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Disparities across the breast cancer continuum

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Abstract

Objective: We performed a structured review of the literature to identify areas of greater and lesser knowledge of the nature of disparities across the breast cancer continuum from risk and prevention to treatment and mortality.

Methods: We searched OvidMedline and PubMed to identify published studies from January 1990 to March 2004 that address disparities in breast cancer. We read the abstracts of the identified articles and then reviewed the articles if they were in English, were limited to American populations, limited to women, and described quantitative outcomes. We designated the articles as addressing one or more disparities across one or more of the domains of the breast cancer continuum.

Results: Substantial research exists on racial disparities in breast cancer screening, diagnosis, treatment, and survival. Disparities in screening and treatment exist across other domains of disparities including age, insurance status, and socioeconomic position. Several gaps were identified including how factors interact.

Conclusion: A structured review of breast cancer disparities suggests that research in other domains of social inequality and levels of the cancer continuum may uncover further disparities. A multidisciplinary and multi-pronged approach is needed to translate the knowledge from existing research into interventions to reduce or eliminate disparities.

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References

  • American Cancer Society (2003) Cancer Facts and Figures 2003. Accessed at www.cancer.org on March 1, 2004.

  • Krieger N. Defining and investigating social disparities in cancer: critical issues. Cancer Causes Control (submitted).

  • Krieger N, Emmons KE, Burns White K. Cancer disparities: developing a multidisciplinary research agenda. Preface. Cancer Causes Control (submitted).

  • WC Willett B Rockhill SE Hankinson DJ Hunter G Colditz (2004) Epidemiology and nongenetic causes of breast cancer. LME Harris SuffixJr. CK Osborne (Eds) Diseases of the Breast. Lippincott Williams and Wlikins Philadelphia 223–276

    Google Scholar 

  • R Clark NB Anderson VR Clark DR Williams (1999) ArticleTitleRacism as a stressor for African Americans: a biopsychosocial model Am Psychol 54 805–816 Occurrence Handle10540593 Occurrence Handle1:STN:280:DC%2BD3c%2FgvVSqug%3D%3D

    PubMed  CAS  Google Scholar 

  • RJ Moore (2001) ArticleTitleAfrican American women and breast cancer: Notes from a study of narrative Cancer Nurs 24 35–42 Occurrence Handle11219421

    PubMed  Google Scholar 

  • JS Mandelblatt SB Edge NJ Meropol et al. (2003) ArticleTitlePredictors of long-term outcomes in older breast cancer survivors: perceptions versus patterns of care J Clin Oncol 21 855–63 Occurrence Handle12610185

    PubMed  Google Scholar 

  • L Bernstein CR Teal S Joslyn J Wilson (2003) ArticleTitleEthnicity-related variation in breast cancer risk factors Cancer 97 IssueIDSuppl 1 222–229 Occurrence Handle12491485

    PubMed  Google Scholar 

  • RA Forshee ML Storey C Ritenbaugh (2003) ArticleTitleBreast cancer risk and lifestyle difference among premenopausal and postmenopausal African American women and white women Cancer 97 IssueID(Suppl 1) 280–88 Occurrence Handle12491492

    PubMed  Google Scholar 

  • RM Mayberry C Stoddard-Wright (1992) ArticleTitleBreast cancer risk factors among black and white women. Similarities and differences. Am J Epidemiol 136 1445–1456 Occurrence Handle1288274 Occurrence Handle1:STN:280:DyaK3s7mslaisA%3D%3D

    PubMed  CAS  Google Scholar 

  • PG Moorman BA Jones RC Millikan IJ Hall B Newman (2001) ArticleTitleRace, anthropometric factors, and stage at diagnosis of breast cancer Am J Epidemiol 153 284–291 Occurrence Handle11157416 Occurrence Handle1:STN:280:DC%2BD3Mzmtlerug%3D%3D

    PubMed  CAS  Google Scholar 

  • Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Databases: Incidence - SEER 11 Regs + AK Public-Use, Nov 2003 Sub for Expanded Races (1992–2001) and Incidence - SEER 11 Regs Public-Use, Nov 2003 Sub for Hispanics (1992–2001), National Cancer Institute, DCCPS, Surveillance Research Program, Cancer Statistics Branch, released April 2004, based on the November 2003 submission.

  • K Glanz RT Croyle VY Chollette VW Pinn (2003) ArticleTitleCancer-related health disparities in women Am J Public Health 93 292–298 Occurrence Handle12554589

    PubMed  Google Scholar 

  • ME Peek JH Han (2004) ArticleTitleDisparities in screening mammography. Current status, interventions, and implications. J Gen Intern Med 19 184–94 Occurrence Handle15009798

    PubMed  Google Scholar 

  • EC Schneider AM Zaslarsly AM Epstein (2002) ArticleTitleRacial disparities in quality of care for enrollees in Medicare managed care JAMA 287 1288–1294 Occurrence Handle11886320

    PubMed  Google Scholar 

  • R Burns EP McCarthy KM Freund et al. (1996) ArticleTitleBlack women receive less mammography even with similar use of primary care Ann Intern Med 125 173–182 Occurrence Handle8686974 Occurrence Handle1:STN:280:DyaK283otFaisw%3D%3D

    PubMed  CAS  Google Scholar 

  • EP McCarthy R Burns SS Coughlin et al. (1998) ArticleTitleMammography use helps to explain difference in breast cancer stage at diagnosis between older black and white women Ann Intern Med 128 729–736 Occurrence Handle9556466 Occurrence Handle1:STN:280:DyaK1c3htlaltQ%3D%3D

    PubMed  CAS  Google Scholar 

  • JJ Strzelczyk MB Dignan (2002) ArticleTitleDisparities in adherence to recommended follow-up on screening mammography: interaction of sociodemographic factors Ethn Dis 12 77–86 Occurrence Handle11913611

    PubMed  Google Scholar 

  • DR Lannin HF Mathews J Mitchell MS Swanson (2002) ArticleTitleImpacting cultural attitudes in African-American women to decrease breast cancer mortality Am J Surg 18 418–423

    Google Scholar 

  • Swanson GM, Haslam SZ, Azzouz F (2003) Breast cancer among young African-American women. A summary of data and literature and of issues discussed during the summit meeting on breast cancer among African American women, Washington DC, September 8–10, 2000 Cancer 97 (Suppl 1): 273–279.

  • R Royak-Schaler S Chen E Zang RJ Vivacqua M Bynoe (2003) ArticleTitleDoes access to screening through health maintenance organization membership translate into improved breast cancer outcomes for African American patients JAMWA 58 154–156 Occurrence Handle12948106

    PubMed  Google Scholar 

  • CL Li KE Malone JR Daling (2003) ArticleTitleDifference in breast cancer stage, treatment, and survival by race and ethnicity Arch Intern Med 163 49–56 Occurrence Handle12523916

    PubMed  Google Scholar 

  • J Jacobellis G Cutter (2002) ArticleTitleMammography screening and difference in stage of diagnosis by race/ethnicity Am J Public Health 92 1144–1150 Occurrence Handle12084699

    PubMed  Google Scholar 

  • CP Hunter CK Redmond JW Eley et al. (1993) ArticleTitleBreast cancer: factors associated with stage at diagnosis in black and white women. Black/White Cancer Survival Study Group. J Natl Cancer Inst 85 1129–1137 Occurrence Handle8320742 Occurrence Handle1:STN:280:DyaK3szgvVOntQ%3D%3D

    PubMed  CAS  Google Scholar 

  • VW Chen P Correa RJ Kurman et al. (1994) ArticleTitleHistologic characteristics of breast cancer in blacks and whites Cancer Epidemiol Biomarkers Prev 3 127–135 Occurrence Handle7519506 Occurrence Handle1:STN:280:DyaK2czisFyisQ%3D%3D

    PubMed  CAS  Google Scholar 

  • N Krieger SK Eden Particlevan den D Zava A. Okamoto (1997) ArticleTitleRace/ethnicity, social class, and prevalence of breast cancer prognostic biomarkers: a study of white, black, and Asian women in the San Francisco Bay area Ethn Dis 7 137–149 Occurrence Handle9386954 Occurrence Handle1:STN:280:DyaK1c%2FkvVWqtw%3D%3D

    PubMed  CAS  Google Scholar 

  • RM Elledge GM Clark GC Chamness CK Osborne (1994) ArticleTitleTumor biologic factors and breast cancer prognosis among white, Hispanic, and black women in the United States J Natl Cancer Inst 86 705–712 Occurrence Handle7908990 Occurrence Handle1:STN:280:DyaK2c3htVGmsA%3D%3D

    PubMed  CAS  Google Scholar 

  • J Moormeier (1996) ArticleTitleBreast cancer in black women Ann Intern Med 124 897–905 Occurrence Handle8610920 Occurrence Handle1:STN:280:DyaK287pvVCntQ%3D%3D

    PubMed  CAS  Google Scholar 

  • VL Shavers ML Brown (2002) ArticleTitleRacial and ethnic disparities in receipt of cancer treatment J Natl Cancer Inst 94 334–357 Occurrence Handle11880473

    PubMed  Google Scholar 

  • JS Mandelblatt JF Kerner J Hadley et al. (2002) ArticleTitleVariations in breast carcinoma treatment in older Medicare beneficiaries: is it black or white Cancer 95 1401–1414 Occurrence Handle12237908

    PubMed  Google Scholar 

  • JJ Griggs ME Sorbero AT Stark SE Heininger AW Dick (2003) ArticleTitleRacial disparity in the dose and dose intensity of breast cancer adjuvant chemotherapy Breast Cancer Res Treat 81 21–31 Occurrence Handle14531494 Occurrence Handle1:CAS:528:DC%2BD3sXms1Gjsr0%3D

    PubMed  CAS  Google Scholar 

  • AW Prehan B Topol Stewart SL Glasic L O’Connor DW West (2002) ArticleTitleDifferences in treatment patterns for local breast cancer among Asian/Pacific Islander women Cancer 95 2268–2275

    Google Scholar 

  • PB Bach D Schrag OW Brawley A Galaznik S Yakren CB Begg (2002) ArticleTitleSurvival of blacks and whites after a cancer diagnosis JAMA 287 2106–2113 Occurrence Handle11966385

    PubMed  Google Scholar 

  • LX Clegg FP Li BF Hankey K Chu BK Edwards (2002) ArticleTitleCancer survival among U.S. whites and minorities. Arch Intern Med 162 1985–1993 Occurrence Handle12230422

    PubMed  Google Scholar 

  • KC Chu CA Lamar HP Freeman (2003) ArticleTitleRacial disparities in breast carcinoma survival rates. Separating factors that affect diagnosis from factors that affect treatment. Cancer 97 2853–2860 Occurrence Handle12767100

    PubMed  Google Scholar 

  • A Boyer-Chammard TH Taylor H Anton-Culver (1999) ArticleTitleSurvival differences in breast cancer among racial/ethnic groups: a population-based study Cancer Detect Prev 23 463–473 Occurrence Handle10571656 Occurrence Handle1:STN:280:DC%2BD3c%2FktVWntA%3D%3D

    PubMed  CAS  Google Scholar 

  • I Jatoi H Becher CR Leake (2003) ArticleTitleWidening disparity in survival between white and African-American patients with breast carcinoma treated in the U.S. Department of Defense healthcare system. Cancer 98 894–899 Occurrence Handle12942554

    PubMed  Google Scholar 

  • JW Eley HA Hill VW Chen et al. (1994) ArticleTitleRacial differences in survival from breast cancer: results from the National Cancer Institute Black/White Survival Study JAMA 272 947–954 Occurrence Handle8084062 Occurrence Handle1:STN:280:DyaK2czms1Sguw%3D%3D

    PubMed  CAS  Google Scholar 

  • LA Newman J Mason D Cote et al. (2002) ArticleTitleAfrican-American ethnicity, socioeconomic status, and breast cancer survival Cancer 94 2844–2854 Occurrence Handle12115371

    PubMed  Google Scholar 

  • R Payne E Medina JW Hampton (2003) ArticleTitleQuality of life concerns in patients with breast cancer: evidence for disparities of outcome and experience of pain management and palliative care among African American women Cancer 97 IssueID(Suppl 1) 311–317 Occurrence Handle12491494

    PubMed  Google Scholar 

  • CC Earle HJ Burstein EP Winer JC Weeks (2003) ArticleTitleQuality of non-breast cancer health maintenance among elderly breast cancer survivors J Clin Oncol 21 1447–1454 Occurrence Handle12697865

    PubMed  Google Scholar 

  • Surveillance, Epidemiology, and End Results (SEER) Program (www.seer.cancer.gov) SEER*Stat Database: Mortality - All COD, Public-Use With State, Total U.S. (1969–2001), National Cancer Institute, DCCPS, Surveillance Research Program, Cancer Statistics Branch, released April 2004. Underlying mortality data provided by NCHS (www.cdc.gov/nchs).

  • KC Chu RE Tarone OW Brawley (1999) ArticleTitleBreast cancer trends of black women compared with white women Arch Fam Med 8 521–528 Occurrence Handle10575392 Occurrence Handle1:STN:280:DC%2BD3c%2Fkt1KntA%3D%3D

    PubMed  CAS  Google Scholar 

  • N Krieger JT Chen PD Waterman MJ Soobader SV Subramanian R Carson (2002) ArticleTitleGeocoding and monitoring of US socioeconomic inequalities in mortality and cancer incidence: does the choice of area-based measure and geographic level matter Am J Epidemiol 156 471–482 Occurrence Handle12196317

    PubMed  Google Scholar 

  • N Krieger JT Chen PD Waterman DH Rehkopf SV Subramanian (2003) ArticleTitleRace/ethnicity, gender, and monitoring socioeconomic gradients in health: a comparison of area-based socioeconomic measure-the Public Health Disparities Geocoding Project Am J Public Health 93 1655–1671 Occurrence Handle14534218

    PubMed  Google Scholar 

  • Singh GK, Miller BA, Hankey BF, Edwards BK (2003) Area Socioeconomic Variations in US Cancer Incidence, Mortality, Stage, Treatment and Survival, 1975–99. Bethesda, MD: National Cancer Institute, 2003, NCI Cancer Surveillance Monograph Series, Number 4, NIH Pub. No. 03-5417.

  • K Yost C Perkins R Cohen C Morris W Wright (2001) ArticleTitleSocioeconomic status and breast cancer incidence in California for different race/ethnic groups Cancer Causes Control 12 703–711 Occurrence Handle11562110 Occurrence Handle1:STN:280:DC%2BD3MrhsVantw%3D%3D

    PubMed  CAS  Google Scholar 

  • N Krieger C Jr Quesenberry T Peng et al. (1999) ArticleTitleSocial class, race/ethnicity, and incidence of breast, cervix, colon, lung, and prostate cancer among Asian, black, Hispanic, and white residents of the San Francisco Bay area, 1988–92 (United States) Cancer Causes Control 10 525–537 Occurrence Handle10616822 Occurrence Handle1:STN:280:DC%2BD3c%2FotlWisA%3D%3D

    PubMed  CAS  Google Scholar 

  • L Liu D Deapen L Bernstein (1998) ArticleTitleSocioeconomic status and cancers of the female breast and reproductive organs: a comparison across racial/ethnic populations in Los Angeles County, California (United States) Cancer Causes Control 9 369–380 Occurrence Handle9794168 Occurrence Handle1:STN:280:DyaK1M%2FgvVaksg%3D%3D

    PubMed  CAS  Google Scholar 

  • JF Kerner JS Mandelblatt RA Silliman et al. (2001) ArticleTitleScreening mammography and breast cancer treatment patterns in older women Breast Cancer Res Treat 69 81–91 Occurrence Handle11759831 Occurrence Handle1:STN:280:DC%2BD38%2Fjt1yrsw%3D%3D

    PubMed  CAS  Google Scholar 

  • Steenland K, Henley J, Thun M (202) All-cause and cause-specific death rates by educational status for two million people in two American Cancer Society cohorts. Am J Epidemiol 156: 11–21.

    Google Scholar 

  • CJ Bradley CW Given C Roberts (2001) ArticleTitleDisparities in cancer diagnosis and survival Cancer 91 178–188 Occurrence Handle11148575 Occurrence Handle1:STN:280:DC%2BD38%2Fgs1Sltw%3D%3D

    PubMed  CAS  Google Scholar 

  • KL Schwartz H Crossley-May FD Vigneau K Brown M Banerjee (2003) ArticleTitleRace socioeconomic status and stage of diagnosis for five common malignancies Cancer Causes Control 14 761–776 Occurrence Handle14674740

    PubMed  Google Scholar 

  • SS Merkin L Stevenson N Powe (2002) ArticleTitleGeographic socioeconomic status, race, and advanced-stage breast cancer in New York City. Am J Public Health 92 64–70 Occurrence Handle11772763 Occurrence Handle10.2105/AJPH.92.1.64

    Article  PubMed  Google Scholar 

  • SD Cochran VM Mays D Bowen et al. (2001) ArticleTitleCancer-related risk indicators and preventive screening behavior among lesbians and bisexual women Am J Public Health 91 591–597 Occurrence Handle11291371 Occurrence Handle1:STN:280:DC%2BD3M3ivVKhsA%3D%3D

    PubMed  CAS  Google Scholar 

  • VM Mays AK Yancey SD Cochran M Weber JE Fielding (2002) ArticleTitleHeterogeneity of health disparities among African American, Hispanic, and Asian American women: unrecognized influences of sexual orientation Am J Public Health 92 632–639 Occurrence Handle11919064

    PubMed  Google Scholar 

  • WM Randolph JS Goodwin JD Mahnken JL Freemna (2002) ArticleTitleRegular mammogram use is associated with elimination of age related disparities in size and stage of breast cancer Ann Intern Med 137 783–790 Occurrence Handle12435214

    PubMed  Google Scholar 

  • MS Simon DR Brown W Du P LoRusso CM Kellogg (1999) ArticleTitleAccrual to breast cancer clinical trials at a university affiliated hospital in metropolitan Detroit Am J Clin Oncol 22 42–46 Occurrence Handle10025379 Occurrence Handle1:STN:280:DyaK1M7kvVantA%3D%3D

    PubMed  CAS  Google Scholar 

  • JS Mandelblatt J Hadley JF Kerner et al. (2000) ArticleTitlePatterns of breast carcinoma treatment in older women: patient preference and clinical and physical influences Cancer 89 561–573 Occurrence Handle10.1002/1097-0142(20000801)89:3<561::AID-CNCR11>3.3.CO;2-1 Occurrence Handle1:STN:280:DC%2BD3cvgt1arsw%3D%3D Occurrence Handle10931455

    Article  CAS  PubMed  Google Scholar 

  • RA Silliman SL Troyan E Guadagnoli SH Kaplan S Greenfield (1997) ArticleTitleThe impact of age, marital status, and physician-patient interactions on care of older women with breast cancer. Cancer 80 1326–1334 Occurrence Handle9317187 Occurrence Handle1:STN:280:DyaK2svmtFGjtA%3D%3D

    PubMed  CAS  Google Scholar 

  • RC Maly B Leake RA Silliman (2003) ArticleTitleHealth care disparities in older patients with breast cancer: informational support from physicians Cancer 97 1517–1527 Occurrence Handle12627517

    PubMed  Google Scholar 

  • MY Yu OS Hong AD Seetoo (2003) ArticleTitleUncovering factors contributing to under-utilization of breast cancer screening by Chinese and Korean women living in the US Ethn Dis 13 213–219 Occurrence Handle12785418

    PubMed  Google Scholar 

  • K Fiscella P Franks MP Doescher BG Saver (2002) ArticleTitleDisparities in health care by race, ethnicity, and language among the insured Med Care 40 52–59 Occurrence Handle11748426

    PubMed  Google Scholar 

  • TC Davis C Arnold HJ Berkel I Nandy RH Jackson J Glass (1996) ArticleTitleKnowledge and attitude on screening mammography among low-literate, low-income women Vaner 78 1677–1682

    Google Scholar 

  • MA Nosek CA Howland (1997) ArticleTitleBreast and cervical cancer screening among women with physical disabilities Arch Phys Med Rehabil 78 IssueID12 Suppl 5 S39–S44 Occurrence Handle9422006 Occurrence Handle1:STN:280:DyaK1c%2Fotl2htg%3D%3D

    PubMed  CAS  Google Scholar 

  • RG Roetzheim TN Chirikos (2002) ArticleTitleBreast cancer detection and outcomes in disability beneficiary population J Health Care Poor Underserved 13 461–476 Occurrence Handle12407963

    PubMed  Google Scholar 

  • BA Jones SV Kasi MG Curnen PH Owens R Dubrow (1997) ArticleTitleSevere obesity as an explanatory factor for the black/white difference in stage at diagnosis of breast cancer Am J Epidemiol 146 394–404 Occurrence Handle9290499 Occurrence Handle1:STN:280:DyaK2svjsFygsA%3D%3D

    PubMed  CAS  Google Scholar 

  • CC Wee EP McCarthy RB Davis RS Phillips (2000) ArticleTitleScreening for cervical and breast cancer:is obesity an unrecognized barrier to preventive care? Ann Intern Med 132 697–704 Occurrence Handle10787362 Occurrence Handle1:STN:280:DC%2BD3c3js12rsg%3D%3D

    PubMed  CAS  Google Scholar 

  • ME Caban MA Nosek D Graves FJ Esteva M McNeese (2002) ArticleTitleBreast carcinoma treatment received by women with disabilities compared with women without disabilities Cancer 94 1391–1396 Occurrence Handle11920493

    PubMed  Google Scholar 

  • J Swan N Breen RJ Coates BK Rimer NC Lee (2003) ArticleTitleProgress in cancer screening practices in the United States: results from the 2000 national Health Interview Study Cancer 97 1528–1540 Occurrence Handle12627518

    PubMed  Google Scholar 

  • MD Pineda E White AR Kristal V Taylor (2001) ArticleTitleAsian breast cancer survival in the US: a comparison between Asian immigrants, US-born Asian American women and Caucasians Int J Epidemiol 30 976–982 Occurrence Handle11689507 Occurrence Handle1:STN:280:DC%2BD3MnmvFCntg%3D%3D

    PubMed  CAS  Google Scholar 

  • JM McWilliams AM Zaslavsky E Meara JZ Ayanian (2003) ArticleTitleImpact of Medicare coverage on basic clinical services for previously uninsured adults JAMA 290 757–764 Occurrence Handle12915428

    PubMed  Google Scholar 

  • GF Riley AL Potosky CN Klabenade JL Warner R Ballard-Burtash (1999) ArticleTitleStage at diagnosis and treatment patterns among older women with breast cancer. An HMO and fee-for-service comparison. JAMA 281 720–726 Occurrence Handle10052442 Occurrence Handle1:STN:280:DyaK1M7lvFyjtQ%3D%3D

    PubMed  CAS  Google Scholar 

  • RG Roetzheim N Pal C Tennant et al. (1999) ArticleTitleEffects of health insurance and race on early detection of cancer J Natl Cancer Inst 91 1409–1415 Occurrence Handle10451447 Occurrence Handle1:STN:280:DyaK1Mzot1ertg%3D%3D

    PubMed  CAS  Google Scholar 

  • JZ Ayanian B Kohler T Abe AM Epstein (1993) ArticleTitleThe relation between health insurance coverage and clinical outcomes among women with breast cancer N Engl J Med 329 326–331 Occurrence Handle8321261 Occurrence Handle1:STN:280:DyaK3szgvFGitg%3D%3D

    PubMed  CAS  Google Scholar 

  • K McDavid TC Tucker A Slogett MP Coleman (2003) ArticleTitleCancer survival in Kentucky and health insurance coverage Arch Intern Med 163 2135–2144 Occurrence Handle14557210

    PubMed  Google Scholar 

  • JS Haas KA Phillips D Sonneborn CE McCulloch SY Liang (2002) ArticleTitleEffect of managed care insurance on the use of preventive care for specific ethnic groups in the United States Med Care 40 743–751 Occurrence Handle12218765

    PubMed  Google Scholar 

  • SS Coughlin TD Thompson HI Hall P Logan RJ Uhler (2002) ArticleTitleBreast and cervical carcinoma screening practices among women in rural and nonrural areas of the United States, 1998–1999 Cancer 94 2801–2812 Occurrence Handle12115366

    PubMed  Google Scholar 

  • DM Cummings LM Whitestone JA Earp L Mayne (2002) ArticleTitleDisparities in mammography screening in rural areas: analysis of county differences in North Carolina J Rural Health 18 77–83 Occurrence Handle10.1111/j.1748-0361.2002.tb00879.x Occurrence Handle12043758

    Article  PubMed  Google Scholar 

  • AG Ramirez GA Talvera R Villareal et al. (2000) ArticleTitleBreast cancer screening in regional Hispanic populations Health Educ Res 15 1559–1568

    Google Scholar 

  • AB Nattinger MS Gottlieb J Veum D Yahnke JS Goodwin (1992) ArticleTitleGeographic variation in the use of breast-conserving treatment for breast cancer N Engl J Med 326 1147–1149 Occurrence Handle10.1056/NEJM199204233261702

    Article  Google Scholar 

  • AB Nattinger RT Kneusel RG Hoffman MA Gilligan (2000) ArticleTitleRelationship of distance from radiotherapy facility and initial breast cancer treatment J Natl Cancer Inst 93 1344–1346

    Google Scholar 

  • WF Athas M Adams-Cameron WC Hunt A Amir-Fazli CR Key (2000) ArticleTitleTravel distance to radiation therapy and receipt of radiotherapy following breast-conserving surgery J Natl Cancer Inst 92 269–271 Occurrence Handle10655446 Occurrence Handle1:STN:280:DC%2BD3c7it1GhsQ%3D%3D

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA

    JudyAnn Bigby & Michelle D. Holmes

  2. Center of Excellence in Women’s Health, Harvard Medical School’s, USA

    JudyAnn Bigby

  3. Channing Laboratory, USA

    Michelle D. Holmes

  4. Harvard Medical School, USA

    JudyAnn Bigby & Michelle D. Holmes

  5. Office for Women, Family and Community Programs, Brigham, Women’s Hospital, 1620 Tremont Street, Boston, MA, USA, 02120

    Michelle D. Holmes

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  1. JudyAnn Bigby
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Correspondence to Michelle D. Holmes.

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Bigby, J., Holmes, M.D. Disparities across the breast cancer continuum. Cancer Causes Control 16, 35–44 (2005). https://doi.org/10.1007/s10552-004-1263-1

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