Evidence map›Paper›PMID 39367950›Full record

ArticleBreast cancer research and treatment2025

Race and ethnicity and self-reported racial/ethnic discrimination in breast cancer patient interactions with providers in the Pathways Study.

Kevin R Bitsie, Thomas A Pearson, Marilyn L Kwan, Lusine Yaghjyan, Lisa Scarton, Salma Shariff-Marco, Lawrence H Kushi, Ting-Yuan David Cheng

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Article in Breast cancer research and treatment, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kevin R BitsieDepartment of Epidemiology, University of Florida, Gainesville, FL, 32610, USA. kbitsie@ufl.edu.
Thomas A PearsonDepartment of Epidemiology, University of Florida, Gainesville, FL, 32610, USA.
Marilyn L KwanDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.
Lusine YaghjyanDepartment of Epidemiology, University of Florida, Gainesville, FL, 32610, USA.
Lisa ScartonCollege of Nursing, University of Florida, Gainesville, FL, USA.
Salma Shariff-MarcoDepartment of Epidemiology and Biostatistics, School of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Lawrence H KushiDivision of Research, Kaiser Permanente Northern California, Pleasanton, CA, USA.
Ting-Yuan David ChengDivision of Cancer Prevention and Control, Department of Internal Medicine, The Ohio State University, Columbus, OH, 43201, USA. Ting-Yuan.Cheng@osumc.edu.

Funding

Infrastructure for Pathways, a Prospective Study of Breast Cancer SurvivorshipU01CA195565 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI AMBROSONE, CHRISTINE B., KUSHI, LAWRENCE H · 2016 to 2025
$18.8M
Energy Balance, mTOR pathway signaling, and breast cancer prognosisR37CA248371 · NCI · UNIVERSITY OF FLORIDA · PI Ting-Yuan Cheng · 2021 to 2026
$4.2M
NCI NIH HHS R37 CA248371NCI NIH HHS R37CA248371NCI NIH HHS U01 CA195565NCI NIH HHS U01CA195565
6 · The paper itself

Abstract

purposeTo examine the association of race and ethnicity groups with self-reported racial/ethnic discrimination in patient-provider interactions during the diagnosis and treatment for breast cancer.

methodsWe analyzed data from the Pathways Study, a prospective cohort of women diagnosed with breast cancer from 2006-2013 in the Kaiser Permanente Northern California Health Care System. Racial/ethnic discrimination in patient-provider interactions was assessed with two questions from the Interpersonal Processes of Care survey at baseline and 6-months and 24-months post-diagnosis. Logistic regression was performed to compare women who self-identified as racial or ethnic minorities with Non-Hispanic White (NHW) women. Covariates included age at diagnosis, country of origin, education level, income, marital status, and medical provider's race/ethnicity.

resultsOur sample included 1836 participants: 1350 NHW women and 486 women (87 Black, 208 Asian American, 153 Hispanic, 38 American Indian/Alaskan Native/Pacific Islander [AIANPI]) from racial or ethnic minority groups. In multivariate analysis, minority women were more likely to report racial/ethnic discrimination in patient-provider interactions than NHW women (adjusted odds ratio [aOR]: 4.73; 95% confidence interval [CI] 3.45-6.50). Specifically, Black women were most likely to self-report racial/ethnic discrimination in patient-provider interactions (aOR: 9.65; 95% CI 5.92-15.70), followed by Asian (aOR: 5.39; 95% CI 3.46-8.40), Hispanic (aOR: 2.55; 95% CI 1.54-4.14), and AIANPI (aOR: 1.74; 95% CI 0.58-4.25) women, compared with NHW women.

conclusionRacial/ethnic discrimination was more likely self-reported from minority women diagnosed with breast cancer. Additional studies are needed to understand the mechanisms and impact of racial/ethnic discrimination in patient-provider interactions on disparities.

Indexed as

Breast NeoplasmsEthnicityHealthcare DisparitiesPhysician-Patient RelationsRacismAdultAgedCaliforniaFemaleHumansMiddle AgedProspective StudiesSelf ReportBreast cancerBreast cancer disparitiesDiscriminationInstitutional racismPatient-providerRace/ethnicity

Identifiers

PMID39367950
PMCPMC11785627

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.