Chen Yuan-Hsin, Chen Ya-Wen, Chang David C, Oseni Tawakalitu O
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA; Codman Center for Clinical Effectiveness in Surgery, Massachusetts General Hospital, Harvard Medical School, 165 Cambridge St, Suite 403, Boston, MA, 02114, USA.
Department of Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, Boston, MA, 02114, USA; Codman Center for Clinical Effectiveness in Surgery, Massachusetts General Hospital, Harvard Medical School, 165 Cambridge St, Suite 403, Boston, MA, 02114, USA.
Am J Surg. 2025 Feb;240:115928. doi: 10.1016/j.amjsurg.2024.115928. Epub 2024 Aug 22.
We investigated the likelihood of timely surgery for breast cancer patients among diverse Asian subgroups.
We analyzed the National Cancer Database from 2010 to 2019 and included White and Asian women diagnosed with stage I-III breast cancer. Patients with multiple cancers, patients who received chemotherapy, and those diagnosed and treated at different hospitals were excluded. The primary outcome was timely surgery within 8 weeks of diagnosis. Race was the primary independent variable. Asian Americans were stratified by geography.
A total of 716,701 women were analyzed, with 3.5% Asians. Delayed surgery was experienced by 13.2% of women. Adjusted analysis indicated no difference in receiving timely surgery between all Asians and Whites. However, Southeast Asians were less likely to undergo timely surgery compared to Whites (OR 0.75, 95% CI 0.67-0.84).
Variations among Asian ethnicities emphasize the need to explore treatment patterns to address disparities in breast cancer care.
我们调查了不同亚洲亚组乳腺癌患者及时接受手术治疗的可能性。
我们分析了2010年至2019年的国家癌症数据库，纳入了诊断为I - III期乳腺癌的白人和亚洲女性。排除患有多种癌症的患者、接受化疗的患者以及在不同医院诊断和治疗的患者。主要结局是在诊断后8周内及时进行手术。种族是主要的自变量。亚裔美国人按地理区域分层。
共分析了716,701名女性，其中3.5%为亚洲人。13.2%的女性经历了手术延迟。校正分析表明，所有亚洲人和白人在接受及时手术方面没有差异。然而，与白人相比，东南亚人接受及时手术的可能性较小（比值比0.75，95%置信区间0.67 - 0.84）。
亚洲不同种族之间的差异凸显了探索治疗模式以解决乳腺癌治疗差异的必要性。
