Volume: | 59 |
| Issue: | 3 |
| ISSN: | 1040-8428 |
| Publisher: | Elsevier Science, Inc. |
| Date Published: | 2006-09-01 |
| Start Page: | 234 |
| End Page: | 242 |
| Language: | English |
| DOI: | 10.1016/j.critrevonc.2006.03.002 |
| PUBMED: | 16829122 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 14" - "Export Date: 4 June 2012" - "CODEN: CCRHE" - "Source: Scopus" |
