title: Indigent breast cancer patients among all racial and ethnic groups present with more advanced disease compared with nationally reported data.
abstract: BACKGROUND
  This study examines the epidemiologic and pathologic characteristics of indigent breast cancer patients followed up in a public city hospital in comparison to national standards.
  
  
  METHODS
  A prospective oncology database was queried to identify all patients presenting with primary breast cancer. Medical records of 188 patients identified between March 1997 and May 2002 were retrospectively reviewed. Pathologic and epidemiologic data were compared with 1998 data reported by the Surveillance, Epidemiology, and End Results (SEER) program.
  
  
  RESULTS
  Among the patient population 10% were Caucasian, 13% African-American, 49% Hispanic, 25% Chinese, and 6% were of other background. The majority of patients were uninsured. Indigent patients within each ethnic group presented with more advanced disease when compared with patients reported by SEER.
  
  
  CONCLUSIONS
  Indigent patients among all ethnic and racial backgrounds present with more advanced disease when compared with national statistics reported by SEER. The majority of these patients is uninsured and would benefit from more aggressive education, screening, detection methods, and follow-up.
authors.affiliation: Department of Surgery, New York University School of Medicine, 550 First Ave, New York, NY 10016, USA.
authors.forename: Arpana M
authors.initials: AM
authors.lastname: Naik
authors.forename: Kathy
authors.initials: K
authors.lastname: Joseph
authors.forename: Marcia
authors.initials: M
authors.lastname: Harris
authors.forename: Christine
authors.initials: C
authors.lastname: Davis
authors.forename: Richard
authors.initials: R
authors.lastname: Shapiro
authors.forename: Karen L
authors.initials: KL
authors.lastname: Hiotis
mesh_terms: D001943:Breast Neoplasms / Q000208:ethnology* / Q000473:pathology; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D008489:Medical Indigency; D009519:New York City; D010672:Phenytoin; D011446:Prospective Studies; D044469:Racial Groups; D012189:Retrospective Studies; D012959:Socioeconomic Factors
chemical_list: D010672:Phenytoin