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Disparities in timely surgery among Asian American women with breast cancer
Yuan-Hsin Chen1, Ya-Wen Chen1, David C Chang1
1Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA; Codman Center for Clinical Effectiveness in Surgery, Massachusetts General Hospital, Harvard Medical School, 165 Cambridge St, Suite 403, Boston, MA, 02114, USA.
Background:
We investigated the likelihood of timely surgery for breast cancer patients among diverse Asian subgroups.
Methods:
We analyzed the National Cancer Database from 2010 to 2019 and included White and Asian women diagnosed with stage I-III breast cancer. Patients with multiple cancers, patients who received chemotherapy, and those diagnosed and treated at different hospitals were excluded. The primary outcome was timely surgery within 8 weeks of diagnosis. Race was the primary independent variable. Asian Americans were stratified by geography.
Results:
A total of 716,701 women were analyzed, with 3.5% Asians. Delayed surgery was experienced by 13.2% of women. Adjusted analysis indicated no difference in receiving timely surgery between all Asians and Whites. However, Southeast Asians were less likely to undergo timely surgery compared to Whites (OR 0.75, 95% CI 0.67-0.84).
Conclusions:
Variations among Asian ethnicities emphasize the need to explore treatment patterns to address disparities in breast cancer care.
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