Geospatial Disparities in the Treatment of Curable Breast Cancer Across the US.

ABSTRACT:

Importance

Patient factors help explain disparities in breast cancer treatments and outcomes.

Objective

To determine the extent to which geospatial variation in initial breast cancer care can be attributed to region vs patient factors with the aim of guiding quality improvement efforts.

Design, setting, and participants

This was a retrospective population-based cohort study from January 1, 2007, through December 31, 2016, using the Surveillance, Epidemiology, and End Results (SEER)-Medicare database that included 31 571 patients diagnosed with stage I to III breast cancer from 2007 through 2013. Five metrics of care delivery were defined: stage I at diagnosis, chemotherapy receipt, radiation therapy receipt, endocrine therapy (ET) initiation (year 1), and ET continuat

SUBMITTER: Hassett MJ 

PROVIDER: S-EPMC8796059 | biostudies-literature | 2022 Mar

REPOSITORIES: biostudies-literature