Race and age disparities in receipt of sentinel lymph node biopsy for early-stage breast cancer.


:To evaluate differences in use of sentinel lymph node biopsy (SLNB) by age and race in Medicare recipients with early-stage breast cancer, we examined Surveillance, Epidemiology and End Results-Medicare linked data for women undergoing breast conserving surgery for stage I or II breast cancer, including axillary staging, between January 2000 and December 2002. Multivariable generalized linear modeling with generalized estimating equations was used to identify predictors of receiving SLNB versus standard axillary lymph node dissection as the primary axillary staging modality. Women were significantly less likely to receive SLNB as their primary staging procedure if they were African American (OR 0.65), greater than 80 years of age (OR 0.71 vs. age <70), or dually eligible for Medicare and Medicaid (OR 0.61). Tumor characteristics, including well-differentiated histology and stage I disease, were associated with increased likelihood of SLNB, but estrogen receptor status was not a significant predictor. Women treated at an institution affiliated with an NCI cooperative research group had significantly greater likelihood of receiving SLNB (OR 2.31). Likelihood of receiving SLNB increased for women diagnosed in 2001 and 2002 compared with 2000. Significant disparities exist in receipt of SLNB in the Medicare population, with African Americans, the elderly, and economically disadvantaged patients being less likely to receive this innovative and morbidity-sparing procedure. These findings continue a previously observed pattern of reduced access to state of the art breast cancer care among underserved populations.


Reeder-Hayes KE,Bainbridge J,Meyer AM,Amos KD,Weiner BJ,Godley PA,Carpenter WR




Has Abstract


2011-08-01 00:00:00












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    journal_title:Breast cancer research and treatment

    pub_type: 杂志文章


    authors: Trewin CB,Johansson ALV,Hjerkind KV,Strand BH,Kiserud CE,Ursin G

    更新日期:2020-07-01 00:00:00

  • Role of maximum standardized uptake value in fluorodeoxyglucose positron emission tomography/computed tomography predicts malignancy grade and prognosis of operable breast cancer: a multi-institute study.

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    更新日期:2013-09-01 00:00:00

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    journal_title:Breast cancer research and treatment

    pub_type: 杂志文章,多中心研究


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    更新日期:2017-10-01 00:00:00

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    journal_title:Breast cancer research and treatment

    pub_type: 杂志文章


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    更新日期:2011-11-01 00:00:00

  • Randomized phase III trial of adjuvant epirubicin followed by cyclophosphamide, methotrexate, and 5-fluorouracil (CMF) versus CMF followed by epirubicin in patients with node-negative or 1-3 node-positive rapidly proliferating breast cancer.

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    authors: Amadori D,Silvestrini R,De Lena M,Boccardo F,Rocca A,Scarpi E,Schittulli F,Brandi M,Maltoni R,Serra P,Ponzone R,Biglia N,Gianni L,Tienghi A,Valerio MR,Bonginelli P,Amaducci L,Faedi M,Baldini E,Paradiso A

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    journal_title:Breast cancer research and treatment

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    authors: Treeck O,Lattrich C,Springwald A,Ortmann O

    更新日期:2010-04-01 00:00:00

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    pub_type: 杂志文章,多中心研究,随机对照试验


    authors: Abraham J,Robidoux A,Tan AR,Limentani S,Sturtz K,Shalaby I,Alcorn H,Buyse ME,Wolmark N,Jacobs SA

    更新日期:2015-07-01 00:00:00

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    更新日期:2017-11-01 00:00:00

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    pub_type: 杂志文章


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    更新日期:2007-12-01 00:00:00

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    authors: Cariou S,Catzavelos C,Slingerland JM

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    authors: Asola R,Huhtala H,Holli K

    更新日期:2006-11-01 00:00:00

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    更新日期:2016-11-01 00:00:00

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    更新日期:2013-08-01 00:00:00

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    pub_type: 杂志文章,评审


    authors: Reiss M,Barcellos-Hoff MH

    更新日期:1997-08-01 00:00:00

  • Ethnic differences in risk perception among women at increased risk for breast cancer.

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    pub_type: 杂志文章,多中心研究


    authors: Hughes C,Lerman C,Lustbader E

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    pub_type: 临床试验,杂志文章,随机对照试验


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    更新日期:2012-09-01 00:00:00

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    pub_type: 杂志文章


    authors: Sheen-Chen SM,Chen WJ,Eng HL,Chou FF

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    pub_type: 杂志文章


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    pub_type: 临床试验,杂志文章,随机对照试验


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    更新日期:2002-05-01 00:00:00

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    pub_type: 杂志文章


    authors: Trentham-Dietz A,Sprague BL,Klein R,Klein BE,Cruickshanks KJ,Fryback DG,Hampton JM

    更新日期:2008-05-01 00:00:00

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    journal_title:Breast cancer research and treatment

    pub_type: 杂志文章


    authors: Lee JS,Melisko ME,Magbanua MJ,Kablanian AT,Scott JH,Rugo HS,Park JW

    更新日期:2015-11-01 00:00:00

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    journal_title:Breast cancer research and treatment

    pub_type: 杂志文章


    authors: Flores ML,Castilla C,Ávila R,Ruiz-Borrego M,Sáez C,Japón MA

    更新日期:2012-06-01 00:00:00

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    journal_title:Breast cancer research and treatment

    pub_type: 共识发展会议,杂志文章,评审


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    更新日期:2019-04-01 00:00:00

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    journal_title:Breast cancer research and treatment

    pub_type: 杂志文章,评审


    authors: Azim HA Jr,Bellettini G,Gelber S,Peccatori FA

    更新日期:2009-03-01 00:00:00