Health Disparity: Time Delay in the Treatment of Breast Cancer in Louisiana
Author: RIAZ FERDAUS, MIN SU KIM and JAMES S. LARSON
Published in JHHSA, Vol. 34 No. 3
Previous studies have suggested that breast cancer patients with a delay of three months or more in initiating radiotherapy after breast conservative surgery, have increased recurrence and lower survival than those without treatment delay.
In this study, the inequalities in receiving radiation on time after surgery were identified in five areasópatientís age at diagnosis, race, size of the facility where the patient received treatment, teaching status of the facilities and geographical location where the patient received treatment. All patients studied were female patients. Women younger than 50 years of age, of the black race, receiving treatment in a teaching hospital, and who were treated by surgeons in southeast and central Louisiana were more likely to experience delay in receiving radiotherapy after breast conservative surgery than their counterparts. Patientís insurance status, marital status and SES did not have any influence on treatment delay. Also, the surgeonís practice age at diagnosis, the surgeonís medical school, facility ownership status and Commission on Cancer approval status did not show significant effect.
Subscribers: Login to read this article
Guests: Subscribe to JHHSA, or purchase individual article access for $10.
The article is not available for automatic download. We will email the article to you as a PDF file upon receiving your payment, typically within 24 hours.