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Racial/Ethnic Disparities in Time to a Breast Cancer Diagnosis
| Content Provider | Scilit |
|---|---|
| Author | Molina, Yamile Silva, Abigail Rauscher, Garth H. |
| Copyright Year | 2015 |
| Description | Journal: Medical Care Background: Racial/ethnic disparities exist along the breast cancer continuum, including time to a diagnosis. Previous research has largely focused on patient-level factors, and less is known about the role that health care facilities may play in delayed breast cancer care. Objectives: We examined racial/ethnic disparities in delayed diagnosis for breast cancer in the Breast Cancer Care in Chicago Study and estimated the potential mediating effects of facility factors. Research Design and Subjects: Breast cancer patients (N=606) contributed interview and medical record data as part of a population-based study. Measures: Race/ethnicity was self-reported at interview. Diagnostic delay was defined as an excess of 60 days between medical presentation and a definitive diagnosis. Facility factors included the facility of medical presentation with respect to: (1) accreditation through the National Consortium of Breast Centers; (2) certification as a Breast Imaging Center of Excellence through the American College of Radiology; and (3) status as a disproportionate share hospital through the state of Illinois as well as the number of facilities used between presentation and diagnosis. Results: Relative to non-Hispanic whites, minorities were more likely to experience a diagnostic delay, present at a nonaccredited facility and at a disproportionate share hospital, and involve multiple facilities in their diagnosis. Together, facility factors accounted for 43% of the disparity in diagnostic delay (P<0.0001). Conclusions: Initial presentation of breast cancer at higher resourced facilities can reduce diagnostic delays. Disparities in delay are partly due to a disproportionate presentation at lower resourced facilities by minorities. |
| Related Links | http://europepmc.org/articles/pmc4570266?pdf=render https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4570266/pdf |
| Ending Page | 878 |
| Page Count | 7 |
| Starting Page | 872 |
| ISSN | 00257079 |
| e-ISSN | 15371948 |
| DOI | 10.1097/mlr.0000000000000417 |
| Journal | Medical Care |
| Issue Number | 10 |
| Volume Number | 53 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2015-10-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Medical Care Womens Studies Breast Cancer, Disparities, Between-facility Effects, Accreditation, Multisite Care |
| Content Type | Text |
| Resource Type | Article |
| Subject | Public Health, Environmental and Occupational Health |
