PMID: 9556466May 23, 1998Paper

Mammography use helps to explain differences in breast cancer stage at diagnosis between older black and white women

Annals of Internal Medicine
E P McCarthyM A Moskowitz

Abstract

Older black women are less likely to undergo mammography and are more often given a diagnosis of advanced-stage breast cancer than older white women. To investigate the extent to which previous mammography explains observed differences in cancer stage at diagnosis between older black and white women with breast cancer. Retrospective cohort study using the Linked Medicare-Tumor Registry Database. Population-based data from three geographic areas of the United States included in the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) program (Connecticut; metropolitan Atlanta, Georgia; and Seattle-Puget Sound, Washington). Black and white women 67 years of age and older in whom breast cancer was diagnosed between 1987 and 1989. Medicare claims were used to classify women according to mammography use in the 2 years before diagnosis as nonusers (no previous mammography), regular users (> or =2 mammographies done at least 10 months apart), or peri-diagnosis users (mammography done only within 3 months before diagnosis). Information on mammography use was linked with SEER data to determine cancer stage at diagnosis. Stage was classified as early (in situ or local) or late (regional or distant). Black women ...Continue Reading

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