Breast CA tx delays still more common for poor, uninsured

April 25, 2013
Breast CA tx delays still more common for poor, uninsured
For young women with breast cancer, a longer treatment delay time is associated with decreased survival, especially for African-American women, those with public or no insurance, and those with low socioeconomic status; and women with early-stage breast cancer with Medicaid are more likely to undergo mastectomy than those with private insurance, according to two studies published online April 24 in JAMA Surgery.

(HealthDay)—For young women with breast cancer, a longer treatment delay time (TDT) is associated with decreased survival, especially for African-American women, those with public or no insurance, and those with low socioeconomic status; and women with early-stage breast cancer with Medicaid are more likely to undergo mastectomy than those with private insurance, according to two studies published online April 24 in JAMA Surgery.

Erlyn C. Smith, M.D., from the University of California in Irvine, and colleagues examined the impact of TDT on survival using data from 8,860 women aged 15 to 39 years with . The researchers found that TDT of more than six weeks was significantly more common for Hispanic and African-American versus non-Hispanic white women, for women with no or versus private insurance, and for women with low versus high socioeconomic status. For women treated by surgery with TDT of more than six weeks, the five-year survival was 80 percent, which was significantly lower than the 90 percent for those with TDT of less than two weeks.

Linda Adepoju, M.D., from the University of Toledo Medical Center in Ohio, and colleagues examined the effect of insurance payer status on mastectomy rates for 1,539 women with early-stage breast cancer. The researchers found that, at diagnosis, women with Medicaid had significantly larger tumors and were more likely to be treated with mastectomy for large tumors than those with private insurance. Women with private insurance were significantly more likely to undergo mastectomy for smaller tumors. Overall, women with Medicaid were significantly more likely to undergo mastectomy than those with (60 versus 39 percent).

"In summary, our study demonstrates that tumor size, , and Medicaid insurance were predictors of ," Adepoju and colleagues write.

More information: Abstract - Smith
Full Text (subscription or payment may be required)
Abstract - Adepoju
Full Text (subscription or payment may be required)

Related Stories

Recommended for you

A recipe for long-lasting livers

April 22, 2015

People waiting for organ transplants may soon have higher hopes of getting the help that they need in time. Researchers at the RIKEN Center for Developmental Biology have developed a new technique that extends the time that ...

Surgeon to offer ideas on a way to do human head transplants

February 26, 2015

Sergio Canavero of the Turin Advanced Neuromodulation Group has made it known that he intends to announce at this summer's American Academy of Neurological and Orthopedic Surgeons meeting, that he believes he has put together ...

New tool helps guide brain cancer surgery

July 3, 2014

A tool to help brain surgeons test and more precisely remove cancerous tissue was successfully used during surgery, according to a Purdue University and Brigham and Women's Hospital study.

New imaging technique sharpens surgeons' vision

February 11, 2014

Which superhuman power would you choose for help on the job? For Dr. Julie Margenthaler, it's a technology that brings to mind X-ray vision, used for the first time Monday during an operation to remove a patient's lymph node.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.