PMID: 16618951Apr 19, 2006Paper

Does utilization of screening mammography explain racial and ethnic differences in breast cancer?

Annals of Internal Medicine
Rebecca Smith-BindmanKarla Kerlikowske

Abstract

Reasons for persistent differences in breast cancer mortality rates among various racial and ethnic groups have been difficult to ascertain. To determine reasons for disparities in breast cancer outcomes across racial and ethnic groups. Prospective cohort. The authors pooled data from 7 mammography registries that participate in the National Cancer Institute-funded Breast Cancer Surveillance Consortium. Cancer diagnoses were ascertained through linkage with pathology databases; Surveillance, Epidemiology, and End Results programs; and state tumor registries. 1,010,515 women 40 years of age and older who had at least 1 mammogram between 1996 and 2002; 17,558 of these women had diagnosed breast cancer. Patterns of mammography and the probability of inadequate mammography screening were examined. The authors evaluated whether overall and advanced cancer rates were similar across racial and ethnic groups and whether these rates were affected by the use of mammography. African-American, Hispanic, Asian, and Native American women were more likely than white women to have received inadequate mammographic screening (relative risk, 1.2 [95% CI, 1.2 to 1.2], 1.3 [CI, 1.2 to 1.3], 1.4 [CI, 1.3 to 1.4], and 1.2 [CI, 1.1 to 1.2] respectivel...Continue Reading

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