Disparities in Timeliness of Breast Cancer Treatment in a Rural Setting: Breast Cancer Treatment Disparities

  • 0Department of Graduate Medical Education, General Surgery, The University of Texas at Tyler Health Science Center, Tyler, TX, USA.

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Summary

This summary is machine-generated.

Delays in breast cancer care, particularly from imaging to biopsy and biopsy to surgery, predict longer treatment times and impact survival. Understanding these delays is key to improving care for at-risk patients.

Area Of Science

  • Oncology
  • Healthcare Quality
  • Health Disparities

Background

  • Established benchmarks assess breast cancer care quality; treatment delays correlate with adverse outcomes.
  • Investigated factors influencing timely breast cancer care in a rural East Texas healthcare system.

Purpose Of The Study

  • Identify factors affecting the timeliness of breast cancer diagnosis and treatment.
  • Analyze care intervals against National Consortium of Breast Centers (NCBC) recommendations.

Main Methods

  • Retrospective analysis of 278 invasive breast cancer cases (2015-2022).
  • Assessed timeliness across diagnostic imaging to biopsy, biopsy to surgery, and mammogram to surgery intervals.
  • Correlated demographic and clinical factors with treatment initiation delays.

Main Results

  • Nearly 50% met imaging-to-biopsy timelines; only 13.3% met mammogram-to-surgery and 10.3% met biopsy-to-surgery timelines.
  • Delays in early stages predicted delays in later treatment phases.
  • Hispanic patients had higher stage 3 cancer rates and 4.5x mortality risk vs. Non-Hispanic whites.

Conclusions

  • Sequential delays in breast cancer care are predictive of overall treatment timeliness.
  • Treatment timeliness significantly impacts survival, especially for Hispanic patients.
  • Identifying delay factors can guide targeted interventions for high-risk populations.

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