Racial/ethnic disparities in breast and gynecologic cancer treatment and outcomes

@article{Tammemagi2007RacialethnicDI,
  title={Racial/ethnic disparities in breast and gynecologic cancer treatment and outcomes},
  author={C. Martin Tammemagi},
  journal={Current Opinion in Obstetrics and Gynecology},
  year={2007},
  volume={19},
  pages={31–36}
}
  • C. M. Tammemagi
  • Published 1 February 2007
  • Medicine
  • Current Opinion in Obstetrics and Gynecology
Purpose of review To review recent research in racial/ethnic disparities in breast and gynecologic cancers, focusing on disparities occurring postdiagnosis. Recent findings Mortality statistics show that of the cancers under study, breast cancer has the greatest impact, and of racial/ethnic groups, African Americans suffer the greatest disparities, with highest mortality rates for breast, uterine and cervical cancers, and second highest for ovarian cancer. Recent studies demonstrated that black… 

Assessing the Racial and Ethnic Disparities in Breast Cancer Mortality in the United States

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It is found that racial/ethnic disparities in breast cancer may be attributed to a large number of clinical and non-clinical risk factors including lack of medical coverage, barriers to early detection and screening, more advanced stage of disease at diagnosis among minorities, and unequal access to improvements in cancer treatment.

Examination of Racial/Ethnic Disparities in Ovarian Cancer Stage of Diagnosis, Surgery Treatment and Survival: Multilevel Analysis of 2001-2012 SEER Data

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  • 2017
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...

References

SHOWING 1-10 OF 27 REFERENCES

Missed opportunities: racial disparities in adjuvant breast cancer treatment.

TLDR
Minority women with early-stage breast cancer have double the risk of white women for failing to receive necessary adjuvant treatments despite rates of oncologic consultation similar to those for white women.

Ethnicity and breast cancer: factors influencing differences in incidence and outcome.

TLDR
Differences in breast cancer incidence rates between most racial/ethnic groups were largely explained by risk factor distribution except in African Americans, however, breast cancers in African American women more commonly had characteristics of poor prognosis, which may contribute to their increased mortality after diagnosis.

Racial disparities in treatment and survival of women with stage I–III breast cancer at a large academic medical center in metropolitan Detroit

TLDR
The theory that equal treatments produce equal outcomes in women diagnosed with invasive breast cancer is supported, and improvement in screening may have an important impact on survival among minority women with breast cancer.

Disparities across the breast cancer continuum

TLDR
A structured review of the literature suggests that research in other domains of social inequality and levels of the cancer continuum may uncover further disparities.

Comorbidity and survival disparities among black and white patients with breast cancer.

TLDR
Effective control of comorbidity in black breast cancer patients should help improve life expectancy and lead to a reduction in survival disparities.

Racial Inequities in the Timing of Breast Cancer Detection, Diagnosis, and Initiation of Treatment

TLDR
Racial differences were identified at each step in the evaluation and treatment clinical pathway, including method of detection, timing from first symptoms of cancer to pathologic diagnosis, and timing from diagnosis to initiation of treatment.

Breast Cancer Survival among South Asian Women in California (United States)

TLDR
The need for targeted efforts to improve early stage diagnosis among South Asian women is suggested, and there was no significant difference in survival between South Asians and non-Hispanic Whites after multivariate adjustment.

Trends in Breast Cancer by Race and Ethnicity: Update 2006

TLDR
Estimates of new breast cancer cases and deaths in 2006 are provided and trends in incidence, mortality, and survival for female breast cancer in the United States are described and trends are described.

Meta-analysis of survival in African American and white American patients with breast cancer: ethnicity compared with socioeconomic status.

TLDR
The pooled analysis demonstrated that African American ethnicity is a significant and independent predictor of poor outcome from breast cancer, even after accounting for socioeconomic status by conventional measures.