Cancer in a 29-County Area in Eastern North Carolina

Lea, C. Suzanne; King, Ann

doi:10.18043/ncm.75.4.287

Cited by 8 publications

(10 citation statements)

References 2 publications

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Section: Methodsmentioning

confidence: 99%

“…Our institution serves the residents of Eastern North Carolina, a 29-county region whose population experiences disproportionately higher rates of breast cancer mortality and includes a larger proportion of black individuals compared with the rest of the state. 7,8 The institutional pathology database was queried for breast specimen reports containing the search term "Phyllodes." The resultant reports, which included both biopsy pathology and surgical pathology, were reviewed to identify unique patients.…”

Section: Methodsmentioning

confidence: 99%

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Race-Related Differences in the Clinical Presentation and Histopathologic Features of Phyllodes Tumor

Johnson

Mohamed

Hassan

et al. 2021

The American Surgeon™

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Background Phyllodes tumor (PT) is a rare fibroepithelial lesion of the breast with variable malignant potential. Black women have a higher incidence of a related benign tumor, fibroadenoma, but there are limited epidemiological data on PT. The aim of our study was to evaluate race-related differences in the clinicopathologic features and outcomes of PT. Methods Our institutional pathology database was queried for breast specimen reports from 01/2009 to 10/2019 to identify patients with a pathologic diagnosis of PT. Chart review and detailed slide review were performed to obtain clinical and histopathologic variables, respectively. Results Among twelve patients, two had malignant PT, three had borderline PT, and seven had benign PT. All patients with malignant and borderline PT were black, compared with 29% of those with benign PT. There were no apparent race-related differences in specific histopathologic features among black vs. non-black women with benign PT. Malignant and borderline PT were relatively larger than benign PT, with mean tumor sizes of 9.0 cm (standard deviation [SD] 4.7 cm), 12.2 cm (SD 9.4 cm), and 5.4 cm (SD 5.8 cm), respectively. Two women had a local recurrence, both of whom were black. Discussion In this single-institution retrospective study, we observed disproportionate rates of aggressive histopathologic features and disparate outcomes among black women with PT. A multi-institutional PT registry would facilitate improved knowledge about race-related differences in the presentation and outcomes of this rare tumor.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Race-Related Differences in the Clinical Presentation and Histopathologic Features of Phyllodes Tumor

Johnson

Mohamed

Hassan

et al. 2021

The American Surgeon™

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“…Overcoming contributors to the STEM pipeline leak in North Carolina would require developing processes to control the geographic disadvantage, whereby resources are unequally distributed across the state. This disadvantage is especially compounded in the eastern part of the state, due to low socioeconomic status of residents, health inequities, rurality, and poorer health status [15,16].…”

Section: The Need For Hbcu Nasi and Pwi Partnershipsmentioning

confidence: 99%

Institutional and Faculty Partnerships to Promote Learner Preparedness for Health Professions Education

Campbell

Kaur-Walker

Singh

et al. 2020

J. Racial and Ethnic Health Disparities

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By the year 2060, it is projected that 57% of the US population will be members of minority groups, with no one group being the majority. While there is increasing diversity of the population, there remain significant disparities in morbidity and mortality affecting minority groups, and persistent low numbers of underrepresented students in the health professions. Increasing the numbers of underrepresented minority students in health care and decreasing the disparity gap have been a priority for many institutions. Increasing diversity requires an approach that not only involves health professions schools but also involves undergraduate institutions, faculty, and other professionals who provide pre-health training to students. In 2018, a group of academic medicine leaders convened the Innovators, Collaborators, and Leaders conference with faculty at institutions across the state of North Carolina to discuss ways to improve learner preparedness for health professions education and increase numbers of underrepresented students pursuing health careers. In this manuscript, the authors share results from the conference and how institutional and faculty partnerships can promote learner preparedness for health professions education.

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“…Eastern North Carolina is poorer, more rural, more diverse, and oftentimes sicker than the rest of North Carolina and much of the United States. [10][11][12] In comparison to the rest of the state, people in eastern North Carolina have lower educational attainment, which can translate to lower wages and higher unemployment rates, 11 complicating the health problems of community residents.…”

Section: Introductionmentioning

confidence: 99%

The Role of North Carolina Medical Schools in Producing Primary Care Physicians for the State

Campbell

Linares

Tumin

et al. 2020

J Prim Care Community Health

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Introduction: Primary care physicians serve on the front lines of care and provide comprehensive care to patients who may have difficulty accessing subspecialists. However, not enough students are entering residency in primary care fields to meet the primary care physician shortage. The authors sought to compare primary care match rates among graduates of medical schools in the state of North Carolina from 2014 to 2018. Methods: The 4 allopathic medical schools in the state of North Carolina were selected for this study: East Carolina University (ECU) Brody School of Medicine, University of North Carolina (UNC) Chapel Hill, Duke School of Medicine, and Wake Forest School of Medicine. Primary care specialties were defined as family medicine, internal medicine, pediatrics, and internal medicine/pediatrics. The proportion of students matching to a residency in any of these fields, and in each specific field, was compared across schools. Results: Over 2014-2018, 214 ECU Brody School of Medicine graduates, 386 UNC graduates, 165 Duke graduates, and 196 Wake Forest graduates matched to a primary care specialty. ECU had the highest proportion of its graduates match in a primary care specialty (53%, compared with 34% to 45% at other schools; P < .001), and was particularly distinguished by having the highest proportions of graduates match to residencies in family medicine (18%) and pediatrics (16%). Conclusion: During the study period of 2014-2018, the ECU Brody School of Medicine matched more medical students into primary care specialties than the other medical schools in the state. This school’s community-driven mission and rural location, among other characteristics facilitating sustained student commitment to primary care careers, can inform the development of new medical schools in the United States to overcome the primary care physician shortage.

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Cancer in a 29-County Area in Eastern North Carolina

Cited by 8 publications

References 2 publications

Race-Related Differences in the Clinical Presentation and Histopathologic Features of Phyllodes Tumor

Race-Related Differences in the Clinical Presentation and Histopathologic Features of Phyllodes Tumor

Institutional and Faculty Partnerships to Promote Learner Preparedness for Health Professions Education

The Role of North Carolina Medical Schools in Producing Primary Care Physicians for the State

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