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Neighborhood socioeconomic status and low‐value breast cancer care

BACKGROUND: The objective of this study is to examine the association between neighborhood socioeconomic status (nSES) and receipt of low‐value breast cancer procedures. METHODS: Patients with breast cancer diagnosed between 2010 and 2016 were identified in the Surveillance, Epidemiology, and End Re...

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Autores principales: Chen, J. C., Li, Yaming, Fisher, James L., Bhattacharyya, Oindrila, Tsung, Allan, Obeng‐Gyasi, Samilia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541043/
https://www.ncbi.nlm.nih.gov/pubmed/35452136
http://dx.doi.org/10.1002/jso.26901
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author Chen, J. C.
Li, Yaming
Fisher, James L.
Bhattacharyya, Oindrila
Tsung, Allan
Obeng‐Gyasi, Samilia
author_facet Chen, J. C.
Li, Yaming
Fisher, James L.
Bhattacharyya, Oindrila
Tsung, Allan
Obeng‐Gyasi, Samilia
author_sort Chen, J. C.
collection PubMed
description BACKGROUND: The objective of this study is to examine the association between neighborhood socioeconomic status (nSES) and receipt of low‐value breast cancer procedures. METHODS: Patients with breast cancer diagnosed between 2010 and 2016 were identified in the Surveillance, Epidemiology, and End Results (SEER) Program. Low value procedures included: (1) axillary lymph node dissection (ALND) for patients with limited nodal disease receiving breast conservation therapy (BCT); (2) contralateral prophylactic mastectomies (CPM); and (3) sentinel lymph node biopsies (SLNB) in patients ≥70 years old with clinically node negative early‐stage hormone‐positive breast cancer. The cohort was divided by nSES. Univariable and multivariable logistic regression analysis compared the groups. RESULTS: The study included 412 959 patients. Compared to patients in high nSES areas, residing in neighborhoods with low nSES (odd ratio [OR] 2.20, 95% confidence interval [CI] 2.0−2.42) and middle nSES (OR 1.42, 95% CI 1.20−1.56) was associated with a higher probability of undergoing low value ALND. Conversely, patients in low SES neighborhoods were less likely to receive low value SLNB (OR 0.89, 95% CI 0.85−0.94) or CPM than (low nSES OR 0.75, 95% CI 0.73−0.77); middle nSES OR 0.91 (0.89−0.92) those in high SES neighborhoods. CONCLUSION: In the SEER Program, low nSES was associated with a lower probability of low value procedures except for ALND utilization.
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spelling pubmed-95410432022-10-14 Neighborhood socioeconomic status and low‐value breast cancer care Chen, J. C. Li, Yaming Fisher, James L. Bhattacharyya, Oindrila Tsung, Allan Obeng‐Gyasi, Samilia J Surg Oncol Breast BACKGROUND: The objective of this study is to examine the association between neighborhood socioeconomic status (nSES) and receipt of low‐value breast cancer procedures. METHODS: Patients with breast cancer diagnosed between 2010 and 2016 were identified in the Surveillance, Epidemiology, and End Results (SEER) Program. Low value procedures included: (1) axillary lymph node dissection (ALND) for patients with limited nodal disease receiving breast conservation therapy (BCT); (2) contralateral prophylactic mastectomies (CPM); and (3) sentinel lymph node biopsies (SLNB) in patients ≥70 years old with clinically node negative early‐stage hormone‐positive breast cancer. The cohort was divided by nSES. Univariable and multivariable logistic regression analysis compared the groups. RESULTS: The study included 412 959 patients. Compared to patients in high nSES areas, residing in neighborhoods with low nSES (odd ratio [OR] 2.20, 95% confidence interval [CI] 2.0−2.42) and middle nSES (OR 1.42, 95% CI 1.20−1.56) was associated with a higher probability of undergoing low value ALND. Conversely, patients in low SES neighborhoods were less likely to receive low value SLNB (OR 0.89, 95% CI 0.85−0.94) or CPM than (low nSES OR 0.75, 95% CI 0.73−0.77); middle nSES OR 0.91 (0.89−0.92) those in high SES neighborhoods. CONCLUSION: In the SEER Program, low nSES was associated with a lower probability of low value procedures except for ALND utilization. John Wiley and Sons Inc. 2022-04-22 2022-09-01 /pmc/articles/PMC9541043/ /pubmed/35452136 http://dx.doi.org/10.1002/jso.26901 Text en © 2022 The Authors. Journal of Surgical Oncology published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Breast
Chen, J. C.
Li, Yaming
Fisher, James L.
Bhattacharyya, Oindrila
Tsung, Allan
Obeng‐Gyasi, Samilia
Neighborhood socioeconomic status and low‐value breast cancer care
title Neighborhood socioeconomic status and low‐value breast cancer care
title_full Neighborhood socioeconomic status and low‐value breast cancer care
title_fullStr Neighborhood socioeconomic status and low‐value breast cancer care
title_full_unstemmed Neighborhood socioeconomic status and low‐value breast cancer care
title_short Neighborhood socioeconomic status and low‐value breast cancer care
title_sort neighborhood socioeconomic status and low‐value breast cancer care
topic Breast
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541043/
https://www.ncbi.nlm.nih.gov/pubmed/35452136
http://dx.doi.org/10.1002/jso.26901
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