دورية أكاديمية
Racial/ethnic disparities in the association between patient care experiences and receipt of initial surgical breast cancer care: findings from SEER-CAHPS.
| العنوان: | Racial/ethnic disparities in the association between patient care experiences and receipt of initial surgical breast cancer care: findings from SEER-CAHPS. |
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| المؤلفون: | Arevalo M; Department of Health Promotion & Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA. Mariana.Arevalo@Moffitt.org.; Health Outcomes & Behavior, Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA. Mariana.Arevalo@Moffitt.org., Pickering TA; Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA., Vernon SW; Department of Health Promotion & Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA., Fujimoto K; Department of Health Promotion & Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA., Peskin MF; Department of Health Promotion & Behavioral Sciences, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Houston, TX, USA., Farias AJ; Department of Preventive Medicine, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.; Gehr Family Center for Health System Science, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.; Cancer Control Research Program, University of Southern California Norris Comprehensive Cancer Center, Los Angeles, CA, USA. |
| المصدر: | Breast cancer research and treatment [Breast Cancer Res Treat] 2024 Feb; Vol. 203 (3), pp. 553-564. Date of Electronic Publication: 2023 Oct 31. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Kluwer Academic Country of Publication: Netherlands NLM ID: 8111104 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-7217 (Electronic) Linking ISSN: 01676806 NLM ISO Abbreviation: Breast Cancer Res Treat Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Dordrecht : Kluwer Academic Original Publication: The Hague ; Boston : M. Nijhoff, c1981- |
| مواضيع طبية MeSH: | Breast Neoplasms*/epidemiology , Breast Neoplasms*/surgery, Humans ; Female ; Aged ; United States/epidemiology ; Retrospective Studies ; Medicare ; Mastectomy ; Patient Care ; Healthcare Disparities |
| مستخلص: | Purpose: We determined whether racial/ethnic differences in patient experiences with care influence timeliness and type of initial surgical breast cancer treatment for a sample of female Medicare cancer patients. Methods: We conducted a retrospective cohort study using the linked Epidemiology and End Results-Consumer Assessment of Healthcare Providers and Systems (SEER-CAHPS) dataset. The outcomes were: (1) time-to-initial surgical treatment, and (2) type of treatment [breast conserving surgery (BCS) vs. mastectomy]. The indicators were reports of four types of patient experiences with care including doctor communication, getting care quickly, getting needed care, and getting needed Rx. Interaction terms in each multivariable logistic model examined if the associations varied by race/ethnicity. Results: Of the 2069 patients, 84.6% were White, 7.6% Black and 7.8% Hispanic. After adjusting for potential confounders, non-Hispanic Black patients who provided excellent reports of their ability to get needed prescriptions had lower odds of receiving surgery within 2-months of diagnosis, compared to NH-Whites who provided less than excellent reports (aOR: 0.29, 95% CI 0.09-0.98). There were no differences based on 1-month or 3-month thresholds. We found no other statistically significant effect of race/ethnicity. As to type of surgery, among NH Blacks, excellent reports of getting care quickly were associated with higher odds of receiving BCS versus mastectomy (aOR: 2.82, 95% CI 1.16-6.85) compared to NH Whites with less than excellent reports. We found no other statistically significant differences by race/ethnicity. Conclusion: Experiences with care are measurable and modifiable factors that can be used to assess and improve aspects of patient-centered care. Improvements in patient care experiences of older adults with cancer, particularly among minorities, may help to eliminate racial/ethnic disparities in timeliness and type of surgical treatment. (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
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| معلومات مُعتمدة: | R25-CA57712 United States CA NCI NIH HHS; UL1TR000130 United States TR NCATS NIH HHS; R25-CA57712 United States CA NCI NIH HHS; UL1TR001855 United States TR NCATS NIH HHS; UL1TR000130 United States TR NCATS NIH HHS; GTDR14300827 United States KOMEN Susan G. Komen |
| فهرسة مساهمة: | Keywords: Cancer treatment; Inequities; Neoplasm; Quality care; Surgery; Survivorship |
| تواريخ الأحداث: | Date Created: 20231031 Date Completed: 20240124 Latest Revision: 20240124 |
| رمز التحديث: | 20240124 |
| DOI: | 10.1007/s10549-023-07148-y |
| PMID: | 37906395 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1573-7217 |
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| DOI: | 10.1007/s10549-023-07148-y |