RECEIPT OF SURGICAL TREATMENT IN WOMEN WITH EARLY STAGE BREAST CANCER: DOES PLACE OF BIRTH MATTER? Open Access
Chavan, Saurabh Subhash (2013)
Background: While effects of age, race, place of residence, and marital status on treatment receipt among female breast cancer patients have been well documented, place of birth is a relatively less studied factor. The purpose of this study was to assess the association between birth place and type of surgery performed for early-stage breast cancer among women of different racial and ethnic backgrounds.
Methods: Eligible cases (n=119,560) were selected from the SEER registries for the period 2004-2009. US born and foreign-born patients of different racial/ethnic groups were compared to US born non-Hispanic Whites (NHW) with respect to receipt of breast conserving surgery (BCS) or mastectomy. Results of multivariable logistic regression analyses were expressed as adjusted odds ratios (OR) and the corresponding 95% confidence intervals (CI).
Results: Relative to US NHW, BCS was more common in foreign-born Whites (OR=1.21. 95% CI: 1.15-1.28) and foreign-born Blacks (OR=1.21. 95% CI: 1.15-1.28) Foreign born Asians received less BCS compared to both US NHW (OR=0.76, 95% CI: 0.72-0.80) and US Asians (OR=0.74, 95% CI: 0.64-0.86).
Conclusions: The differences in receipt of BCS or mastectomy were generally small but noticeable, particularly for Asians. The underlying cultural or economic factors affecting breast cancer treatment selection or receipt in different population subgroups need further examination
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