Philadelphia College of Osteopathic Medicine, Suwanee, GA, U.S.A.;
Department of General Surgery, Division of Surgical Oncology, Mayo Clinic Florida, Jacksonville, FL, U.S.A.
Anticancer Res. 2022 Dec;42(12):5813-5818. doi: 10.21873/anticanres.16088.
BACKGROUND/AIM: This study aimed to identify the demographic/socioeconomic factors associated with disparities in time to breast cancer treatment.
We conducted an analysis of breast cancer patients from the National Cancer Database, 2008-2019. Time intervals from diagnosis to surgery, radiation, and chemotherapy were compared based on age, sex, race, and socioeconomic status.
A total of 715,210 patients with breast cancer were included. Overall, Hispanic patients had the longest times to surgery, radiation, and chemotherapy compared to non-Hispanic patients (surgery 73.3 vs. 53.8 days, radiation 177.2 vs. 136.9 days, chemotherapy 83.0 vs. 66.5 days, all p<0.01). Similarly, black patients, those who were uninsured, and those with lower income (<$63,000) had the longest times to treatment.
We identified several racial/socioeconomic disparities in time to treatment. Further investigation into the causes of these disparities is of increasing importance to address inequities in breast cancer care.
背景/目的：本研究旨在确定与乳腺癌治疗时间差异相关的人口统计学/社会经济学因素。
我们对 2008 年至 2019 年国家癌症数据库中的乳腺癌患者进行了分析。根据年龄、性别、种族和社会经济地位，比较了从诊断到手术、放疗和化疗的时间间隔。
共纳入 715210 例乳腺癌患者。总体而言，与非西班牙裔患者相比，西班牙裔患者的手术、放疗和化疗时间最长（手术 73.3 天 vs. 53.8 天，放疗 177.2 天 vs. 136.9 天，化疗 83.0 天 vs. 66.5 天，均 p<0.01）。同样，黑人患者、没有保险的患者和收入较低（<$63000）的患者治疗时间最长。
我们发现治疗时间存在一些种族/社会经济差异。进一步调查这些差异的原因对于解决乳腺癌护理中的不平等问题变得越来越重要。
