ArticleCancer causes & control : CCC2020
Racial/ethnic differences in patient experiences with health care in association with earlier stage at breast cancer diagnosis: findings from the SEER-CAHPS data.
Article in Cancer causes & control : CCC, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Access to Healthcare, Ease of Receiving Prescription Drugs, and Patient-Physician Communication Measure by Social Vulnerability Among Medicare Beneficiaries.Journal of general internal medicine · 2026Article
- Associations between CAHPS scores of patient care experiences and breast cancer survival among senior female survivors:a SEER-CAHPS analysis.Women & health · 2025Article
- Exploring disparities in healthcare utilization, cancer care experience, and beliefs about cancer among asian and hispanic cancer survivors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Healthcare Experiences Are Associated with Colorectal Cancer Mortality but only for Specific Racial Groups: a SEER-CAHPS Study.Journal of racial and ethnic health disparities · 2024Article
- Association of race/ethnicity and patient care experiences with receipt of definitive treatment among prostate cancer survivors: a SEER-CAHPS study.Cancer causes & control : CCC · 2024Article
- Black cancer patients navigating a health-care system of racial discrimination.Journal of the National Cancer Institute · 2024Article
- Racial/ethnic disparities in the association between patient care experiences and receipt of initial surgical breast cancer care: findings from SEER-CAHPS.Breast cancer research and treatment · 2024Article
- Risks Associated with Quality Care among Hispanic and White Populations-A Cross-Sectional Comparison Study.Healthcare (Basel, Switzerland) · 2024Article
- The NCCB Case Example: Reflections on a Successful Fourteen-Year CBPR Partnership.Journal of participatory research methods · 2024Article
- Lung Cancer Mortality Racial/Ethnic Disparities in Patient Experiences with Care: a SEER-CAHPS Study.Journal of racial and ethnic health disparities · 2023Article
- Differences in racial/ethnic disparities in patient care experiences between prostate cancer survivors and males without cancer: A SEER-CAHPS study.Journal of geriatric oncology · 2023Article
- Types of usual sources of care and their association with healthcare outcomes among cancer survivors: a Medical Expenditure Panel Survey (MEPS) study.Journal of cancer survivorship : research and practice · 2023Article
- Do breast cancer survivors with a recent history of clinical depression report worse experiences with care? A retrospective cohort study using SEER-CAHPS data.Cancer medicine · 2023Article
- Establishment and verification of a nomogram for predicting survival in patients with triple-positive breast cancer.Annals of translational medicine · 2022Article
- Factors influencing cancer patients' experiences of care in the USA, United Kingdom, and Canada: A systematic review.EClinicalMedicine · 2022Review
- Differences in Emotional Distress Among Black and White Breast Cancer Survivors During the Covid-19 Pandemic: a National Survey.Journal of racial and ethnic health disparities · 2022Article
- Racial/ethnic disparities in patient experiences with care and Gleason score at diagnosis of prostate cancer: a SEER-CAHPS study.Cancer causes & control : CCC · 2022Article
- Naïve Bayesian network-based contribution analysis of tumor biology and healthcare factors to racial disparity in breast cancer stage-at-diagnosis.Health information science and systems · 2021Article
- Prevalence and Molecular Profile of Breast Carcinoma Using Immunohistochemistry Markers in Mexican Women.World journal of oncology · 2021Article
- Evidence for racial/ethnic disparities in emergency department visits following breast cancer surgery among women in California: a population-based study.Breast cancer research and treatment · 2021Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundBlack women are more likely to be diagnosed with later stage breast cancer compared to white women due to biological or access to care factors. Therefore, our objective was to identify whether racial/ethnic differences in patient experiences with healthcare are associated with stage at diagnosis.
methodsWe used the SEER registry data linked with patient surveys from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) completed prior to the diagnosis date. We examined responses about various aspects of their care such as the ability to get needed care, and to get care quickly. We used multivariable linear regression to examine racial/ethnic differences in patient experiences, and a multivariable ordinal logistic regression to determine the association between patient experiences and earlier stage at diagnosis.
resultsOf the 10,144 patients, 80.7% were non-Hispanic white, 7.6% black, 7.1% Hispanic, and 4.6% Asian. After controlling for potential confounders, black patients had significantly lower mean scores for getting care quickly (β = - 2.78), getting needed care (β = - 2.26), getting needed prescription drugs (β = - 3.83), and lower ratings of their health care (β = - 2.33) compared to white patients. More importantly, we found that black patients who reported a 1-unit increase in rating of their experiences with customer service (OR 1.04, 95% CI 1.01-1.06) and the ability to get care quickly (OR 1.03, 1.01-1.05) had higher odds of earlier stage breast cancer.
conclusionRacial/ethnic minorities reported poorer patient experiences with care preceding a diagnosis of breast cancer. Better ratings among black patients were associated with earlier stage at diagnosis.
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