ArticleCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology2012
Patient, hospital, and neighborhood factors associated with treatment of early-stage breast cancer among Asian American women in California.
Article in Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 4 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Relationships Between Living in Ethnic Enclaves and Cancer Outcomes: A Systematic Review of Literature.Journal of racial and ethnic health disparities · 2026Pooled it
- Disparities in Breast Cancer Screening, Diagnosis, and Outcomes Among Vietnamese American Women: A Systematic Review.Journal of surgical oncology · 2026Pooled it
- Systematic review of neighborhood socioeconomic indices studied across the cancer control continuum.Cancer medicine · 2022Pooled it
- Pooled it
- Associations of neighborhood deprivation with breast cancer tumor genomics, targeted treatment use, and survival.Breast cancer research and treatment · 2026Observational
- Regional Variation in Deescalated Therapy in Older Adults With Early-Stage Breast Cancer.JAMA network open · 2024Article
- A large single-center prospective study to investigate the factors influencing the choice of breast-conserving surgery versus mastectomy in Chinese women with early breast cancer.World journal of surgical oncology · 2023Article
- Breast Cancer Disparities in Asian Women: The Need for Disaggregated Research.International journal of environmental research and public health · 2022Article
- Mammographic Breast Density and Acculturation: Longitudinal Analysis in Chinese Immigrants.Journal of immigrant and minority health · 2021Article
- Resilience and Equity in a Time of Crises: Investing in Public Urban Greenspace Is Now More Essential Than Ever in the US and Beyond.International journal of environmental research and public health · 2021Article
- Patient-clinician interactions and disparities in breast cancer care: the equality in breast cancer care study.Journal of cancer survivorship : research and practice · 2019Article
- Ethnic density and cancer: A review of the evidence.Cancer · 2018Review
- Socioeconomic status and breast cancer treatment.Breast cancer research and treatment · 2018Review
- Geospatial Approaches to Cancer Control and Population Sciences.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2017Article
- Intersection of Race/Ethnicity and Socioeconomic Status in Mortality After Breast Cancer.Journal of community health · 2015Article
- Representativeness of breast cancer cases in an integrated health care delivery system.BMC cancer · 2015Article
- Review
- Pakikisama: lessons learned in partnership building with Filipinas with breast cancer for culturally meaningful support.Global health promotion · 2014Article
- A Population-Based Observational Study of First-Course Treatment and Survival for Adolescent and Young Adult Females with Breast Cancer.Journal of adolescent and young adult oncology · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundClinical guidelines recommend breast-conserving surgery (BCS) with radiation as a viable alternative to mastectomy for treatment of early-stage breast cancer. Yet, Asian Americans are more likely than other groups to have mastectomy or omit radiation after BCS.
methodsWe applied polytomous logistic regression and recursive partitioning to analyze factors associated with mastectomy, or BCS without radiation, among 20,987 California Asian Americans diagnosed with stage 0 to II breast cancer from 1990 to 2007.
resultsThe percentage receiving mastectomy ranged from 40% among U.S.-born Chinese to 58% among foreign-born Vietnamese. Factors associated with mastectomy included tumor characteristics such as larger tumor size, patient characteristics such as older age and foreign birthplace among some Asian Americans ethnicities, and additional factors including hospital [smaller hospital size, not National Cancer Institute cancer center, low socioeconomic status (SES) patient composition, and high hospital Asian Americans patient composition] and neighborhood characteristics (ethnic enclaves of low SES). These hospital and neighborhood characteristics were also associated with BCS without radiation. Through recursive partitioning, the highest mastectomy subgroups were defined by tumor characteristics such as size and anatomic location, in combination with diagnosis year and nativity.
conclusionsTumor characteristics and, secondarily, patient, hospital, and neighborhood factors are predictors of mastectomy and omission of radiation following BCS among Asian Americans. IMPACT: By focusing on interactions among patient, hospital, and neighborhood factors in the differential receipt of breast cancer treatment, our study identifies subgroups of interest for further study and translation into public health and patient-focused initiatives to ensure that all women are fully informed about treatment options.
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Registered trials
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