Relationship between documentation status and survival for medically underserved Hispanic breast cancer patients
Relationship between documentation status and survival for medically underserved Hispanic breast cancer patients
复制标题
DOI：
10.1016/j.jss.2012.04.072
复制
发表时间：
2013-04-01
影响因子：
2.2
通讯作者：
Wray, Curtis J.
中科院分区：
文献类型：
--
作者：
Castro-Echeverry, Eduardo;Kao, Lillian S.;Wray, Curtis J.
背景：无证移民已被证明倾向于比一般人群更差的临床结果。本研究探讨在社会经济上处于不利地位的西班牙裔记录和无证乳腺癌patients.Methods：一个前瞻性的乳腺癌数据库中的安全网医院系统治疗的患者的生存分析。总生存率是主要结局，诊断时的晚期（区域性和转移性）是次要结局。生存分析和多元回归modeling.Results：751例乳腺癌患者被确定。未记录的患者发病年龄较早，并且可能处于晚期。调整协变量后，无证身份与死亡率增加无关。诊断治疗间隔显着较长的无证patients.Conclusions：尽管无证患者出现在一个年轻的年龄，他们有类似的死亡率与记录的患者相比。这一发现部分是由无证患者提供的当地治疗解释的，需要进一步研究以详细说明这些表现和结局差异的原因。(C)2013 Elsevier Inc. All rights reserved.
Background: Undocumented immigrants have been shown to be predisposed to worse clinical outcomes than the general population. This study examines survival in socioeconomically disadvantaged Hispanic documented and undocumented breast cancer patients.Methods: Analysis of a prospective breast cancer database of patients treated in a safety-net hospital system. Overall survival was the primary outcome, and advanced stage at diagnosis (regional and metastatic) was a secondary outcome. Survival analysis and multivariate regression modeling were performed.Results: Seven hundred fifty-one breast cancer patients were identified. Undocumented patients presented at an earlier age and were likely to present with advanced stage. After adjusting for covariates, undocumented status was not associated with increased mortality. The diagnosis-to-treatment interval was significantly longer in undocumented patients.Conclusions: Despite undocumented patients presenting at a younger age, they have similar mortality compared with documented patients. This finding is partly explained by the local treatment afforded by undocumented patients, further studies are necessary to detail the reasons for these differences in presentation and outcome. (C) 2013 Elsevier Inc. All rights reserved.