CHICAGO (May 4, 2009) New research published in the May issue of the Journal of the American College of Surgeons shows that dramatic disparities in breast cancer outcomes continue to exist for African-American women, regardless of the age at which they are diagnosed, extent of the cancer, type of treatment or socioeconomic status. The study represents the largest population-based analysis of breast cancer outcomes data to date, including more than 60,000 patients in the state of Florida.
Although government programs to improve access to breast cancer screening and treatment have been in place for nearly two decades, African-American women continue to suffer a high breast cancer mortality rate, even though the incidence of breast cancer in this population is lower than in Caucasian women.
The research indicates that breast cancer outcomes for African-American women might be improved by lowering the recommended age of initial screening from 40 years to 33 years, the age at which the percentage of African-American women who develop breast cancer is similar to the percentage of Caucasian women in whom the disease develops under 40 years of age.
"Current screening guidelines are not sufficient in detecting breast cancer in African-American patients because the disease has already developed in over 10 percent of these women by age 40," said Leonidas G. Koniaris, MD, FACS, Surgical Oncology DeWitt Daughtry Family Department of Surgery, University of Miami, Miller School of Medicine. "However, even with earlier diagnosis, our analysis uncovered serious socioeconomic barriers that prevent many African-American women with breast cancer from receiving the latest, most specific treatments."
The analysis identified 63,472 patients with invasive breast cancer using the Florida Cancer Data System and data from the state's Agency for Health Care Administration. Overall, 90.5 percent of patients were Caucasian and 7.6 percent were A
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