Disparity in Timely Breast Cancer Treatment: Concordance with Commission on Cancer Quality Measures and the Influence of Socioeconomic Factors in the National Cancer Database
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View abstract on PubMed
Summary
This summary is machine-generated.Racial and socioeconomic disparities significantly impact timely breast cancer treatment. Addressing patient and facility-level barriers is crucial for equitable, high-quality care and improved outcomes.
Area Of Science
- Oncology
- Health Services Research
- Health Equity
Background
- Persistent disparities in timely, guideline-concordant breast cancer treatment across the US.
- Incomplete understanding of how patient- and facility-level socioeconomic status (SES) influence adherence to quality measures.
Purpose Of The Study
- To assess associations between patient and facility SES and concordance with timeliness of breast cancer care quality measures.
- To evaluate predictors of concordant care, including facility-level social risk.
Main Methods
- Retrospective cohort study using the National Cancer Database (2018-2022).
- Analysis of 471,425 patients for surgery, 82,734 for chemotherapy, and 311,523 for radiotherapy.
- Multivariable logistic regression models to identify predictors of care concordance.
Main Results
- Black race, uninsured status, and lower educational attainment were linked to lower odds of guideline-concordant care.
- Patients at low-SES facilities had higher odds of timely surgery but lower odds of timely chemotherapy and radiotherapy.
- Facility type, fragmented care, and comorbidities also influenced care concordance.
Conclusions
- Significant disparities in breast cancer care exist based on race, insurance, education, and facility social risk.
- Intervention opportunities identified to improve outcomes for vulnerable populations.
- Policy and institutional strategies are needed to address barriers and ensure equitable access to multidisciplinary treatment.
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