Disparities in breast cancer treatment among American Indian, Hispanic and non-Hispanic White Women Enrolled in Medicare.
Because racial/ethnic disparities in breast cancer survival have persisted, we investigated differences in breast cancer treatment among American Indian, Hispanic, and non-Hispanic White (NHW) women. Surveillance, Epidemiology and End Results data linked to Medicare claims in New Mexico and Arizona (1987-1997) among enrollees aged 65 and older were used to identify treatment, treatment interval, and mortality risk associated with delays in care. We identified 2,031 women (67 American Indian, 333 Hispanic and 1,631 NHW women with time to treatment information. Treatment intervals from diagnosis to surgery (all stages, 18 versus 4 days, p.
Public Health Sciences at Penn State College of Medicine, USA. rwilson@psu.edu
Robin Taylor
RT
Wilson
Meg
M
Adams-Cameron
Linda
L
Burhansstipanov
Marilyn A
MA
Roubidoux
Nathaniel
N
Cobb
Charles F
CF
Lynch
Brenda K
BK
Edwards
D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000401:mortality / Q000473:pathology / Q000628:therapy*; D003131:Combined Modality Therapy; D005260:Female; D006297:Health Services Accessibility; D006630:Hispanic or Latino; D006801:Humans; D007198:Indians, North American; D038801:International Classification of Diseases; D006278:Medicare / Q000706:statistics & numerical data*; D018426:SEER Program; D014481:United States; D044465:White People