Navigation Links
Fox Chase researchers find no disparities in imaging before breast cancer surgery

CHICAGO, IL (May 16, 2012)If racial and ethnic disparities in breast cancer exist, they are not due to differences in the use of imaging to assess the extent of tumors before surgery, according to new findings that will be presented by Fox Chase Cancer Center researchers at the 2012 Annual Meeting of the American Society of Clinical Oncology on Monday, June 4.

"It's encouraging that we didn't see any differences between black and white women in the use of imaging before surgery," says lead study author Richard J. Bleicher, M.D., a breast surgeon at Fox Chase.

There is some evidence to suggest that Caucasian women live longer with breast cancer than African-American women do, even when they have the same type of tumor. However, the research is somewhat contradictory, cautions Bleicher. "Most data show different outcomes between black and white women with breast cancer," he says. "But the reasons are controversial."

If any disparity exists, it's important to determine the cause, he says. To investigate whether different women receive different types of care before surgery, Bleicher and his colleagues looked at rates of preoperative imaging, such as MRI, ultrasound, and mammograms. These scans, which would take place before a woman undergoes surgery to remove her tumor, help determine whether she has cancer and its extent within the breast, as well as whether it's spread throughout the body.

For some women, this type of imaging is necessary, says Bleicherbut in other patients, imaging is not appropriate. "We were just looking for patterns of care in women with breast cancer," explains Bleicher. "We wanted to know whether imaging was used more or less in white and black women with breast cancer."

To obtain that information, Bleicher and his co-authors reviewed data collected from nearly 40,000 Medicare subscribers who had developed invasive nonmetastatic breast cancer between 2000 and 2005, mostly women 65 and older. Approximately 6% of women were black; 87% were white.

To ensure no third factor might influence the result, the authors used statistical tools to adjust for any influence of demographics, tumor characteristics, and socioeconomic status on the results. "We tried to account for these subtle things that are associated with each other," Bleicher says. Once they took those other factors into account, they found that black women were no less likely than white women to receive imaging before surgery.

Interestingly, they did see that women who lived in areas where people are more highly educated were more likely to receive some types of imagingnamely ultrasound, breast MRI, CT scans, and bone scans, but not mammograms. It's possible that women who receive more education are more likely to request additional imaging or be more willing to undergo it, says Bleicher. "It's not clear why education predicts the use of some types of preoperative imaging."

He cautions that these data apply mostly to older women, and may not represent the picture of what happens in women who are younger, and lack health insurance.

These results do not mean the work is done, he adds. "We can't be complacent that there's not a problem," says Bleicher. "It's still highly possible that survival differences between black and white women with breast cancer can be improved. The next step is to investigate whether women with breast cancer experience any disparities in the types of treatment they receive. We still have more work to do."


Contact: Diana Quattrone
Fox Chase Cancer Center

Related medicine news :

1. Fox Chase Cancer Center leads efforts to establish national standards for survivorship care
2. Psychologists chase down sleep demons
3. Fox Chase researchers improve accuracy of IMRT delivery in post-prostatectomy patients
4. Fox Chase Gleason scores better predict prostate cancers recurrence after radiation
5. Fox Chase researchers identifiy more accurate treatment delivery for robotic radiosurgery system
6. Fox Chase researchers identify new mechanism used by cells to reverse silenced genes
7. Fox Chase Cancer Center signs agreement with Life Technologies Corp.
8. Study: Lowering cost doesnt increase hearing aid purchases
9. Fox Chase researchers find that fish oil boosts responses to breast cancer drug tamoxifen
10. Fox Chase researchers report that naproxen reduces tumors in a mouse model of colon cancer
11. Fox Chase scientists report interplay between cancer and aging in mice
Post Your Comments:
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... Marcy was in a crisis. Her son ... lash out at his family verbally and physically. , “When something upset him, he couldn’t ... would use it. He would throw rocks at my other children and say he was ...
(Date:6/24/2016)... ... 2016 , ... Global law firm Greenberg Traurig, P.A. announced that 20 Florida ... their peers for this recognition are considered among the top 2 percent of lawyers ... as members of this year’s Legal Elite Hall of Fame: Miami Shareholders Mark ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San Diego, ... and the Road To Recovery® program to drive cancer patients to and from their ... to ensure the highest quality of life and ongoing independence. Getting to and ...
(Date:6/24/2016)... ... June 24, 2016 , ... People across the U.S. are sharpening their pencils ... an essay contest in which patients and their families pay tribute to a genetic ... 2016 National Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... proud to recognize Dr. Barry M. Weintraub as a prominent plastic surgeon and ... women in the world, and the most handsome men, look naturally attractive. Plastic ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Belgium , June 24, 2016 ... today announced the appointment of Dr. Edward ... as a Non-Executive Director, effective June 23, 2016.Dr. ... Compensation and Nominations and Governance Committees.  As a ... will provide independent expertise and strategic counsel to ...
(Date:6/23/2016)... June 23, 2016  MedSource announced today that ... e-clinical software solution of choice.  This latest decision ... value to their clients by offering a state-of-the-art ... relationship establishes nowEDC as the EDC platform of ... full-service clients.  "nowEDC has long been a preferred ...
(Date:6/23/2016)... -- Any dentist who has made an implant supported denture ... of them do not even offer this as a viable ... costs involved. And those who ARE able to offer that ... cost that the majority of today,s patients would not be ... , founder of Dental Evolutions Inc. and inventor of Implanova ...
Breaking Medicine Technology: