{"title":"Breast Cancer Patients with MDD: A Comparative Study of Racial Disparities","authors":"Ashlee Guzman BS, Jack Lin MS, Thea Tabernilla BS","doi":"10.1016/j.jnma.2024.07.094","DOIUrl":null,"url":null,"abstract":"<div><h3>Purpose</h3><p>Breast cancer is the leading cause of cancer-related death in Black women. Its concurrence with major depressive disorder (MDD) presents complex challenges for patients and clinicians. Our study aims to compare the clinical and economic impact of these comorbid conditions between racial groups.</p></div><div><h3>Methods</h3><p>We reviewed HCUP NIS data from 2018 to 2020 for 14,105 discharge cases of breast cancer with concurrent MDD, identified using ICD-10-CM code C50.xx. SPSS and SAS facilitated the data analysis, considering cost, demographics, length of stay, expected primary payer, and urban-rural patient location between White and Black racial groups. T-tests and chi-square tests determined statistical significance at p<0.05.</p></div><div><h3>Results</h3><p>12,312 patients were racially identified as White, 1,793 were Black, and 1,777 were of other races. On average, Black patients presented at a younger median age and were less likely to have elective admissions compared to White patients. A significant racial difference was observed in hospital location based on the census division (p<.001). Black patients had shorter hospital length of stay (p<.001). Chi-square analysis highlighted differences in the expected primary payer (p<.001) and urban-rural patient location (p<.001), indicating disparities in healthcare access and socioeconomic status. No significant difference in in-hospital mortality between racial groups was observed (p=.228).</p></div><div><h3>Conclusions</h3><p>Breast cancer patients with concurrent MDD encounter notable clinical and economic difficulties. Black patients typically experience more disadvantages in terms of admission metrics, reflecting significant racial disparities. Community-based research initiatives are necessary to address the root causes of these disparities and inform effective interventions for Black populations.</p></div>","PeriodicalId":17369,"journal":{"name":"Journal of the National Medical Association","volume":"116 4","pages":"Pages 452-453"},"PeriodicalIF":2.5000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the National Medical Association","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0027968424001755","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
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Abstract
Purpose
Breast cancer is the leading cause of cancer-related death in Black women. Its concurrence with major depressive disorder (MDD) presents complex challenges for patients and clinicians. Our study aims to compare the clinical and economic impact of these comorbid conditions between racial groups.
Methods
We reviewed HCUP NIS data from 2018 to 2020 for 14,105 discharge cases of breast cancer with concurrent MDD, identified using ICD-10-CM code C50.xx. SPSS and SAS facilitated the data analysis, considering cost, demographics, length of stay, expected primary payer, and urban-rural patient location between White and Black racial groups. T-tests and chi-square tests determined statistical significance at p<0.05.
Results
12,312 patients were racially identified as White, 1,793 were Black, and 1,777 were of other races. On average, Black patients presented at a younger median age and were less likely to have elective admissions compared to White patients. A significant racial difference was observed in hospital location based on the census division (p<.001). Black patients had shorter hospital length of stay (p<.001). Chi-square analysis highlighted differences in the expected primary payer (p<.001) and urban-rural patient location (p<.001), indicating disparities in healthcare access and socioeconomic status. No significant difference in in-hospital mortality between racial groups was observed (p=.228).
Conclusions
Breast cancer patients with concurrent MDD encounter notable clinical and economic difficulties. Black patients typically experience more disadvantages in terms of admission metrics, reflecting significant racial disparities. Community-based research initiatives are necessary to address the root causes of these disparities and inform effective interventions for Black populations.
期刊介绍：
Journal of the National Medical Association, the official journal of the National Medical Association, is a peer-reviewed publication whose purpose is to address medical care disparities of persons of African descent.
The Journal of the National Medical Association is focused on specialized clinical research activities related to the health problems of African Americans and other minority groups. Special emphasis is placed on the application of medical science to improve the healthcare of underserved populations both in the United States and abroad. The Journal has the following objectives: (1) to expand the base of original peer-reviewed literature and the quality of that research on the topic of minority health; (2) to provide greater dissemination of this research; (3) to offer appropriate and timely recognition of the significant contributions of physicians who serve these populations; and (4) to promote engagement by member and non-member physicians in the overall goals and objectives of the National Medical Association.
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