Racial/ethnic disparities in knowledge about risks and benefits of breast cancer treatment: Does it matter where you go?
Racial/ethnic disparities in knowledge about risks and benefits of breast cancer treatment: Does it matter where you go?
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DOI：
10.1111/j.1475-6773.2008.00843.x
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发表时间：
2008-08-01
影响因子：
3.4
通讯作者：
Katz, Steven J.
中科院分区：
文献类型：
--
作者：
Hawley, Sarah T.;Fagerlin, Angela;Katz, Steven J.
目标。评估提供者特征和治疗地点与少数民族患者对乳腺癌治疗风险和获益的认知之间的关系。数据来源/数据收集。将底特律和洛杉矶SEER登记处乳腺癌患者的调查反馈和临床数据与外科医生的调查反馈合并（N= 1132名患者，277名外科医生）。研究设计。横断面调查。多变量回归用于确定患者、外科医生和治疗环境因素之间的关联，并准确了解与乳房切除术和保乳手术放疗相关的生存获益和复发风险。主要的发现。一半（51%）的受访者有生存知识，而接近一半（47.6%）的受访者对复发知识不确定。少数民族患者和受教育程度较低的患者不太可能有足够的生存知识，更有可能对复发风险不确定
Objective. To evaluate the association between provider characteristics and treatment location and racial/ethnic minority patients' knowledge of breast cancer treatment risks and benefits.Data Sources/Data Collection. Survey responses and clinical data from breast cancer patients of Detroit and Los Angeles SEER registries were merged with surgeon survey responses (N=1,132 patients, 277 surgeons).Study Design. Cross-sectional survey. Multivariable regression was used to identify associations between patient, surgeon, and treatment setting factors and accurate knowledge of the survival benefit and recurrence risk related to mastectomy and breast conserving surgery with radiation.Principal Findings. Half (51 percent) of respondents had survival knowledge, while close to half (47.6 percent) were uncertain regarding recurrence knowledge. Minority patients and those with lower education were less likely to have adequate survival knowledge and more likely to be uncertain regarding recurrence risk than their counterparts (p