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Sunday, June 18th, 2017
Table of Contents

1 Introduction
5 PMID
 [F] Diseases Research  / PubMed Research Articles  /
Sequential matched analysis of racial disparities in breast cancer hospitalization outcomes among African American and White patients.

PubMed

 

Resource

Cancer epidemiology 2017 Jun 17; 49()

Authors

Ogunsina K1; Naik G2; Vin-Raviv N3; Akinyemiju TF4;

Author Information
  • 1Department of Epidemiology, University of Alabama at Birmingham, Birmingham AL, United States.
  • 2Department of Epidemiology, University of Alabama at Birmingham, Birmingham AL, United States; Comprehensive Cancer Center. University of Alabama at Birmingham, Birmingham AL, United States.
  • 3University of Northern Colorado Cancer Rehabilitation Institute, Greeley, CO, United States; School of Social Work, College of Health and Human Sciences, Colorado State University, Fort Collins, CO, United States.
  • 4Department of Epidemiology, University of Alabama at Birmingham, Birmingham AL, United States; Comprehensive Cancer Center. University of Alabama at Birmingham, Birmingham AL, United States. Electronic address: tomiakin@uab.edu.

Abstract

BACKGROUND: The purpose of this study is to determine if racial disparities in inpatient outcomes persist among hospitalized patients comparing African American and White breast cancer patients matched on demographics, presentation and treatment.

METHODS: A total of 136,211 African American and White breast cancer patients from the Healthcare Cost and Utilization Project - Nationwide Inpatient Sample (HCUP-NIS) database, matched on demographics alone, demographics and presentation or demographics, presentation and treatment were studied. Conditional logistic regression was conducted to evaluate post-surgical complications, length of stay and in-hospital mortality outcomes. Analysis was further stratified by age (≤65 years and >65years) to evaluate whether disparities were larger in younger or older patients. All analysis was conducted using SAS 9.3.

RESULTS: White women had significantly shorter hospital length of stay when matched on demographics (β=-0.87, p-value=<0.0001), demographics and presentation (β=-0.63, p-value=<0.0001), and demographics, presentation and treatment (β=-0.51, p-value=<0.0001) compared with African Americans. White women also had lower odds of mortality compared with African American women when matched on demographics (OR: 0.72, 95% CI: 0.65-0.79), demographics and presentation (OR: 0.77, 95% CI: 0.71-0.85), or matched on demographics, presentation and treatment (OR: 0.80, 95% CI: 0.73-0.88). The racial difference observed in length of stay and mortality was larger in the age group ≤65 years compared with >65years

CONCLUSION:
African American women experienced higher odds of inpatient mortality and longer length of stay compared with White women even after accounting for differences in demographics, presentation and treatment characteristics.

Copyright © 2017 Elsevier Ltd. All rights reserved.

PMID

28623836

Others

Publication Type: Journal Article


This article is licensed under the the National Library of Medicine License. It uses material from the PubMed National Library of Medicine Data.


Last Modified:   2016-03-27


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