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参加医疗保险的美国印第安人、西班牙裔和非西班牙裔白人女性在乳腺癌治疗方面的差异。

Disparities in breast cancer treatment among American Indian, Hispanic and non-Hispanic White Women Enrolled in Medicare.

作者信息

Wilson Robin Taylor, Adams-Cameron Meg, Burhansstipanov Linda, Roubidoux Marilyn A, Cobb Nathaniel, Lynch Charles F, Edwards Brenda K

机构信息

Public Health Sciences at Penn State College of Medicine, USA.

出版信息

J Health Care Poor Underserved. 2007 Aug;18(3):648-64. doi: 10.1353/hpu.2007.0071.

DOI:10.1353/hpu.2007.0071
PMID:17675720
Abstract

Because racial/ethnic disparities in breast cancer survival have persisted, we investigated differences in breast cancer treatment among American Indian, Hispanic, and non-Hispanic White (NHW) women. Surveillance, Epidemiology and End Results data linked to Medicare claims in New Mexico and Arizona (1987-1997) among enrollees aged 65 and older were used to identify treatment, treatment interval, and mortality risk associated with delays in care. We identified 2,031 women (67 American Indian, 333 Hispanic and 1,631 NHW women with time to treatment information. Treatment intervals from diagnosis to surgery (all stages, 18 versus 4 days, p.

摘要

由于乳腺癌生存率方面的种族/族裔差异一直存在,我们调查了美国印第安人、西班牙裔和非西班牙裔白人(NHW)女性在乳腺癌治疗上的差异。利用新墨西哥州和亚利桑那州(1987 - 1997年)与医疗保险理赔记录相关联的65岁及以上参保者的监测、流行病学和最终结果数据,来确定治疗情况、治疗间隔以及与护理延迟相关的死亡风险。我们确定了2031名女性(67名美国印第安人、333名西班牙裔和1631名NHW女性,她们有治疗时间信息。从诊断到手术的治疗间隔(所有阶段,18天对4天,p……(原文此处不完整)

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