Navigation Links
Minorities less likely to know about breast cancer treatment options
Date:7/30/2008

ANN ARBOR, Mich. Nearly half of women treated for breast cancer did not know that their odds of being alive after five years are roughly the same whether they undergo mastectomy or breast conserving surgery. Minority women were even less likely to be aware of this important factor of their treatment decision, according to a study from the University of Michigan Comprehensive Cancer Center.

Minority women were also less likely to know about relative survival rates even when researchers considered factors such as the surgeon's experience, the type of hospital, and whether patients reported talking to their surgeon about treatment options.

"These factors traditionally associated with quality care were not associated with informed decision-making or with our knowledge measures. Surgeon volume or treatment setting did not affect whether women had good knowledge of their treatment options after they had been through the process, nor did it really mediate the racial and ethnic differences we found," says study author Sarah Hawley, Ph.D., a research investigator at the U-M Comprehensive Cancer Center.

Results of the study appear in the August issue of Health Services Research.

The researchers surveyed 1,132 breast cancer patients and asked them whether the chances of being alive five years after surgery were the same after a mastectomy or after lumpectomy with radiation, and whether the chance of breast cancer coming back after treatment was the same for the two surgeries.

Overall, only 51 percent responded correctly to the survival question, but the numbers varied significantly for minorities: 57 percent of whites answered correctly, 34 percent of African-Americans knew their survival odds, and 37 percent of Latinas did.

The researchers found similar results for the recurrence question. Overall, 48 percent said they did not know the answer to the recurrence question, with African-Americans and Latinas significantly more likely to answer "don't know." Research shows that both survival and recurrence are about the same for both surgical options.

Researchers then looked at whether the women were treated by a general surgeon or one who specializes in breast cancer procedures, as well as whether the woman was treated at a National Cancer Institute-designated comprehensive cancer center or in a community hospital setting.

They found that even when factoring these points in, minority women still were less likely to be knowledgeable about survival.

"It's important for women to be able to do what we call a high-quality decision-making process. That would mean that the decision needs to be well-informed, based on an accurate knowledge of the risks and benefits of the options, and it also needs to be based on their preferences. If women do not make an informed decision, they're more likely to be dissatisfied down the road with the treatment they received," Hawley says.

The researchers did find, however, that patients who said their surgeon described both treatment options more often had adequate knowledge. The findings indicate that not all patients are clearly understanding information their surgeons may be telling them. The researchers urge surgeons to make sure they communicate information about treatment options, including survival and recurrence risks, during the initial visit in a way that is culturally and ethnically appropriate.

The researchers also urge patients to be aware of their treatment options. "Be sure to ask questions of your surgeon and consider exploring other avenues for getting information," Hawley says.

Breast cancer statistics: 184,450 Americans will be diagnosed with breast cancer this year and 40,930 will die from the disease, according to the American Cancer Society

Methodology: The researchers surveyed 1,132 women recently diagnosed with breast cancer in the Detroit and Los Angeles metropolitan areas. Information was collected from the Surveillance, Epidemiology and End Results Registry, a database maintained by the National Cancer Institute that collects information about cancer incidence, treatment and mortality. Patients were matched to 277 surgeons, who were also surveyed. About 73 percent of the women were white, 18 percent were African-American and 9 percent were Latino or other ethnicity.


'/>"/>

Contact: Nicole Fawcett
nfawcett@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

Related medicine news :

1. Minorities more likely to have sleep durations associated with increased mortality
2. Minorities Less Likely to Get Powerful Painkillers in ER
3. UCLA launches network to study health care disparities affecting minorities
4. Minorities, whites get equal care in hospitals
5. Minorities, Poor Have Tougher Time Monitoring Diabetes
6. State of Cancer Care for Nations Poor and Minorities Is Focus of Conference in Washington
7. Patient Navigators Boost Colon Screens in Urban Minorities
8. Seniors, minorities to have largest impact on tomorrows America
9. Scientists ID Likely Culprit in Popcorn Lung
10. Pop stars more than twice as likely to die an early death
11. Smokers More Likely to Develop Dementia
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... ... for human induced pluripotent stem (iPS) cells and other difficult to transfect cells, ... Cloning Medium. The PluriQ™ G9™ Gene Editing System is a complete ...
(Date:6/24/2016)... ... June 24, 2016 , ... To ... infrastructure. Most providers, however, are unsure how to move forward, given the need ... define a path forward tailored to an organization’s specific needs. , PYA Principal ...
(Date:6/24/2016)... (PRWEB) , ... June 24, 2016 , ... SpiritQuest Sedona ... heart of West Sedona, surrounded by famous vortex sites: Cathedral Rock, Airport Mesa, and ... partner properties – the Lodge at Sedona as well as the Sedona Rouge, both ...
(Date:6/23/2016)... (PRWEB) , ... June 23, 2016 , ... An ... may expose a possible link between head and neck cancer in individuals with unhealthy ... the study were evaluated based on whether they had gum disease, brushed their teeth ...
(Date:6/23/2016)... ... 23, 2016 , ... SyncDog, Inc. , the leading ... is featured in the current issue of Silicon Review magazine. Silicon ... technology solutions and features them in their magazine. The magazine allows top-level executives ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... Roche (SIX: RO, ROG; OTCQX: RHHBY) announced that it ... (procalcitonin) assay as a dedicated testing solution for people ... Roche is the first IVD company in the U.S ... assessment and management. PCT is a sepsis-specific ... blood can aid clinicians in assessing the risk of ...
(Date:6/23/2016)... , June 23, 2016 Research ... Pharma News Issue 52" report to their offering. ... in influenza treatment creates a favourable commercial environment for MedImmune ... growing patient base that will serve to drive considerable growth ... vaccine would serve to cap sales considerably, but development is ...
(Date:6/23/2016)... PARK RIDGE, Ill. and INDIANAPOLIS ... caliber of students receiving a Lilly Diabetes Tomorrow,s Leaders ... hands. The 2016 scholarship winners, announced today online at ... refused to let type 1 diabetes stand in the ... Lilly Diabetes has supported the Foundation,s scholarship program since ...
Breaking Medicine Technology: