RECEIPT OF SURGICAL TREATMENT IN WOMEN WITH EARLY STAGE BREAST CANCER: DOES PLACE OF BIRTH MATTER? Open Access
Chavan, Saurabh Subhash (2013)
Published
Abstract
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
Table of Contents
TABLE OF CONTENTS
Introduction...1
Methods...4
Results...7
Discussion...9
References...12
Tables...19
Appendix
IRB Exemption Letter
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