Eintrag weiter verarbeiten
Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer
Gespeichert in:
| Zeitschriftentitel: | Journal of Clinical Oncology |
|---|---|
| Personen und Körperschaften: | , , , , |
| In: | Journal of Clinical Oncology, 33, 2015, 21, S. 2337-2344 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
American Society of Clinical Oncology (ASCO)
|
| Schlagwörter: |
| author_facet |
Sineshaw, Helmneh M. Freedman, Rachel A. Ward, Elizabeth M. Flanders, W. Dana Jemal, Ahmedin Sineshaw, Helmneh M. Freedman, Rachel A. Ward, Elizabeth M. Flanders, W. Dana Jemal, Ahmedin |
|---|---|
| author |
Sineshaw, Helmneh M. Freedman, Rachel A. Ward, Elizabeth M. Flanders, W. Dana Jemal, Ahmedin |
| spellingShingle |
Sineshaw, Helmneh M. Freedman, Rachel A. Ward, Elizabeth M. Flanders, W. Dana Jemal, Ahmedin Journal of Clinical Oncology Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer Cancer Research Oncology |
| author_sort |
sineshaw, helmneh m. |
| spelling |
Sineshaw, Helmneh M. Freedman, Rachel A. Ward, Elizabeth M. Flanders, W. Dana Jemal, Ahmedin 0732-183X 1527-7755 American Society of Clinical Oncology (ASCO) Cancer Research Oncology http://dx.doi.org/10.1200/jco.2014.60.5584 <jats:sec><jats:title>Purpose</jats:title><jats:p> To examine the extent of black/white disparities in receipt of treatment and survival for early-stage breast cancer in men age 18 to 64 and ≥ 65 years. </jats:p></jats:sec><jats:sec><jats:title>Patients and Methods</jats:title><jats:p> We identified 725 non-Hispanic black (black) and 5,247 non-Hispanic white (white) men diagnosed with early-stage breast cancer from 2004 to 2011 in the National Cancer Data Base. We used multivariable logistic regression and calculated standardized risk ratios to predict receipt of treatment and a proportional hazards model to estimate overall hazard ratios (HRs) in black versus white men age 18 to 64 and ≥ 65 years, separately. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> Receipt of treatment was remarkably similar between blacks and whites in both age groups. Black and white older men had lower receipt of chemotherapy (39.2% and 42.0%, respectively) compared with younger patients (76.7% and 79.3%, respectively). Younger black men had a 76% higher risk of death than younger white men after adjustment for clinical factors only (HR, 1.76; 95% CI, 1.11 to 2.78), but this difference significantly diminished after subsequent adjustment for insurance and income (HR, 1.37; 95% CI, 0.83 to 2.24). In those age ≥ 65 years, the excess risk of death in blacks versus whites was nonsignificant and not affected by adjustment for covariates. </jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p> The excess risk of death in black versus white men diagnosed with early-stage breast cancer was largely confined to those age 18 to 64 years and became nonsignificant after adjustment for differences in insurance and income. These findings suggest the importance of improving access to care in reducing racial disparities in male breast cancer mortality. </jats:p></jats:sec> Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer Journal of Clinical Oncology |
| doi_str_mv |
10.1200/jco.2014.60.5584 |
| facet_avail |
Online Free |
| finc_class_facet |
Medizin |
| format |
ElectronicArticle |
| fullrecord |
blob:ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTIwMC9qY28uMjAxNC42MC41NTg0 |
| id |
ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTIwMC9qY28uMjAxNC42MC41NTg0 |
| institution |
DE-D275 DE-Bn3 DE-Brt1 DE-Zwi2 DE-D161 DE-Gla1 DE-Zi4 DE-15 DE-Pl11 DE-Rs1 DE-105 DE-14 DE-Ch1 DE-L229 |
| imprint |
American Society of Clinical Oncology (ASCO), 2015 |
| imprint_str_mv |
American Society of Clinical Oncology (ASCO), 2015 |
| issn |
0732-183X 1527-7755 |
| issn_str_mv |
0732-183X 1527-7755 |
| language |
English |
| mega_collection |
American Society of Clinical Oncology (ASCO) (CrossRef) |
| match_str |
sineshaw2015blackwhitedisparitiesinreceiptoftreatmentandsurvivalamongmenwithearlystagebreastcancer |
| publishDateSort |
2015 |
| publisher |
American Society of Clinical Oncology (ASCO) |
| recordtype |
ai |
| record_format |
ai |
| series |
Journal of Clinical Oncology |
| source_id |
49 |
| title |
Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer |
| title_unstemmed |
Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer |
| title_full |
Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer |
| title_fullStr |
Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer |
| title_full_unstemmed |
Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer |
| title_short |
Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer |
| title_sort |
black/white disparities in receipt of treatment and survival among men with early-stage breast cancer |
| topic |
Cancer Research Oncology |
| url |
http://dx.doi.org/10.1200/jco.2014.60.5584 |
| publishDate |
2015 |
| physical |
2337-2344 |
| description |
<jats:sec><jats:title>Purpose</jats:title><jats:p> To examine the extent of black/white disparities in receipt of treatment and survival for early-stage breast cancer in men age 18 to 64 and ≥ 65 years. </jats:p></jats:sec><jats:sec><jats:title>Patients and Methods</jats:title><jats:p> We identified 725 non-Hispanic black (black) and 5,247 non-Hispanic white (white) men diagnosed with early-stage breast cancer from 2004 to 2011 in the National Cancer Data Base. We used multivariable logistic regression and calculated standardized risk ratios to predict receipt of treatment and a proportional hazards model to estimate overall hazard ratios (HRs) in black versus white men age 18 to 64 and ≥ 65 years, separately. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> Receipt of treatment was remarkably similar between blacks and whites in both age groups. Black and white older men had lower receipt of chemotherapy (39.2% and 42.0%, respectively) compared with younger patients (76.7% and 79.3%, respectively). Younger black men had a 76% higher risk of death than younger white men after adjustment for clinical factors only (HR, 1.76; 95% CI, 1.11 to 2.78), but this difference significantly diminished after subsequent adjustment for insurance and income (HR, 1.37; 95% CI, 0.83 to 2.24). In those age ≥ 65 years, the excess risk of death in blacks versus whites was nonsignificant and not affected by adjustment for covariates. </jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p> The excess risk of death in black versus white men diagnosed with early-stage breast cancer was largely confined to those age 18 to 64 years and became nonsignificant after adjustment for differences in insurance and income. These findings suggest the importance of improving access to care in reducing racial disparities in male breast cancer mortality. </jats:p></jats:sec> |
| container_issue |
21 |
| container_start_page |
2337 |
| container_title |
Journal of Clinical Oncology |
| container_volume |
33 |
| format_de105 |
Article, E-Article |
| format_de14 |
Article, E-Article |
| format_de15 |
Article, E-Article |
| format_de520 |
Article, E-Article |
| format_de540 |
Article, E-Article |
| format_dech1 |
Article, E-Article |
| format_ded117 |
Article, E-Article |
| format_degla1 |
E-Article |
| format_del152 |
Buch |
| format_del189 |
Article, E-Article |
| format_dezi4 |
Article |
| format_dezwi2 |
Article, E-Article |
| format_finc |
Article, E-Article |
| format_nrw |
Article, E-Article |
| _version_ |
1792347170666446857 |
| geogr_code |
not assigned |
| last_indexed |
2024-03-01T17:50:44.18Z |
| geogr_code_person |
not assigned |
| openURL |
url_ver=Z39.88-2004&ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fvufind.svn.sourceforge.net%3Agenerator&rft.title=Black%2FWhite+Disparities+in+Receipt+of+Treatment+and+Survival+Among+Men+With+Early-Stage+Breast+Cancer&rft.date=2015-07-20&genre=article&issn=1527-7755&volume=33&issue=21&spage=2337&epage=2344&pages=2337-2344&jtitle=Journal+of+Clinical+Oncology&atitle=Black%2FWhite+Disparities+in+Receipt+of+Treatment+and+Survival+Among+Men+With+Early-Stage+Breast+Cancer&aulast=Jemal&aufirst=Ahmedin&rft_id=info%3Adoi%2F10.1200%2Fjco.2014.60.5584&rft.language%5B0%5D=eng |
| SOLR | |
| _version_ | 1792347170666446857 |
| author | Sineshaw, Helmneh M., Freedman, Rachel A., Ward, Elizabeth M., Flanders, W. Dana, Jemal, Ahmedin |
| author_facet | Sineshaw, Helmneh M., Freedman, Rachel A., Ward, Elizabeth M., Flanders, W. Dana, Jemal, Ahmedin, Sineshaw, Helmneh M., Freedman, Rachel A., Ward, Elizabeth M., Flanders, W. Dana, Jemal, Ahmedin |
| author_sort | sineshaw, helmneh m. |
| container_issue | 21 |
| container_start_page | 2337 |
| container_title | Journal of Clinical Oncology |
| container_volume | 33 |
| description | <jats:sec><jats:title>Purpose</jats:title><jats:p> To examine the extent of black/white disparities in receipt of treatment and survival for early-stage breast cancer in men age 18 to 64 and ≥ 65 years. </jats:p></jats:sec><jats:sec><jats:title>Patients and Methods</jats:title><jats:p> We identified 725 non-Hispanic black (black) and 5,247 non-Hispanic white (white) men diagnosed with early-stage breast cancer from 2004 to 2011 in the National Cancer Data Base. We used multivariable logistic regression and calculated standardized risk ratios to predict receipt of treatment and a proportional hazards model to estimate overall hazard ratios (HRs) in black versus white men age 18 to 64 and ≥ 65 years, separately. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> Receipt of treatment was remarkably similar between blacks and whites in both age groups. Black and white older men had lower receipt of chemotherapy (39.2% and 42.0%, respectively) compared with younger patients (76.7% and 79.3%, respectively). Younger black men had a 76% higher risk of death than younger white men after adjustment for clinical factors only (HR, 1.76; 95% CI, 1.11 to 2.78), but this difference significantly diminished after subsequent adjustment for insurance and income (HR, 1.37; 95% CI, 0.83 to 2.24). In those age ≥ 65 years, the excess risk of death in blacks versus whites was nonsignificant and not affected by adjustment for covariates. </jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p> The excess risk of death in black versus white men diagnosed with early-stage breast cancer was largely confined to those age 18 to 64 years and became nonsignificant after adjustment for differences in insurance and income. These findings suggest the importance of improving access to care in reducing racial disparities in male breast cancer mortality. </jats:p></jats:sec> |
| doi_str_mv | 10.1200/jco.2014.60.5584 |
| facet_avail | Online, Free |
| finc_class_facet | Medizin |
| format | ElectronicArticle |
| format_de105 | Article, E-Article |
| format_de14 | Article, E-Article |
| format_de15 | Article, E-Article |
| format_de520 | Article, E-Article |
| format_de540 | Article, E-Article |
| format_dech1 | Article, E-Article |
| format_ded117 | Article, E-Article |
| format_degla1 | E-Article |
| format_del152 | Buch |
| format_del189 | Article, E-Article |
| format_dezi4 | Article |
| format_dezwi2 | Article, E-Article |
| format_finc | Article, E-Article |
| format_nrw | Article, E-Article |
| geogr_code | not assigned |
| geogr_code_person | not assigned |
| id | ai-49-aHR0cDovL2R4LmRvaS5vcmcvMTAuMTIwMC9qY28uMjAxNC42MC41NTg0 |
| imprint | American Society of Clinical Oncology (ASCO), 2015 |
| imprint_str_mv | American Society of Clinical Oncology (ASCO), 2015 |
| institution | DE-D275, DE-Bn3, DE-Brt1, DE-Zwi2, DE-D161, DE-Gla1, DE-Zi4, DE-15, DE-Pl11, DE-Rs1, DE-105, DE-14, DE-Ch1, DE-L229 |
| issn | 0732-183X, 1527-7755 |
| issn_str_mv | 0732-183X, 1527-7755 |
| language | English |
| last_indexed | 2024-03-01T17:50:44.18Z |
| match_str | sineshaw2015blackwhitedisparitiesinreceiptoftreatmentandsurvivalamongmenwithearlystagebreastcancer |
| mega_collection | American Society of Clinical Oncology (ASCO) (CrossRef) |
| physical | 2337-2344 |
| publishDate | 2015 |
| publishDateSort | 2015 |
| publisher | American Society of Clinical Oncology (ASCO) |
| record_format | ai |
| recordtype | ai |
| series | Journal of Clinical Oncology |
| source_id | 49 |
| spelling | Sineshaw, Helmneh M. Freedman, Rachel A. Ward, Elizabeth M. Flanders, W. Dana Jemal, Ahmedin 0732-183X 1527-7755 American Society of Clinical Oncology (ASCO) Cancer Research Oncology http://dx.doi.org/10.1200/jco.2014.60.5584 <jats:sec><jats:title>Purpose</jats:title><jats:p> To examine the extent of black/white disparities in receipt of treatment and survival for early-stage breast cancer in men age 18 to 64 and ≥ 65 years. </jats:p></jats:sec><jats:sec><jats:title>Patients and Methods</jats:title><jats:p> We identified 725 non-Hispanic black (black) and 5,247 non-Hispanic white (white) men diagnosed with early-stage breast cancer from 2004 to 2011 in the National Cancer Data Base. We used multivariable logistic regression and calculated standardized risk ratios to predict receipt of treatment and a proportional hazards model to estimate overall hazard ratios (HRs) in black versus white men age 18 to 64 and ≥ 65 years, separately. </jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p> Receipt of treatment was remarkably similar between blacks and whites in both age groups. Black and white older men had lower receipt of chemotherapy (39.2% and 42.0%, respectively) compared with younger patients (76.7% and 79.3%, respectively). Younger black men had a 76% higher risk of death than younger white men after adjustment for clinical factors only (HR, 1.76; 95% CI, 1.11 to 2.78), but this difference significantly diminished after subsequent adjustment for insurance and income (HR, 1.37; 95% CI, 0.83 to 2.24). In those age ≥ 65 years, the excess risk of death in blacks versus whites was nonsignificant and not affected by adjustment for covariates. </jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p> The excess risk of death in black versus white men diagnosed with early-stage breast cancer was largely confined to those age 18 to 64 years and became nonsignificant after adjustment for differences in insurance and income. These findings suggest the importance of improving access to care in reducing racial disparities in male breast cancer mortality. </jats:p></jats:sec> Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer Journal of Clinical Oncology |
| spellingShingle | Sineshaw, Helmneh M., Freedman, Rachel A., Ward, Elizabeth M., Flanders, W. Dana, Jemal, Ahmedin, Journal of Clinical Oncology, Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer, Cancer Research, Oncology |
| title | Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer |
| title_full | Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer |
| title_fullStr | Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer |
| title_full_unstemmed | Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer |
| title_short | Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer |
| title_sort | black/white disparities in receipt of treatment and survival among men with early-stage breast cancer |
| title_unstemmed | Black/White Disparities in Receipt of Treatment and Survival Among Men With Early-Stage Breast Cancer |
| topic | Cancer Research, Oncology |
| url | http://dx.doi.org/10.1200/jco.2014.60.5584 |