Screening mammography mitigates breast cancer disparities through early detection of triple negative breast cancer

Bayard, Solange; Fasano, Genevieve A.; Chen, Yalei; Davis, Melissa B.; Drotman, Michele; Bensenhaver, Jennifer; Swistel, Alexander; Simmons, Rache M.; Marti, Jennifer L.; Newman, Lisa A.

doi:10.1016/j.clinimag.2021.08.013

Cited by 11 publications

(4 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Basal-like breast cancer is far more common in African Americans than non-African Americans and has a worse outcome compared to other breast cancer subtypes [31]. Although there is some suggestion that screening reduces breast cancer mortality of both African American and White women with triple negative breast cancer [32] the likely substantial differences in the patient population of North Carolina from the study populations of the randomized clinical trials might have resulted in bias toward less bene t from screening mammography.…”

Section: Discussionmentioning

confidence: 99%

A population health assessment of screening mammography on breast cancer mortality in North Carolina

Burch

Irish

Wong

2022

Breast Cancer Res Treat

View full text Add to dashboard Cite

Purpose: To identify predictors of screening mammography use and the effect of screening mammography on breast cancer mortality in North Carolina.Methods: This cross-sectional study integrated publicly available data from government and private data repositories to model predictors of screening mammography and breast cancer mortality in North Carolina.Results: In North Carolina, on average, 68.1% of women aged 40 to 74 years underwent a screening mammogram in the previous two years (range: 38.7% -82.1). The ordinary least-squares (OLS) regression demonstrated counties experiencing persistent poverty have mammography screening rates that are 4.3% less, on average, than counties without persistent poverty (estimate (SE) = -4.283 (2.105), p=0.045). As the percentage of women with a college education increases, the mammography screening rates increase by approximately 0.3% (estimate (SE) = 0.319 (0.078), P < .001) and as the health literacy score increases, the mammography screening rate decreases by 0.3% (estimate (SE) = -0.318 (0.104), p=0.003). These variables explain 7.0% of the variability in mammographic screening rates. The OLS regression analysis demonstrated that age-adjusted breast cancer incidence (Estimate (SE) = 0.074 (0.024), p=0.003) and health literacy score (estimate (SE) = -0.175 (0.083), p=0.039) are signi cantly related to breast cancer mortality.Conclusions: Demographic, socioeconomic, and environmental variables explain only a small percentage of the variability in the rates of screening mammography and breast cancer mortality in North Carolina. Advances in the available treatments are likely the major contributor to improving breast cancer mortality.

show abstract

Section: Discussionmentioning

confidence: 99%

A population health assessment of screening mammography on breast cancer mortality in North Carolina

Burch

Irish

Wong

2022

Breast Cancer Res Treat

View full text Add to dashboard Cite

show abstract

“…African Americans have the highest breast cancer mortality rates compared to other population subsets in the United States [ 39 , 40 ]. Screening mammography mitigates disparities in breast cancer mortality through early detection [ 41 ]. For these reasons, some societies have advocated for initiation of screening at younger ages for African American women.…”

Section: Disparities In Detection and Early Diagnosismentioning

confidence: 99%

Breast Cancer Disparities and the Digital Divide

Bayard

Fasano

Gillot

et al. 2022

Curr Breast Cancer Rep

Self Cite

View full text Add to dashboard Cite

Purpose of Review Socioeconomically disadvantaged populations and minority groups suffer from high breast cancer mortality, a disparity caused by decreased access to specialty care, lower treatment adherence, co-morbidities, and genetic predisposition for biologically aggressive breast tumor subtypes. Telehealth has the potential to mitigate breast cancer disparities by increasing access to specialty care and health information. However, unequal access to high-speed/broadband internet service and telehealth itself magnifies breast cancer disparities in vulnerable populations. This review evaluates the impact of the digital divide on breast cancer outcomes, as well as strategies for leveraging telehealth to reduce breast cancer disparities. Recent Findings There is a paucity of research specific to employing telehealth to address breast cancer disparities. Previous studies provide examples of telehealth utilization for increasing screening mammography, in addition to improving access to breast cancer care, including breast cancer specialist, nurse navigators, and clinical trials. Telehealth can also be used as an approach to risk reduction, with strategies to support weight management and genetic testing. Summary Eliminating the digital divide holds enormous potential for mitigating breast cancer disparities through an intentional focus on improving access to telehealth. With increased accessibility, resource allocation, and improved digital infrastructure, telehealth can be used to address disparities in early detection, quality of breast cancer care, treatment adherence, and risk assessment. Further research is essential to elucidate best practices in breast cancer telehealth approaches in underserved communities.

show abstract

“…These systems are uniquely positioned to increase communication with patients diagnosed with breast cancer, provide them with electronic health information, and improve their access to health care. For example, the EHR could notify and automate appointment scheduling for screening mammography [ 25 ], which can detect breast cancer early [ 26 ]. Such scheduling strategies could be designed to increase screening among underserved populations, including racial and ethnic minority groups, helping to mitigate racial disparities in breast cancer.…”

Section: Increasing Patient Engagement In Health Carementioning

confidence: 99%

Leveraging Electronic Health Records to Address Breast Cancer Disparities

Bayard

Fasano

Tamimi

et al. 2022

Curr Breast Cancer Rep

Self Cite

View full text Add to dashboard Cite

Purpose of Review Breast cancer is the most commonly diagnosed cancer in women, and the leading cause of cancer death. However, racial and ethnic minority groups, as well as rural and underserved populations, face disparities that limit their access to specialty care for breast cancer. To address these disparities, health care providers can leverage an electronic health record (EHR). Recent Findings Few studies have evaluated the potential benefits of using EHRs to address breast cancer disparities, and none of them outlines a standard approach for this effort. However, these studies outline that EHRs can be used to identify and notify patients at risk for breast cancer. These systems can also automate referrals and scheduling for screening and genetic testing, as well as recruit eligible patients for clinical trials. EHRs can also provide educational materials to reduce risks associated with modifiable risk factors, such as physical activity, obesity, and smoking. These systems can also support telemedicine visits and centralize inter-institutional communication to improve treatment adherence and the quality of care. Summary EHRs have tremendous potential to increase accessibility and communication for patients with breast cancer by augmenting patient engagement, improving communication between patients and providers, and strengthening communication among providers. These efforts can reduce breast cancer disparities by increasing breast cancer screening, improving treatment adherence, expanding access to specialty care, and promoting risk-reducing habits among racial and ethnic minority groups and other underserved populations.

show abstract

Screening mammography mitigates breast cancer disparities through early detection of triple negative breast cancer

Cited by 11 publications

References 19 publications

A population health assessment of screening mammography on breast cancer mortality in North Carolina

A population health assessment of screening mammography on breast cancer mortality in North Carolina

Breast Cancer Disparities and the Digital Divide

Leveraging Electronic Health Records to Address Breast Cancer Disparities

Contact Info

Product

Resources

About