Selection of Treatment Among Latina and Non-Latina White Women with Ductal Carcinoma in Situ
Selection of Treatment Among Latina and Non-Latina White Women with Ductal Carcinoma in Situ
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DOI：
10.1089/jwh.2010.1986
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发表时间：
2011-02-01
影响因子：
3.5
通讯作者：
Karliner, Leah
中科院分区：
文献类型：
--
作者：
Kaplan, Celia P.;Napoles, Anna M.;Karliner, Leah
背景资料：导管原位癌（DCIS）的发病率不断上升，与白色女性相比，拉丁裔女性可能未充分使用保乳手术（BCS），这突出表明需要更好地了解这个未充分研究的群体如何做出治疗决策。为了帮助解决这一差距，这项研究比较了白色和西班牙语和英语为母语的拉丁裔妇女与DCIS之间的手术和放射治疗决策，这些妇女是从加州35个县的8个基于人口的癌症登记处招募的。年龄≥ 18岁的女性，自认为是2002年至2005年期间诊断为DCIS的拉丁裔或非拉丁裔白色，从8个加州癌症登记处（CCR）地区，并在诊断后约24个月通过电话调查他们的DCIS治疗决策。调查数据合并CCR医院为基础的记录，以获得肿瘤和治疗data.Results：平均年龄为57岁。多变量分析表明，在控制人口统计学、健康和个人偏好后，接受乳房切除术与BCS的种族或语言无差异。在控制了人口统计学和其他因素后，说英语的拉丁裔比说西班牙语的或白色人更有可能接受辐射。在接受BCS的妇女，医生的建议是最强的预测收到的radiation.Conclusions：在乳腺癌诊断后的手术治疗选择的种族差异，没有看到在这个队列中诊断为DCIS的妇女。医生在DCIS患者的治疗选择中起着至关重要的作用，特别是辅助放疗。
Background: The growing rates of ductal carcinoma in situ (DCIS) and evidence that Latinas may underuse breast-conserving surgery (BCS) compared with white women highlight the need to better understand how treatment decisions are made in this understudied group. To help address this gap, this study compared surgery and radiation treatment decision making among white and Spanish-speaking and English-speaking Latina women with DCIS recruited from eight population-based cancer registries from 35 California counties.Methods: Women aged >= 18 who self-identified as Latina or non-Latina white diagnosed with DCIS between 2002 and 2005 were selected from eight California Cancer Registry (CCR) regions and surveyed about their DCIS treatment decision making by telephone approximately 24 months after diagnosis. Survey data were merged with CCR hospital-based records to obtain tumor and treatment data.Results: Mean age was 57 years. Multivariate analysis indicated no differences by ethnicity or language in the receipt of mastectomy vs. BCS after controlling demographic, health, and personal preferences. English-speaking Latinas were more likely to receive radiation than their Spanish-speaking or white counterparts, controlling for demographic and other factors. Among women receiving BCS, physician recommendation was the strongest predictor of receipt of radiation.Conclusions: Ethnic disparities in surgical treatment choices after breast cancer diagnosis were not seen in this cohort of women diagnosed with DCIS. Physicians play an essential role in patients' treatment choices for DCIS, particularly for adjuvant radiation.