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Titolo:
THE INFLUENCE OF BLACK RACE AND SOCIOECONOMIC-STATUS ON THE USE OF BREAST-CONSERVING SURGERY FOR MEDICARE BENEFICIARIES
Autore:
MICHALSKI TA; NATTINGER AB;
Indirizzi:
MED COLL WISCONSIN,DIV GEN INTERNAL MED,ADM OFF,FMLH E,DEPT INTERNAL MED,9200 W WISCONSIN AVE MILWAUKEE WI 53226 MED COLL WISCONSIN,DIV GEN INTERNAL MED,ADM OFF,FMLH E,DEPT INTERNAL MED MILWAUKEE WI 53226
Titolo Testata:
Cancer
fascicolo: 2, volume: 79, anno: 1997,
pagine: 314 - 319
SICI:
0008-543X(1997)79:2<314:TIOBRA>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
CANCER-TREATMENT; GEOGRAPHIC-VARIATION; POPULATION; MASTECTOMY; THERAPY; STAGE; AGE; RADIOTHERAPY; DETERMINANTS; RADIATION;
Keywords:
BREAST CARCINOMA; BREAST-CONSERVING SURGERY; SOCIOECONOMIC STATUS; BLACK RACE; MEDICARE PATIENTS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
30
Recensione:
Indirizzi per estratti:
Citazione:
T.A. Michalski e A.B. Nattinger, "THE INFLUENCE OF BLACK RACE AND SOCIOECONOMIC-STATUS ON THE USE OF BREAST-CONSERVING SURGERY FOR MEDICARE BENEFICIARIES", Cancer, 79(2), 1997, pp. 314-319

Abstract

BACKGROUND, This study explores the influence of socioeconomic status(SES) and black race on the use of breast-conserving surgery (BCS) asopposed to mastectomy for early stage breast carcinoma. METHODS. A cohort of 41,937 female Medicare inpatients age 65-79 years who had undergone BCS or mastectomy treatment in 1990 for local or regional breastcarcinoma was studied. SES was estimated based on the patients' zip code of residence. RESULTS. Greater use of BCS was associated with higher income and increased education as determined by the patients' zip code area (P < 0.001 for each), and with lower vacant housing rates andfewer persons living below the poverty line in the patients' zip codearea (P < 0.001 for each). Black women were less likely than women ofother races to undergo BCS (odds ratio, 0.80; 95% confidence interval, 0.71-0.91). However, in a multivariate regression model adjusting for stage and urban versus rural residence, income, educational status, and poverty rate remained significant predictors of patient receipt ofBCS, whereas black race did not remain an independent predictor of this treatment. CONCLUSIONS. Women residing in higher SES areas are morelikely to undergo BCS. The reduced use of BCS in black women appears attributable to SES. (C) 1997 American Cancer Society.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/04/20 alle ore 02:00:07