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Racial/ethnic disparities in use of surveillance mammogram among breast cancer survivors: a systematic review

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Abstract

Background

Increasing number of breast cancer survivors in the USA have led to greater focus on the long-term health outcomes and surveillance care among these women. However limited evidence exists of use of surveillance mammography among breast cancer survivors and how it varies across racial/ethnic groups.

Methods

We conducted a systematic review of the literature to explore disparities in use of surveillance mammogram among women breast cancer survivors by searching for relevant studies published between 2000 and 2020 from Medline (Ovid), PubMed (National Library of Medicine), and PsycINFO (Ovid) bibliographic databases. Two authors independently screened titles, abstracts, and full texts of all articles that reported surveillance mammography use across racial/ethnic groups. Data on study design, screening eligibility, sample size, operational definition, and/or measure of the use of a surveillance mammogram among breast cancer survivors and the association between race/ethnicity and use of a surveillance mammogram were summarized in the evidence tables.

Results

We identified 1544 records from the three databases, and 30 studies examined the use of surveillance mammograms among breast cancer survivors across race/ethnic groups. Of these, 21 provided adjusted estimates of racial/ethnic disparities in use of surveillance mammograms, and 15 of these reported statistically significant disparities. In summary, most studies reported that non-white women (mainly Blacks and Hispanics) were less likely to receive a timely surveillance mammogram compared to White.

Conclusion

This study extends the evidence of racial/ethnic disparities beyond completion of initial treatment by finding similar disparities in receipt of surveillance mammograms among breast cancer survivors.

Implication for Cancer Survivors

Our findings identify a need to improve efforts to increase post-treatment use of surveillance mammography among racial/ethnic minority women to reduce these gaps and improve overall clinical and quality of life outcomes.

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Data availability

No additional data were obtained or included in this study besides those from the already published literature. Specific search strategies used to retrieve relevant peer-reviewed articles from various databases are listed in Supplementary Tables 1, 2, and 3.

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Acknowledgements

The authors acknowledge the Department of Scientific Publications at the University of Texas, MD Anderson Cancer Center.

Funding

Dr. Advani was supported by a grant from the Susan G. Komen Foundation, Graduate Training Program in Breast Cancer Disparities (GTDR14300827).

Author information

Authors and Affiliations

  1. Radiation Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, 9609 Medical Center Drive, Room 7E-528, MSC 9778, Bethesda, MD, USA

    Pragati Advani

  2. Social Epidemiology Research Unit, Social Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA

    Shailesh Advani

  3. Population Health Science, Battelle Memorial Institute, Atlanta, GA, USA

    Pratibha Nayak

  4. Library, School of Public Health, The University of Texas Health Science Center at Houston, Houston, TX, 77030, USA

    Helena M. VonVille

  5. Department of Health Promotion and Behavioral Sciences, The University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA

    Pamela Diamond & Sally W. Vernon

  6. Department of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, TX, USA

    Jason Burnett

  7. Department of Clinical Cancer Prevention, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Abenaa M. Brewster

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  1. Pragati Advani
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  4. Helena M. VonVille
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  8. Sally W. Vernon
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Pragati Advani with assistance from Helena VonVille and Shailesh Advani. The first draft of the manuscript was written by Pragati Advani, and all authors commented on previous versions of the manuscript.

Corresponding author

Correspondence to Pragati Advani.

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Ethics approval and consent to participate

All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Considering that this study is a systematic review study using the existing peer-reviewed literature, and no human/animal patients were directly involved in the study, receiving their consent to participate or consent to publish was not considered as necessary.

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The authors declare no competing interests.

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Advani, P., Advani, S., Nayak, P. et al. Racial/ethnic disparities in use of surveillance mammogram among breast cancer survivors: a systematic review. J Cancer Surviv 16, 514–530 (2022). https://doi.org/10.1007/s11764-021-01046-2

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