Journal of General Internal Medicine

, Volume 20, Issue 7, pp 604–611

Trends in breast conserving surgery among Asian Americans and Pacific Islanders, 1992–2000

  • Mita Sanghavi Goel
  • Risa B. Burns
  • Russell S. Phillips
  • Roger B. Davis
  • Quyen Ngo-Metzger
  • Ellen P. McCarthy
Original Article

DOI: 10.1007/s11606-005-0107-3

Cite this article as:
Goel, M.S., Burns, R.B., Phillips, R.S. et al. J GEN INTERN MED (2005) 20: 604. doi:10.1007/s11606-005-0107-3

Abstract

BACKGROUND: Breast-conserving surgery (BCS) has been the recommended treatment for early-stage breast cancer since 1990 yet many women still do not receive this procedure.

OBJECTIVE: To examine the relationship between birthplace and use of BCS in Asian-American and Pacific-Islander (AAPI) women, and to determine whether disparities between white and AAPI women persist over time.

DESIGN: Retrospective cohort study.

SETTING AND PARTICIPANTS: Women with newly diagnosed stage I or II breast cancer from 1992 to 2000 in the Surveillance, Epidemiology, and End Results program.

OUTCOME: Receipt of breast -conserving surgery for initial treatment of stage I or II breast cancer.

MAIN RESULTS: Overall, AAPI women had lower rates of BCS than white women (47% vs 59%; P<.01). Foreign-born AAPI women had lower rates of BCS than U.S.-born AAPI and white women (43% vs 56% vs 59%; P<.01). After adjustment for age, marital status, tumor registry, year of diagnosis, stage at diagnosis, tumor size, histology, grade, and hormone receptor status, foreign-born AAPI women (adjusted OR [aOR], 0.49; 95% CI, 0.32 to 0.76) and U.S.-born AAPI women (aOR, 0.77; 95% CI, 0.62 to 0.95) had lower odds of receiving BCS than white women. Use of BCS increased over time for each racial/ethnic group; however, foreign-born AAPI women had persistently lower rates of BCS than non-Hispanic white women.

CONCLUSIONS: AAPI women, especially those who are foreign born, are less likely to receive BCS than non-Hispanic white women. Of particular concern, differences in BCS use among foreign-born and U.S.-born AAPI women and non-Hispanic white women have persisted over time. These differences may reflect inequities in the treatment of early-stage breast cancer for AAPI women, particularly those born abroad.

Key words

breast neoplasms cancer treatment health disparities race/ethnicity immigrant health 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Copyright information

© Society of General Internal Medicine 2005

Authors and Affiliations

  • Mita Sanghavi Goel
    • 1
  • Risa B. Burns
    • 2
  • Russell S. Phillips
    • 2
  • Roger B. Davis
    • 2
  • Quyen Ngo-Metzger
    • 3
  • Ellen P. McCarthy
    • 2
  1. 1.Division of General Internal Medicine, Department of Medicine, Feinberg School of MedicineNorthwestern UniversityChicagoUSA
  2. 2.Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical CenterHarvard Medical SchoolBostonUSA
  3. 3.Division of General Medicine and Primary Care and the Health Policy Research CenterUniversity of California Irvine College of MedicineIrvineUSA

Personalised recommendations