Navigation Links
Blacks, Hispanics less likely than whites to receive follow-up radiation for early breast cancer
Date:5/30/2008

CHICAGOBlack and Hispanic women are less likely than white women to receive the radiation therapy routinely prescribed following surgery for early breast cancer, according to a study that Dana-Farber Cancer Institute researchers will present at the annual meeting of the American Society of Clinical Oncology in Chicago.

Although the disparity in rates is relatively small, the findings suggest that thousands of black and Hispanic breast cancer patients may be undertreated following a lumpectomy. The data (abstract 535) will be presented during a poster session on Monday, June 2, 8 a.m. 12 p.m. CT, Lakeside Center Building, 450A.

Rachel Freedman, MD, an oncology fellow in Dana-Farber's Breast Oncology Center, noted that although some women in all racial and ethnic groups fail to receive the recommended course of radiation following breast-conserving surgery (lumpectomy) which has largely replaced mastectomy for small, early breast tumors black and Hispanic patients have the lowest rates among all racial/ethnic groups studied.

The regimen calls for short sessions of radiation five days a week for six to seven weeks, and "there are many barriers that may prevent this from happening," Freedman noted. Often there are logistical problems: distance to a radiation treatment facility, conflicts with work, transportation and child care issues, she said. Other factors include insurance status, possible lack of a recommendation for radiation in older patients or those perceived to have lower risk cancers, as well as patient preferences and priorities.

Freedman, along with senior author Nancy L. Keating, MD, MPH, of Brigham and Women's Hospital and two other co-authors, analyzed cancer registry data on 375,547 women with stage I or II breast cancer. They calculated rates of receiving lumpectomy and radiation or mastectomy (termed "definitive primary therapy") and the rates of having a lumpectomy without radiation (non-definitive therapy) among racial/ethnic groups.

Compared with white women, black women had lower odds of receiving definitive therapy (82.1 percent for blacks versus 86.1 percent for whites). Hispanic women also had a lower rate, 83.2 percent, while the rate among Asian women, 89.4 percent, was higher than it was for white women.

"The difference between blacks and whites may seem small percentage wise 4 percent but if 200,000 women are diagnosed with early breast cancer every year, 4 percent amounts to 8,000 women who are not receive definitive primary therapy," said Freedman.

"We don't know the exact reasons for these disparities," Freedman said. "We are interested in finding out what is happening in these women, and subsequent studies need to examine how other factors have contributed to these findings. In a follow-up study, we are examining pertinent issues such as insurance status, education level, and income."


'/>"/>

Contact: Bill Schaller
william_schaller@dfci.harvard.edu
617-632-5357
Dana-Farber Cancer Institute
Source:Eurekalert

Related medicine news :

1. Older Blacks, Latinos Struggle With Diabetes Control
2. Blacks, Hispanics Live Longer With Alzheimers
3. Blacks, Hispanics less likely to get strong pain drugs in emergency rooms
4. Donate Life America Dispels Myths About Organ & Tissue Donation Among Hispanics During National Hispanic Heritage Month
5. Mega Events in September Allow Heart Health Campaign to Reach Tens of Thousands of Hispanics During Cholesterol Awareness Month
6. U.S. Health Initiative Targets Aging Hispanics
7. Uncontrolled Blood Pressure Highest Among Hispanics, Prompting New Hypertension Project in San Antonio
8. Mega Events in September, Including Chicago Event This Sat./Sun., Allow Heart Health Campaign to Reach Tens of Thousands of Hispanics During Cholesterol Awareness Month
9. Hispanics hypertension better controlled with equal access to care
10. Many U.S. Hispanics Struggle With Health Care System
11. Abbott Named One of the Best Companies for Hispanics by Hispanic Business Magazine
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/25/2016)... ... May 25, 2016 , ... ... seen a significant spike in their clients' employee participation for their wellness initiatives. ... screening by implementing a high-deductible health plan with outcome-based deductible incentives. As a ...
(Date:5/25/2016)... Jersey (PRWEB) , ... May 25, 2016 , ... ... technology firm will be selling the device branded as Stern’s Real Time Monitoring ... geared to bedbugs to the hotel and motel industry, colleges for use in dormitories, ...
(Date:5/24/2016)... ... May 24, 2016 , ... PhishLine, the best-in-class, enterprise ... company as Vice President of Sales. Cifolelli’s primary responsibilities include management of ... the rapidly expanding field of organizational social engineering. , “We are delighted ...
(Date:5/24/2016)... ... ... Jericho Project has named LaToya Williams-Belfort to the position of Chief Development and Communications ... the nationally-acclaimed nonprofit, working closely with CEO Tori Lyon and the Board of Directors ... , “LaToya Williams-Belfort is joining Jericho at an exciting time of growth and ...
(Date:5/24/2016)... , ... May 24, 2016 , ... How to Write ... Raleigh, NC, http://www.fdanews.com/humanerrordrugdevice , Human error is known to be the major ... human error will ever be totally eliminated, many human performance problems can be prevented. ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... , May 25, 2016 ... the precision of circulating tumour DNA (ctDNA) analysis ... the appointment of Professor Clive Morris ... leadership across the clinical development programme, scientific collaborations, ... help deliver significant improvements in clinical outcomes for ...
(Date:5/24/2016)... , May 24, 2016 ... Markt gebracht, die es Ärzten erlaubt, ihre Expertise ... behandeln: MDLinking kombiniert Live Streaming mit einer Instant-Messaging-Funktion ... zu kommunizieren. Mediziner in Europa, Afrika, Asien und ... bereits für die Plattform registriert. Information ...
(Date:5/24/2016)... , May 24, 2016 ... beide primären Endpunkte und demonstriert ... in ‚ausgezeichneter plus guter , ...    ,      (Logo: http://photos.prnewswire.com/prnh/20130829/633895-a ... heute neue positive Daten von der MORA-Studie der ...
Breaking Medicine Technology: