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Journal article
Racial Disparities and Diagnosis-to-Treatment Time Among Patients Diagnosed with Breast Cancer in South Carolina
Journal of racial and ethnic health disparities, v 9(1), pp 124-134
01 Feb 2022
PMID: 33428159
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objectives Diagnosis-to-treatment interval is an important quality measure that is recognized by the National Accreditation Program for Breast Centers, and the American Society of Breast Surgeons and the National Quality Measures for Breast Care. The aim of this study was to assess factors related to delays in receiving breast cancer treatment.
Methods This retrospective cohort study (2002 to 2010) used data from the South Carolina Central Cancer Registry (SCCCR) and Office of Revenue and Fiscal Affairs (RFA) to examine racial differences in diagnosis-to-treatment time (in days), with adjuvant hormone receipt, surgery, chemotherapy, and radiotherapy assessed separately. Chi-square tests, and logistic regression and generalized linear models were used to compare diagnosis-to-treatment days.
Results Black women on average received adjuvant hormone therapy, surgery, chemotherapy, and radiotherapy 25, 8, 7, and 3 days later than their White counterparts, respectively. Black women with local stage cancer had later time to surgery (OR: 1.6; CI: 1.2-2.2) compared with White women with local stage cancer. Black women living in rural areas had higher odds (OR: 2.0; CI: 1.1-3.7) of receiving late chemotherapy compared with White women living in rural areas. Unmarried Black women also had greater risk (OR: 2.0; CI: 1.0-4.0) of receiving late radiotherapy compared to married White women.
Conclusions To improve timely receipt of effective BrCA treatments, programs aimed at reducing racial disparities may need to target subgroups of Black breast cancer patients based on their social determinants of health and geographic residence.
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Details
- Title
- Racial Disparities and Diagnosis-to-Treatment Time Among Patients Diagnosed with Breast Cancer in South Carolina
- Creators
- Oluwole Adeyemi Babatunde - University of South CarolinaJan M. Eberth - University of South CarolinaTisha M. Felder - University of South CarolinaRobert Moran - University of South CarolinaChanita Hughes-Halbert - University of South CarolinaSamantha Truman - University of South CarolinaJames R. Hebert - Connecting Health Innovations (United States)Sue Heiney - University of South CarolinaSwann Arp Adams - University of South Carolina
- Publication Details
- Journal of racial and ethnic health disparities, v 9(1), pp 124-134
- Publisher
- SPRINGER INT PUBL AG
- Number of pages
- 11
- Grant note
- R21 CA 235852 / National Cancer Institute's R21 grant GTDR17500160 / Interdisciplinary Graduate Training Program in Cancer Disparities (IGniTE-CD) program - Susan G. Komen R15CA179355 / National Cancer Institute's R15 grant F99 CA 222722; K00 CA 222722 / National Cancer Institute's K00 Fellowship grant K01CA193667 / National Cancer Institute Mentored Research Scientist Development Award
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000607012100002
- Scopus ID
- 2-s2.0-85099306864
- Other Identifier
- 991021855274104721
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- Collaboration types
- Industry collaboration
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health