Department of Surgery, Harbor-UCLA Medical Center, Torrance, CA, USA.
David Geffen School of Medicine at UCL, Los Angeles, CA, USA.
Am Surg. 2021 Sep;87(9):1480-1483. doi: 10.1177/0003134820966288. Epub 2021 Mar 11.
While prior studies have shown the apparent health disparities in breast cancer diagnosis and treatment, there is a gap in knowledge with respect to access to breast cancer care among minority women.
We performed a retrospective analysis of patients with newly diagnosed breast cancer from 2014 to 2016 to evaluate how patients presented and accessed cancer care services in our urban safety net hospital. Patient demographics, cancer stage, history of breast cancer screening, and process of referral to cancer care were collected and analyzed.
Of the 202 patients identified, 61 (30%) patients were younger than the age of 50 and 75 (63%) were of racial minority background. Only 39% of patients with a new breast cancer were diagnosed on screening mammogram. Women younger than the age of 50 ( < .001) and minority women ( < .001) were significantly less likely to have had any prior screening mammograms. Furthermore, in patients who met the screening guideline age, more than half did not have prior screening mammograms.
Future research should explore how to improve breast cancer screening rates within our county patient population and the potential need for revision of screening guidelines for minority patients.
尽管先前的研究表明乳腺癌诊断和治疗方面存在明显的健康差异，但在少数族裔女性获得乳腺癌护理方面的知识仍存在空白。
我们对 2014 年至 2016 年期间新诊断为乳腺癌的患者进行了回顾性分析，以评估患者在我们的城市安全网医院中如何就诊和获得癌症护理服务。收集并分析了患者的人口统计学特征、癌症分期、乳腺癌筛查史以及转诊至癌症护理的过程。
在确定的 202 名患者中，有 61 名（30%）患者年龄小于 50 岁，75 名（63%）为少数族裔背景。仅有 39%的新诊断乳腺癌患者是通过筛查性乳房 X 光检查发现的。年龄小于 50 岁的女性（<.001）和少数族裔女性（<.001）进行过任何既往筛查性乳房 X 光检查的可能性明显较低。此外，在符合筛查指南年龄的患者中，超过一半的患者没有进行过既往筛查性乳房 X 光检查。
未来的研究应探讨如何提高我们县患者群体中的乳腺癌筛查率，以及修订少数族裔患者筛查指南的潜在需求。
