Mitigating disparities in breast cancer treatment at an academic safety-net hospital

Beaulieu‐Jones, Brendin R.; Shewmaker, Grant; Fefferman, Ann; Kenzik, Kelly; Gilroy, Simon; Drake, Frederick Thurston; Sachs, Teviah E.; Hirsch, Ariel E.; Merrill, Andrea; Ko, Naomi; Cassidy, Michael R.

doi:10.1007/s10549-023-06875-6

Cited by 8 publications

(2 citation statements)

References 26 publications

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“…For instance, patients who present at later stages may require more intense treatment regimens or may have less treatment options available to them compared with if they presented earlier. Six of the identified articles addressed this disparity, with 4 identifying a disparity 32–35 and 2 finding no relationship with the Hispanic population 36,37 . One of the identified studies, by Moore et al, 34 identified that regardless of rural versus urban location, patients with breast cancer that identified as Hispanic were more likely to present with late-stage disease at diagnosis compared with non-hispanic white (NHW) patients (Hispanic-Urban: adjusted odds ratio [aOR] 1.25, Hispanic-Rural: aOR 1.75).…”

Section: Resultsmentioning

confidence: 99%

Disparities in Access to Radiotherapy Among Hispanic/Latinx Populations in the United States

Verdini,

Santos,

Vicioso-Mora

et al. 2023

American Journal of Clinical Oncology

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Objectives: The Hispanic/Latinx population has consistently faced disparities in oncology access and outcomes with cancer being the leading cause of death in this population. We evaluate recent research in radiation therapy disparities among the Hispanic/Latinx population in the United States since our seminal analysis from 2017. Methods: A PubMed literature search was conducted for articles published from January 2017 through March 2023. Four term combinations were utilized, including: (1) “Hispanic” and “Radiotherapy” and “Disparities”, (2) “Latino” and “Radiotherapy” and “Hispanic”, (3) “Hispanic” and “Radiation” and “Disparities”, and (4) “Latino” and “Radiation” and “Disparities.” Included studies were those taking place in the United States, examined radiation oncology care, and examined health disparities. Results: Fifty-eight of 245 articles returned met inclusion criteria and spanned 6 disparity-types: (1) Stage at Presentation, (2) Time to Treatment Initiation & Completion, (3) Receipt of Treatment and Guideline-Concordant Care, (4) Geography, (5) Clinical Trial Access and (6) Insurance Barriers and Treatment Center Type. The most common disparity was receipt of treatment and guideline-concordant care (n=39 studies), demonstrating that the Hispanic/Latinx population was less likely to receive guideline-concordant treatment or treatment at all. In additon, studies identified disparities in time to treatment and completion (n=12), geography (n=5), clinical trial access (n=3), and insurance and treatment center access (n=5). Conclusions: Disparities in radiotherapy access remain prominent for the Hispanic/Latinx population through a multitude of barriers, despite increasing interest in disparities research. Continued health care disparities research with tangible interventions are needed in radiation oncology to properly understand and address this problem.

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Section: Resultsmentioning

confidence: 99%

Disparities in Access to Radiotherapy Among Hispanic/Latinx Populations in the United States

Verdini,

Santos,

Vicioso-Mora

et al. 2023

American Journal of Clinical Oncology

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“…Many SNHs are also high racial and ethnic minority population case mix percentage hospitals. Though some older data suggest poorer surgical outcomes at SNHs, recent studies reported equivalent oncologic outcomes in breast and colon cancer care at SNHs compared with other hospital types . These findings highlight the crucial role that SNHs play in mitigating disparities in cancer care.…”

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confidence: 99%

Disparities in Rectal Cancer Care—What Are We Missing?

Sacks,

Davids

2023

JAMA Surg

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Race norming and biases in surgical oncology care

Lee,

Odusanya,

Nizam

et al. 2024

Journal of Surgical Oncology

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Disparities in surgical oncology care may be due to race/ethnicity. Race norming, defined as the adjustment of medical assessments based on an individual's race/ethnicity, and implicit bias are specifically explored in this focused systematic review. We aim to examine how race norming and bias impact oncologic care and postsurgical outcomes, particularly in Black patient populations, while providing potential strategies to improve equitable and inclusive care.

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Mitigating disparities in breast cancer treatment at an academic safety-net hospital

Cited by 8 publications

References 26 publications

Disparities in Access to Radiotherapy Among Hispanic/Latinx Populations in the United States

Disparities in Access to Radiotherapy Among Hispanic/Latinx Populations in the United States

Disparities in Rectal Cancer Care—What Are We Missing?

Race norming and biases in surgical oncology care

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