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Published Online: 18 September 2010

Racial/Ethnic Disparities in Time to Follow-Up after an Abnormal Mammogram

Publication: Journal of Women's Health
Volume 17, Issue Number 6

Abstract

Background: Although non-Hispanic white women have an increased risk of developing breast cancer, the disease-specific survival is lower for African American and Hispanic women. Little is known about disparities in follow-up after an abnormal mammogram. The goal of this study was to investigate potential disparities in follow-up after an abnormal mammogram.
Methods: A retrospective cohort study of 6722 women with an abnormal mammogram and documented follow-up from January 2000 through December 2002 was performed at an academic medical center in New York City. The outcome was the number of days between the abnormal mammogram and follow-up imaging or biopsy. Cox proportional hazards models were used to assess the effect of race/ethnicity and other potential covariates.
Results: The median number of days to diagnostic follow-up after an abnormal mammogram was greater for African American (20 days) and Hispanic (21 days) women compared with non-Hispanic white (14 days) women (p < 0.001). Racial/ethnic disparities remained significant in a multivariable model controlling for age, Breast Imaging Reporting and Data System (BIRADS) category, insurance status, provider practice location, and median household income.
Conclusions: After an abnormal mammogram, African American and Hispanic women had longer times to diagnostic follow-up compared with non-Hispanic white women. Future efforts will focus on identifying the barriers to follow-up so that effective interventions may be implemented.

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Published In

cover image Journal of Women's Health
Journal of Women's Health
Volume 17Issue Number 6July 2008
Pages: 923 - 930
PubMed: 18554094

History

Published online: 18 September 2010
Published in print: July 2008
Published ahead of print: 13 June 2008

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Rebecca Press
Division of General Medicine, Department of Medicine, Columbia University Medical Center, College of Physicians and Surgeons, New York, New York.
Olveen Carrasquillo
Division of General Medicine, Department of Medicine, Columbia University Medical Center, College of Physicians and Surgeons, New York, New York.
Elsa-Grace V. Giardina
Division of Cardiology, Department of Medicine, and The Center for Women's Health and Gender Biology, Columbia University Medical Center, College of Physicians and Surgeons, New York, New York.

Notes

Address reprint requests to:Rebecca Press, M.D., M.P.H.Columbia University Medical CenterNew York Physicians635 Madison Avenue, 8th FloorNew York, NY 10022E-mail: [email protected]

Disclosure Statement

The funding sources had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript.

Funding Information

This work was supported in part by grants from the Avon Foundation, the Norman and Rosita Winston Foundation (R.P., E.V.G.) and an NIH/NCMHD EXPORT award (O.C.).

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