Disparities in timely surgery among Asian American women with breast cancer.

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2024-08-22 DOI:10.1016/j.amjsurg.2024.115928

Yuan-Hsin Chen, Ya-Wen Chen, David C Chang, Tawakalitu O Oseni

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引用次数: 0

Abstract

Background: We investigated the likelihood of timely surgery for breast cancer patients among diverse Asian subgroups.

Methods: 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.

Results: 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).

Conclusions: Variations among Asian ethnicities emphasize the need to explore treatment patterns to address disparities in breast cancer care.

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美国亚裔女性乳腺癌患者在及时手术方面的差异。

背景我们调查了不同亚裔亚群中乳腺癌患者及时手术的可能性：我们分析了 2010 年至 2019 年的全国癌症数据库，纳入了诊断为 I-III 期乳腺癌的白人和亚裔女性。排除了患有多种癌症的患者、接受过化疗的患者以及在不同医院诊断和治疗的患者。主要结果是确诊后 8 周内及时手术。种族是主要的自变量。亚裔美国人按地域分层：共分析了 716,701 名妇女，其中亚裔占 3.5%。13.2%的女性经历过手术延迟。调整后的分析表明，所有亚洲人和白人在及时接受手术方面没有差异。然而，与白人相比，东南亚人接受及时手术的可能性较低（OR 0.75，95% CI 0.67-0.84）：结论：亚裔之间的差异强调了探索治疗模式以解决乳腺癌护理差异的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.