Practices That Reduce the Latina Survival Disparity After Breast Cancer

Abstract

We provide evidence that undetected new or recurrent breast cancers due to less consistent post-diagnosis mammograms contribute substantially to the long-observed Latina survival disadvantage. Interventions involving primary care providers may be especially beneficial to this population.

Early Stage Breast Cancer: Does Histologic Subtype (Ductal vs. Lobular) Impact 5 Year Overall Survival?

“…[26]. Breast cancer patients of Hispanic origin were also more likely to have a worse overall survival outcome compared to women of non-Hispanic origin [27][28][29]. This outcome can be attributed to the fact that Hispanic populations are more likely to belong to a lower socioeconomic background, have lesser access to good education and are less likely to have health insurance.…”

Literature review of data-based models for identification of factors associated with racial disparities in breast cancer mortality

“…For chemotherapy, delay of initiation and premature termination have been associated with AA (Fedewa et al, 2010;Hershman et al, 2005Hershman et al, , 2006Hershman et al, , 2009Nurgalieva et al, 2013b), Hispanic, and Medicare patients (Nurgalieva et al, 2013b). In addition, post-diagnosis mammograms that are administered inconsistently have increased the number of undetected new or recurrent breast cancers in Hispanic patients (Smith-Gagen et al, 2013). With regard to hormone therapy, there is evidence that non-adherence or discontinuation is associated with higher all-cause mortality (Hershman et al, 2011), but we could not find evidence of mortality outcomes that were altered in interaction or combination with race or SES.…”

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