Racial Differences in Breast Cancer Stage at Diagnosis in the Mammography Era
Bibliographic Data
Objectives. We assessed racial differences in breast cancer mortality by stage at diagnosis, since mammography became available. Methods. We calculated adjusted odds of distant (versus local or regional) tumors for 143 249 White and 13 571 Black women aged 50 to 69 years, diagnosed with breast cancer between 1982 and 2007 and living in a Surveillance, Epidemiology, and End Results region. We compared linear trends in stage at diagnosis before and after 1998. Results. Distant-stage cancer was diagnosed in 5.8% of White and 10.2% of Black participants. The Black–White disparity in distant tumors narrowed until 1998 (1998 adjusted difference = 0.65%), before increasing. Between 1982 and 1997, the proportion of distant tumors decreased for Blacks (adjusted odds ratio [AOR]/y = 0.973; 95% confidence interval [CI] = 0.960, 0.987) and Whites (AOR/y = 0.978; 95% CI = 0.973, 0.983), with no racial differences (P = .47). From 1998 to 2007, the odds of distant versus local or regional tumors increased for Blacks (AOR/y = 1.036; 95% CI = 1.013, 1.060) and Whites (AOR/y = 1.011; 95% CI = 1.002, 1.021); the rate of increase was greater for Blacks than Whites (P = .04). Conclusions. In the mammography era, racial disparities remain in stage at diagnosis
Breast cancer · Cancer · Cancer registry · Confidence interval · Gynecology · Logistic regression · Mammography · Negroid · Odds · Odds ratio · Stage (stratigraphy) · Surveillance, Epidemiology, and End Results · Breast Lesions and Carcinomas · Demography · Digital Radiography and Breast Imaging · Epidemiology · Global Cancer Incidence and Screening · Internal Medicine · Medicine
The joint effects of census tract poverty and geographic access on late-stage breast cancer diagnosis in 10 US States
Women’s responses to changes in U.S. preventive task force’s mammography screening guidelines
A latent profile analysis to assess physical, cognitive and emotional symptom clusters in women with breast cancer
Worse Breast Cancer Outcomes for Southern Nevadans, Filipina and Black Women
Time from Screening Mammography to Biopsy and from Biopsy to Breast Cancer Treatment among Black and White, Women Medicare Beneficiaries Not Participating in a Health Maintenance Organization
Influence of Socioeconomic and Cultural Factors on Racial Differences in Late-Stage Presentation of Breast Cancer
Permutation tests for joinpoint regression with applications to cancer rates
Screening for Breast Cancer
Screening for Breast Cancer
Mammography use among sociodemographically diverse women
The Influence of Race, Ethnicity, and Individual Socioeconomic Factors on Breast Cancer Stage at Diagnosis
Prospects for eliminating racial differences in breast cancer survival rates
Reducing Racial/Ethnic Disparities in Female Breast Cancer
The use of mammography vans by low-income women
How valid are mammography self-reports
Mammography Screening and Differences in Stage of Disease by Race/Ethnicity
| Unique citing works | 5 |
|---|---|
| Citations per year | 0,38 |
| Citation span | 2013 - 2022 (10) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 4 |