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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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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. |
format | Online Article Text |
id | pubmed-9541043 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
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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