Racial disparities in adoption of axillary sentinel lymph node biopsy and lymphedema risk in women with breast cancer.
Identifieur interne : 001308 ( PubMed/Checkpoint ); précédent : 001307; suivant : 001309Racial disparities in adoption of axillary sentinel lymph node biopsy and lymphedema risk in women with breast cancer.
Auteurs : Dalliah M. Black ; Jing Jiang ; Henry M. Kuerer ; Thomas A. Buchholz ; Benjamin D. SmithSource :
- JAMA surgery [ 2168-6262 ] ; 2014.
Descripteurs français
- KwdFr :
- Afro-Américains, Aisselle, Biopsie de noeud lymphatique sentinelle (utilisation), Disparités d'accès aux soins (ethnologie), Facteurs socioéconomiques, Femelle, Humains, Lymphoedème (ethnologie), Population d'origine européenne, Programme SEER, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein (), Tumeurs du sein (anatomopathologie), Tumeurs du sein (ethnologie), Études rétrospectives.
- MESH :
- anatomopathologie : Tumeurs du sein.
- ethnologie : Disparités d'accès aux soins, Lymphoedème, Tumeurs du sein.
- utilisation : Biopsie de noeud lymphatique sentinelle.
- Afro-Américains, Aisselle, Facteurs socioéconomiques, Femelle, Humains, Population d'origine européenne, Programme SEER, Stade de la tumeur, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs du sein, Études rétrospectives.
English descriptors
- KwdEn :
- African Americans, Aged, Aged, 80 and over, Axilla, Breast Neoplasms (ethnology), Breast Neoplasms (pathology), Breast Neoplasms (surgery), European Continental Ancestry Group, Female, Healthcare Disparities (ethnology), Humans, Lymphedema (ethnology), Neoplasm Staging, Retrospective Studies, SEER Program, Sentinel Lymph Node Biopsy (utilization), Socioeconomic Factors.
- MESH :
- ethnology : Breast Neoplasms, Healthcare Disparities, Lymphedema.
- pathology : Breast Neoplasms.
- surgery : Breast Neoplasms.
- utilization : Sentinel Lymph Node Biopsy.
- African Americans, Aged, Aged, 80 and over, Axilla, European Continental Ancestry Group, Female, Humans, Neoplasm Staging, Retrospective Studies, SEER Program, Socioeconomic Factors.
Abstract
Racial disparities exist in many aspects of breast cancer care. Sentinel lymph node biopsy (SLNB) was developed to replace axillary lymph node dissection (ALND) for staging early breast cancer to minimize complications. Racial disparities in the use of SLNB remain incompletely characterized, and their effect on lymphedema risk is not known.
DOI: 10.1001/jamasurg.2014.23
PubMed: 25073831
Affiliations:
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Black</name><affiliation><nlm:affiliation>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston.</nlm:affiliation><wicri:noCountry code="subField">Houston</wicri:noCountry></affiliation></author><author><name sortKey="Jiang, Jing" sort="Jiang, Jing" uniqKey="Jiang J" first="Jing" last="Jiang">Jing Jiang</name><affiliation><nlm:affiliation>Department of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston.</nlm:affiliation><wicri:noCountry code="subField">Houston</wicri:noCountry></affiliation></author><author><name sortKey="Kuerer, Henry M" sort="Kuerer, Henry M" uniqKey="Kuerer H" first="Henry M" last="Kuerer">Henry M. 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Smith</name><affiliation><nlm:affiliation>Department of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston3Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston.</nlm:affiliation><wicri:noCountry code="subField">Houston</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2014">2014</date><idno type="RBID">pubmed:25073831</idno><idno type="pmid">25073831</idno><idno type="doi">10.1001/jamasurg.2014.23</idno><idno type="wicri:Area/PubMed/Corpus">001422</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001422</idno><idno type="wicri:Area/PubMed/Curation">001422</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001422</idno><idno type="wicri:Area/PubMed/Checkpoint">001422</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">001422</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Racial disparities in adoption of axillary sentinel lymph node biopsy and lymphedema risk in women with breast cancer.</title><author><name sortKey="Black, Dalliah M" sort="Black, Dalliah M" uniqKey="Black D" first="Dalliah M" last="Black">Dalliah M. Black</name><affiliation><nlm:affiliation>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston.</nlm:affiliation><wicri:noCountry code="subField">Houston</wicri:noCountry></affiliation></author><author><name sortKey="Jiang, Jing" sort="Jiang, Jing" uniqKey="Jiang J" first="Jing" last="Jiang">Jing Jiang</name><affiliation><nlm:affiliation>Department of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston.</nlm:affiliation><wicri:noCountry code="subField">Houston</wicri:noCountry></affiliation></author><author><name sortKey="Kuerer, Henry M" sort="Kuerer, Henry M" uniqKey="Kuerer H" first="Henry M" last="Kuerer">Henry M. Kuerer</name><affiliation><nlm:affiliation>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston.</nlm:affiliation><wicri:noCountry code="subField">Houston</wicri:noCountry></affiliation></author><author><name sortKey="Buchholz, Thomas A" sort="Buchholz, Thomas A" uniqKey="Buchholz T" first="Thomas A" last="Buchholz">Thomas A. Buchholz</name><affiliation><nlm:affiliation>Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston.</nlm:affiliation><wicri:noCountry code="subField">Houston</wicri:noCountry></affiliation></author><author><name sortKey="Smith, Benjamin D" sort="Smith, Benjamin D" uniqKey="Smith B" first="Benjamin D" last="Smith">Benjamin D. Smith</name><affiliation><nlm:affiliation>Department of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston3Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston.</nlm:affiliation><wicri:noCountry code="subField">Houston</wicri:noCountry></affiliation></author></analytic><series><title level="j">JAMA surgery</title><idno type="eISSN">2168-6262</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>African Americans</term><term>Aged</term><term>Aged, 80 and over</term><term>Axilla</term><term>Breast Neoplasms (ethnology)</term><term>Breast Neoplasms (pathology)</term><term>Breast Neoplasms (surgery)</term><term>European Continental Ancestry Group</term><term>Female</term><term>Healthcare Disparities (ethnology)</term><term>Humans</term><term>Lymphedema (ethnology)</term><term>Neoplasm Staging</term><term>Retrospective Studies</term><term>SEER Program</term><term>Sentinel Lymph Node Biopsy (utilization)</term><term>Socioeconomic Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Afro-Américains</term><term>Aisselle</term><term>Biopsie de noeud lymphatique sentinelle (utilisation)</term><term>Disparités d'accès aux soins (ethnologie)</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Lymphoedème (ethnologie)</term><term>Population d'origine européenne</term><term>Programme SEER</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein ()</term><term>Tumeurs du sein (anatomopathologie)</term><term>Tumeurs du sein (ethnologie)</term><term>Études rétrospectives</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="ethnologie" xml:lang="fr"><term>Disparités d'accès aux soins</term><term>Lymphoedème</term><term>Tumeurs du sein</term></keywords><keywords scheme="MESH" qualifier="ethnology" xml:lang="en"><term>Breast Neoplasms</term><term>Healthcare Disparities</term><term>Lymphedema</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Breast Neoplasms</term></keywords><keywords scheme="MESH" qualifier="utilisation" xml:lang="fr"><term>Biopsie de noeud lymphatique sentinelle</term></keywords><keywords scheme="MESH" qualifier="utilization" xml:lang="en"><term>Sentinel Lymph Node Biopsy</term></keywords><keywords scheme="MESH" xml:lang="en"><term>African Americans</term><term>Aged</term><term>Aged, 80 and over</term><term>Axilla</term><term>European Continental Ancestry Group</term><term>Female</term><term>Humans</term><term>Neoplasm Staging</term><term>Retrospective Studies</term><term>SEER Program</term><term>Socioeconomic Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Afro-Américains</term><term>Aisselle</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Population d'origine européenne</term><term>Programme SEER</term><term>Stade de la tumeur</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Tumeurs du sein</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Racial disparities exist in many aspects of breast cancer care. Sentinel lymph node biopsy (SLNB) was developed to replace axillary lymph node dissection (ALND) for staging early breast cancer to minimize complications. Racial disparities in the use of SLNB remain incompletely characterized, and their effect on lymphedema risk is not known.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25073831</PMID><DateCreated><Year>2014</Year><Month>08</Month><Day>21</Day></DateCreated><DateCompleted><Year>2014</Year><Month>10</Month><Day>20</Day></DateCompleted><DateRevised><Year>2014</Year><Month>08</Month><Day>21</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">2168-6262</ISSN><JournalIssue CitedMedium="Internet"><Volume>149</Volume><Issue>8</Issue><PubDate><Year>2014</Year><Month>Aug</Month></PubDate></JournalIssue><Title>JAMA surgery</Title><ISOAbbreviation>JAMA Surg</ISOAbbreviation></Journal><ArticleTitle>Racial disparities in adoption of axillary sentinel lymph node biopsy and lymphedema risk in women with breast cancer.</ArticleTitle><Pagination><MedlinePgn>788-96</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1001/jamasurg.2014.23</ELocationID><Abstract><AbstractText Label="IMPORTANCE" NlmCategory="OBJECTIVE">Racial disparities exist in many aspects of breast cancer care. Sentinel lymph node biopsy (SLNB) was developed to replace axillary lymph node dissection (ALND) for staging early breast cancer to minimize complications. Racial disparities in the use of SLNB remain incompletely characterized, and their effect on lymphedema risk is not known.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine racial differences in SLNB use among patients with pathologically node-negative breast cancer during the period when SLNB became the preferred method for axillary staging as well as whether such differences affect lymphedema risk.</AbstractText><AbstractText Label="DESIGN, SETTING, AND PARTICIPANTS" NlmCategory="METHODS">A retrospective study was conducted using the Surveillance, Epidemiology, and End Results-Medicare-linked database from 2002 through 2007 to identify cases of incident, nonmetastatic, pathologically node-negative breast cancer in women aged 66 years or older.</AbstractText><AbstractText Label="MAIN OUTCOMES AND MEASURES" NlmCategory="METHODS">Sentinel lymph node biopsy use and 5-year cumulative incidence of lymphedema by race.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 31 274 women identified, 1767 (5.6%) were black, 27 856 (89.1%) were white, and 1651 (5.3%) were of other or unknown race. Sentinel lymph node biopsy was performed in 73.7% of white patients and 62.4% of black patients (P < .001). The use of SLNB increased by year for both black and white patients (P < .001); however, a fixed disparity of approximately 12 percentage points in SLNB use persisted through 2007. In adjusted analysis, black patients were significantly less likely than white patients to undergo SLNB (odds ratio, 0.67; 95% CI, 0.60-0.75; P < .001). Overall, the 5-year cumulative lymphedema risk was 8.2% in whites and 12.3% in blacks (hazard ratio [HR], 1.43; 95% CI, 1.23-1.67; P < .001). When stratified by type of axillary surgery, 5-year lymphedema risk was 6.8% in whites undergoing SLNB (HR, 1 [reference]), 8.8% in blacks undergoing SLNB (HR, 1.28; 95% CI, 1.02-1.60; P = .03), 12.2% in whites undergoing ALND (1.79; 1.63-1.96; P < .001), and 18.0% in blacks undergoing ALND (2.76; 2.25-3.39; P < .001).</AbstractText><AbstractText Label="CONCLUSIONS AND RELEVANCE" NlmCategory="CONCLUSIONS">Although SLNB use increased in both black and white patients with pathologically node-negative breast cancer from 2002 through 2007, the rates of SLNB remained lower in black than white patients during this entire period by approximately 12 percentage points. This racial disparity in SLNB use contributed to racial disparities in lymphedema risk. Improvements in the dissemination of new techniques are needed to avoid disparities in breast cancer care and patient outcomes, particularly in disadvantaged groups.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Black</LastName><ForeName>Dalliah M</ForeName><Initials>DM</Initials><AffiliationInfo><Affiliation>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jiang</LastName><ForeName>Jing</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kuerer</LastName><ForeName>Henry M</ForeName><Initials>HM</Initials><AffiliationInfo><Affiliation>Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Buchholz</LastName><ForeName>Thomas A</ForeName><Initials>TA</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smith</LastName><ForeName>Benjamin D</ForeName><Initials>BD</Initials><AffiliationInfo><Affiliation>Department of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston3Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>JAMA Surg</MedlineTA><NlmUniqueID>101589553</NlmUniqueID><ISSNLinking>2168-6254</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>JAMA Surg. 2014 Aug;149(8):796-7</RefSource><PMID Version="1">24943995</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D001741" MajorTopicYN="Y">African Americans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001365" MajorTopicYN="N">Axilla</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName><QualifierName UI="Q000208" MajorTopicYN="N">ethnology</QualifierName><QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D044465" MajorTopicYN="Y">European Continental Ancestry Group</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D054625" MajorTopicYN="N">Healthcare Disparities</DescriptorName><QualifierName UI="Q000208" MajorTopicYN="Y">ethnology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName><QualifierName UI="Q000208" MajorTopicYN="Y">ethnology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D009367" MajorTopicYN="N">Neoplasm Staging</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018426" MajorTopicYN="N">SEER Program</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName><QualifierName UI="Q000656" MajorTopicYN="Y">utilization</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012959" MajorTopicYN="N">Socioeconomic Factors</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>7</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>7</Month><Day>31</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>10</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25073831</ArticleId><ArticleId IdType="pii">1882753</ArticleId><ArticleId IdType="doi">10.1001/jamasurg.2014.23</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list></list><tree><noCountry><name sortKey="Black, Dalliah M" sort="Black, Dalliah M" uniqKey="Black D" first="Dalliah M" last="Black">Dalliah M. Black</name><name sortKey="Buchholz, Thomas A" sort="Buchholz, Thomas A" uniqKey="Buchholz T" first="Thomas A" last="Buchholz">Thomas A. Buchholz</name><name sortKey="Jiang, Jing" sort="Jiang, Jing" uniqKey="Jiang J" first="Jing" last="Jiang">Jing Jiang</name><name sortKey="Kuerer, Henry M" sort="Kuerer, Henry M" uniqKey="Kuerer H" first="Henry M" last="Kuerer">Henry M. Kuerer</name><name sortKey="Smith, Benjamin D" sort="Smith, Benjamin D" uniqKey="Smith B" first="Benjamin D" last="Smith">Benjamin D. Smith</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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