背景:我们调查了不同亚洲亚组乳腺癌患者及时手术的可能性。
方法:我们分析了2010年至2019年的国家癌症数据库,包括诊断为I-III期乳腺癌的白人和亚洲女性。患有多种癌症的患者,接受化疗的患者,在不同医院诊断和治疗的患者被排除在外.主要结果是在诊断后8周内及时手术。种族是主要的自变量。亚裔美国人按地理分层。
结果:共分析了716701名妇女,有3.5%的亚洲人。13.2%的女性经历了延迟手术。调整后的分析表明,所有亚洲人和白人在接受及时手术方面没有差异。然而,与白人相比,东南亚人接受及时手术的可能性较小(OR0.75,95%CI0.67-0.84)。
结论:亚洲种族之间的差异强调需要探索治疗模式以解决乳腺癌治疗中的差异。
BACKGROUND: We investigated the likelihood of timely surgery for breast cancer patients among diverse Asian subgroups.
METHODS: We analyzed the National Cancer Database from 2010 to 2019 and included White and Asian women diagnosed with stage I-III breast cancer. Patients with multiple cancers, patients who received chemotherapy, and those diagnosed and treated at different hospitals were excluded. The primary outcome was timely surgery within 8 weeks of diagnosis. Race was the primary independent variable. Asian Americans were stratified by geography.
RESULTS: A total of 716,701 women were analyzed, with 3.5% Asians. Delayed surgery was experienced by 13.2% of women. Adjusted analysis indicated no difference in receiving timely surgery between all Asians and Whites. However, Southeast Asians were less likely to undergo timely surgery compared to Whites (OR 0.75, 95% CI 0.67-0.84).
CONCLUSIONS: Variations among Asian ethnicities emphasize the need to explore treatment patterns to address disparities in breast cancer care.