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Racial disparities in sentinel lymph node biopsy in women with breast cancer
Date:6/18/2014

these techniques reach historically disadvantaged patients to avoid disparities in care. More contemporary data will be needed to determine whether this disparity still exists in black patients and other at-risk minorities."

Author: Dalliah M. Black, M.D., of the University of Texas MD Anderson Cancer Center, Houston, Texas.

(JAMA Surgery. Published online June 18, 2014. doi:10.1001/jamasurg.2014.23. Available pre-embargo to the media at http://media.jamanetwork.com.)

Editor's Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

Commentary: Racial Disparities in Breast Cancer More Bad News

In a related commentary, Colleen D. Murphy, M.D., and Richard D. Schulick, M.D., M.B.A., of the University of Colorado, Aurora, write: "One key and uncertain issue in the study of lymphedema is its very diagnosis."

"In the study by Black and colleagues, it seems likely that patients undergoing axillary lymph node dissection, when sentinel node biopsy may have been indicated, were cared for at institutions without lymphedema screening protocols. In black women, lymphedema screening may be especially relevant; Black et al have demonstrated that this population is at highest risk," they continue.

"Black and colleagues have highlighted another disparity in breast cancer care and its associated morbidity. With this information in hand, we should seek to eliminate these differences as much as possible."

(JAMA Surgery. Published online June 18, 2014. doi:10.1001/jamasurg.2014.44. Available pre-embargo to the media at http://media.jamanetwork.com.)

Editor's Note: Please see the article for additional information, including other authors, author contri
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Contact: Julie A. Penne
jpenne@mdanderson.org
713-792-0662
The JAMA Network Journals
Source:Eurekalert

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