Racial/Ethnic Disparities in Knowledge about Risks and Benefits of Breast Cancer Treatment: Does It Matter Where You Go?
dc.contributor.author | Hawley, Sarah T. | en_US |
dc.contributor.author | Fagerlin, Angela | en_US |
dc.contributor.author | Janz, Nancy K. | en_US |
dc.contributor.author | Katz, Steven J. | en_US |
dc.date.accessioned | 2010-06-01T18:47:45Z | |
dc.date.available | 2010-06-01T18:47:45Z | |
dc.date.issued | 2008-08 | en_US |
dc.identifier.citation | Hawley, Sarah T.; Fagerlin, Angela; Janz, Nancy K.; Katz, Steven J. (2008). "Racial/Ethnic Disparities in Knowledge about Risks and Benefits of Breast Cancer Treatment: Does It Matter Where You Go?." Health Services Research 43(4): 1366-1387. <http://hdl.handle.net/2027.42/71991> | en_US |
dc.identifier.issn | 0017-9124 | en_US |
dc.identifier.issn | 1475-6773 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/71991 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=18384361&dopt=citation | en_US |
dc.description.abstract | To evaluate the association between provider characteristics and treatment location and racial/ethnic minority patients' knowledge of breast cancer treatment risks and benefits. Data Sources/Data Collection . Survey responses and clinical data from breast cancer patients of Detroit and Los Angeles SEER registries were merged with surgeon survey responses ( N =1,132 patients, 277 surgeons). Study Design . Cross-sectional survey. Multivariable regression was used to identify associations between patient, surgeon, and treatment setting factors and accurate knowledge of the survival benefit and recurrence risk related to mastectomy and breast conserving surgery with radiation. Principal Findings . Half (51 percent) of respondents had survival knowledge, while close to half (47.6 percent) were uncertain regarding recurrence knowledge. Minority patients and those with lower education were less likely to have adequate survival knowledge and more likely to be uncertain regarding recurrence risk than their counterparts ( p <.001). Neither surgeon characteristics nor treatment location attenuated racial/ethnic knowledge disparities. Patient–physician communication was significantly ( p <.001) associated with both types of knowledge, but did not influence racial/ethnic differences in knowledge. Conclusions . Interventions to improve patient understanding of the benefits and risks of breast cancer treatments are needed across surgeons and treatment setting, particularly for racial/ethnic minority women with breast cancer. | en_US |
dc.format.extent | 145729 bytes | |
dc.format.extent | 3109 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Inc | en_US |
dc.rights | © 2008 Health Research and Educational Trust | en_US |
dc.subject.other | Disparities | en_US |
dc.subject.other | Breast Cancer | en_US |
dc.subject.other | Treatment | en_US |
dc.subject.other | Knowledge | en_US |
dc.title | Racial/Ethnic Disparities in Knowledge about Risks and Benefits of Breast Cancer Treatment: Does It Matter Where You Go? | en_US |
dc.type | Article | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Division of General Medicine, University of Michigan Health System and Ann Arbor VA Medical Center, 300 N. Ingalls Room 7C27, Ann Arbor, MI , | en_US |
dc.contributor.affiliationum | Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI | en_US |
dc.contributor.affiliationother | Center for Behavioral and Decision Sciences in Medicine , | en_US |
dc.identifier.pmid | 18384361 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/71991/1/j.1475-6773.2008.00843.x.pdf | |
dc.identifier.doi | 10.1111/j.1475-6773.2008.00843.x | en_US |
dc.identifier.source | Health Services Research | en_US |
dc.identifier.citedreference | Alderman, A. K., S. T. Hawley, M. Mujahid, J. Waljee, M. Morrow, and S. J. Katz. 2008. Cancer 112 ( 3 ): 489 – 94. | en_US |
dc.identifier.citedreference | Baldwin, L. M., S. H. Taplin, H. Friedman, and R. Moe. 2004. “ Access to Multidisciplinary Cancer Care: Is It Linked to the Use of Breast-Conserving Surgery with Radiation for Early Stage Breast Carcinoma? ” Cancer 100 ( 4 ): 701 – 9. | en_US |
dc.identifier.citedreference | Baxter, N. N., B. A. Virnig, S. B. Durham, and T. M. Tuttle. 2004. “ Trends in the Treatment of Ductal Carcinoma In Situ of the Breast.” Journal of National Cancer Institute 96: 443 – 8. | en_US |
dc.identifier.citedreference | Beran, M. S., W. Cunningham, B. E. Landon, I. B. Wilson, and M. D. Wong. 2007. “ Clinician Gender Is More Important Than Gender Concordance in Quality of HIV Care.” General Medicine 4 ( 1 ): 72 – 84. | en_US |
dc.identifier.citedreference | Betancourt, J. R. 2006. “ Cultural Competency: Providing Quality Care to Diverse Populations.” Consultant Pharmacist 21 ( 12 ): 988 – 95. | en_US |
dc.identifier.citedreference | Billingsley, K. G., A. M. Morris, J. A. Dominintz, B. Matthews, S. Dobie, W. Barlow, G. E. Wright, and L. M. Baldwin. 2007. “ Surgeon and Hospital Characteristics as Predictors of Major Adverse Outcomes Following Colon Cancer Surgery: Understanding the Volume–Outcome Relationship.” Archives of Surgery 142 ( 1 ): 23 – 31. | en_US |
dc.identifier.citedreference | Birkmeyer, N. J., P. P. Goodney, T. A. Stukel, B. E. Hillner, and J. D. Birkmeyer. 2005. “ Do Cancer Centers Designated by the National Cancer Institute Have Better Surgical Outcomes? ” Cancer 103: 435 – 41. | en_US |
dc.identifier.citedreference | Bluman, L. G., N. A. Borstelmann, B. K. Rimer, J. K. Ingelhard, and E. P. Winder. 2001. “ Knowledge, Satisfaction and Perceived Cancer Risk among Women Diagnosed with Ductal Carcinoma In Situ.” Journal of Woman Health Gender Based Medicine 10 ( 6 ): 589 – 98. | en_US |
dc.identifier.citedreference | Bruera, E., J. S. Willey, J. L. Palmer, and M. Rosales. 2002. “ Treatment Decisions for Breast Carcinoma: Patient Preferences and Physician Perceptions.” Cancer 94 ( 7 ): 2076 – 80. | en_US |
dc.identifier.citedreference | Chang, J. H., E. Vine, H. Bertsch, D. L. Fraker, B. J. Czerniecki, E. F. Rosato, T. Lawton, E. F. Conant, S. G. Ovel, L. Schuchter, K. R. Fox, N. Zieber, J. H. Glick, and L. J. Solin. 2001. “ The Impact of Multidisciplinary Breast Cancer Center on Recommendations for Patient Management: The University of Pennsylvania Experience.” Cancer 91 ( 7 ): 1231 – 7. | en_US |
dc.identifier.citedreference | Choy, E. T., A. Chiu, P. Butow, J. Young, and A. Spilane. 2007. “ A Pilot Study to Evaluate the Impact of Involving Breast Cancer Patients in the Multidisciplinary Discussion of their Disease and Treatment Plan.” Breast 16 ( 2 ): 178 – 89. | en_US |
dc.identifier.citedreference | Degner, L. F., J. A. Sloan, and P. Venkatesh. 1997. “ The Control Preferences Scale.” Canadian Journal of Nursery Research 29 ( 3 ): 21 – 43. | en_US |
dc.identifier.citedreference | Dillman, D. A. 1978. Mail and Telephone Surveys. New York: John Wiley and Sons Inc. | en_US |
dc.identifier.citedreference | Early Breast Cancer Trialists Group Cooperative (EBCTGC). 2005. “ Effects of Radiotherapy and of Differences in the Extent of Surgery for Early Breast Cancer on Local Recurrence and 15-Year Survival: An Overview of the Randomized Trials.” Lancet 366: 2087 – 106. | en_US |
dc.identifier.citedreference | Fagerlin, A., I. Lakhani, P. M. Lantz, N. K. Janz, M. Morrow, K. Schwartz, D. Deapen, B. Salem, L. Liu, and S. J. Katz. 2006. “ An Informed Decision? ” Patient Education and Counseling 64: 303 – 12. | en_US |
dc.identifier.citedreference | Gabel, M., N. E. Hilton, and S. D. Nathanson. 1997. “ Multidisciplinary Breast Cancer Clinics: Do They Work? ” Cancer 79 ( 12 ): 2380 – 4. | en_US |
dc.identifier.citedreference | Giger, J. N., R. E. Davidhizar, and P. Fordham. 2006. “ Multicultural and Multi-Ethnic Considerations and Advanced Directives: Developing Cultural Competency.” Journal of Cultural Diversity 13 ( 1 ): 3 – 9. | en_US |
dc.identifier.citedreference | Gilligan, M. A., J. Neuner, R. Sparapani, P. W. Laud, and A. B. Nattinger. 2007. “ Surgeon Characteristics and Variations in Treatment for Early-Stage Breast Cancer.” Archives of Surgery 142 ( 1 ): 17 – 22. | en_US |
dc.identifier.citedreference | Gordon, H. S., R. L. Street, B. F. Sharf, and J. Souchek. 2006. “ Racial Differences in Doctors' Information-Giving and Patients' Participation.” Cancer 107 ( 6 ): 1313 – 20. | en_US |
dc.identifier.citedreference | Hawley, S. T., T. Hofer, N. K. Janz, A. Fagerlin, K. Schwartz, L. Liu, D. Deapen, M. Morrow, and S. J. Katz. 2006. “ Correlates of Between-Surgeon Variation in Breast Cancer Treatments.” Medical Care 44 ( 7 ): 609 – 16. | en_US |
dc.identifier.citedreference | Hawley, S. T., P. M. Lantz, N. K. Janz, B. Salem, M. Morrow, K. Schwartz, L. Liu, and S. J. Katz. 2007. “ Factors Associated with Patient Involvement in Surgical Treatment Decision Making for Breast Cancer.” Patient Education and Consulting 65 ( 3 ): 387 – 95. | en_US |
dc.identifier.citedreference | Hershman, D., R. McBride, J. S. Jacobson, L. Lameratol, K. Roberts, V. R. Grann, and A. I. Neugut. 2005. “ Racial Disparities in Treatment and Survival among Women with Early Stage Breast Cancer.” Journal of Clinical Oncology 27 ( 23 ): 6639 – 46. | en_US |
dc.identifier.citedreference | Hiotis, K., W. Ye, R. Sposto, and K. A. Skinner. 2005. “ Predictors of Breast Conservation Therapy: Size Is Not All That Matters.” Cancer 3 ( 5 ): 892 – 9. | en_US |
dc.identifier.citedreference | Hu, J. C., K. F. Gold, C. L. Pashos, S. S. Mehta, and M. S. Litwin. 2003. “ Role of Surgeon Volume in Radical Prostatectomy Outcomes.” Journal of Clinical Oncology 21 ( 3 ): 401 – 5. | en_US |
dc.identifier.citedreference | Janz, N. K., P. A. Wren, L. A. Copeland, J. C. Lowery, S. L. Goldfarb, and E. G. Wilkins. 2004. “ Patient–Physician Concordance: Preferences, Perceptions and Factors Influencing the Breast Cancer Treatment Decision.” Journal of Clinical Oncology 22 ( 15 ): 3091 – 8. | en_US |
dc.identifier.citedreference | Jatoi, I., H. Becher, and C. R. Leake. 2003. “ Widening Disparity in Survival between White and African-American Patients with Breast Carcinoma Treated in the U.S. Department of Defense Healthcare System.” Cancer 98 ( 5 ): 894 – 9. | en_US |
dc.identifier.citedreference | Johnson, R. L., S. Saha, J. J. Arbelaez, M. C. Beach, and L. A. Cooper. 2004. “ Racial and Ethnic Differences in Patient Perceptions of Bias and Cultural Competence in Health Care.” Journal of General Internal Medicine 19: 101 – 10. | en_US |
dc.identifier.citedreference | Katz, S. J., and S. T. Hawley. 2007. “ From Policy to Patients and Back: Surgical Treatment Decision Making for Patients with Breast Cancer.” Health Affairs 26 ( 3 ): 761 – 9. | en_US |
dc.identifier.citedreference | Katz, S. J., T. Hofer, S. T. Hawley, P. M. Lantz, N. K. Janz, K. Schwartz, L. Liu, D. Deapen, and M. Morrow. 2007. “ Patterns and Correlates of Referral to Surgeons for Treatment of Breast Cancer.” Journal of Clinical Oncology 25 ( 3 ): 271 – 6. | en_US |
dc.identifier.citedreference | Katz, S. J., P. M. Lantz, N. K. Janz, A. Fagerlin, K. Schwartz, L. Liu, D. Deapen, B. Salem, I. Lakhani, and M. Morrow. 2005a. “ Patient Involvement in Surgery Treatment Decisions for Breast Cancer.” Journal of Clinical Oncology 23 ( 24 ): 5526 – 33. | en_US |
dc.identifier.citedreference | Katz, S. J., P. M. Lantz, N. K. Janz, A. Fagerlin, K. Schwartz, L. Liu, D. Deapen, B. Salem, I. Lakhani, and M. Morrow. 2005b. “ Surgeon Perspectives about Local Therapy for Breast Carcinoma.” Cancer 104 ( 9 ): 1854 – 61. | en_US |
dc.identifier.citedreference | Keating, N. L., M. B. Landrum, J. Z. Ayanian, E. P. Winer, and E. Guadagnoli. 2003. “ Consultation with a Medical Oncologist before Surgery and Type of Surgery among Elderly Women with Early Stage Breast Cancer.” Health Services Research 40 ( 3 ): 745 – 67. | en_US |
dc.identifier.citedreference | Lantz, P. M., N. K. Janz, A. Fagerlin, K. Schwartz, L. Liu, I. Lakhani, B. Salem, and S. J. Katz. 2005. “ Satisfaction with Surgery Outcomes and the Decision Process in a Population-Based Sample of Women with Breast Cancer.” Health Services Research 40 ( 3 ): 745 – 67. | en_US |
dc.identifier.citedreference | Liang, W., C. B. Burnett, J. H. Rowland, N. J. Meropol, L. Eggert, Y. T. Hwang, R. A. Silliman, J. C. Weeks, and J. S. Mandelblatt. 2002. “ Communication between Physicians of Older Women with Localized Breast Cancer: Implications for Treatment and Patient Satisfaction.” Journal of Clinical Oncology 20 ( 4 ): 1008 – 16. | en_US |
dc.identifier.citedreference | Lloyd, L. L., N. J. Ammary, G. L. Epstein, R. Johnson, and K. Rhee. 2006. “ A Transdisciplinary Approach to Improve Health Literacy and Reduce Disparities.” Health Promotion Practice 7 ( 3 ): 331 – 5. | en_US |
dc.identifier.citedreference | Maly, R. C., B. Leake, and R. A. Silliman. 2003. “ Health Care Disparities in Older Patients with Breast Carcinoma: Informational Support from Physicians.” Cancer 97 ( 6 ): 1517 – 27. | en_US |
dc.identifier.citedreference | Maly, R. C., B. Leake, and R. A. Silliman. 2004. “ Breast Cancer Treatment in Older Women: Impact of the Patient–Physician Relationship.” Journal of American Geriatric Society 52: 1138 – 45. | en_US |
dc.identifier.citedreference | Maly, R. C., Y. Umezawa, B. Leake, and R. A. Silliman. 2004. “ Determinants of Participation in Treatment Decision-Making by Older Breast Cancer Patients.” Breast Cancer Research Treatment 85 ( 3 ): 201 – 9. | en_US |
dc.identifier.citedreference | Mandelblatt, J. S., C. D. Berg, N. J. Meropol, S. B. Edge, K. Gold, Y. T. Hwang, and J. Hadley. 2001. “ Measuring and Predicting Surgeons' Practice Styles for Breast Cancer Treatment in Older Women.” Medical Care 39 ( 3 ): 228 – 42. | en_US |
dc.identifier.citedreference | McKee, M. D., M. D. Cropp, A. Hyland, N. Watroba, B. McKinley, and S. B. Edge. 2002. “ Provider Case Volume and Outcome in the Evaluation and Treatment of Patients with Mammogram-Detected Breast Carcinoma.” Cancer 95 ( 4 ): 704 – 12. | en_US |
dc.identifier.citedreference | Montini, T. 1997. “ Resist and Redirect: Physicians Respond to Breast Cancer Informed Consent Legislation.” Women's Health 26: 85 – 104. | en_US |
dc.identifier.citedreference | Morris, C. R., R. Cohen, R. Schlag, and W. E. Wright. 2000. “ Increasing Trends in the Use of Breast-Conserving Surgery in California.” American Journal of Public Health 90 ( 2 ): 281 – 4. | en_US |
dc.identifier.citedreference | Morrow, M., J. White, J. Moughan, J. Owen, T. Pajack, J. Sylvester, J. F. Wilson, and D. Winchester. 2001. “ Factors Predicting the Use of Breast Conservation Therapy in Stage I and II Breast Carcinoma.” Journal of Clinical Oncology 19: 2254 – 62. | en_US |
dc.identifier.citedreference | Naeim, A., A. Hurria, B. Leake, and R. C. Maly. 2006. “ Do Age and Ethnicity Predict Breast Cancer Treatment Received? A Cross-Sectional Urban Population Based Study.” Critical Reviews in Oncology/Hematology 59 ( 3 ): 234 – 42. | en_US |
dc.identifier.citedreference | National Cancer Institute. 2007. “Physician Data Query (PDQ): Breast Cancer Treatment Guidelines for Health Professionals” [accessed on April 1, 2007]. Available at http://www.nci.nih.gov/cancertopics/pdq/treatment/breast/HealthProfessional | en_US |
dc.identifier.citedreference | National Cancer Policy Board, Institute of Medicine Report and National Research Council. 1999. Ensuring Quality Cancer Care. Washington, DC: National Academy Press. | en_US |
dc.identifier.citedreference | National Comprehensive Cancer Network (NCCN). 2007. “Treatment guidelines” [accessed April 1, 2007]. Available at http://www.nccn.org | en_US |
dc.identifier.citedreference | National Institutes of Health. 1990. “ Treatment for Early Stage Breast Cancer. NIH Consensus Statement Online 1990: June 18–21” [cited 2007/03/26] 8(6):1–19. | en_US |
dc.identifier.citedreference | Nattinger, A. B., R. G. Hoffmann, R. T. Kneusal, and M. M. Schapira. 2000. “ Relation between Appropriateness of Primary Therapy for Early Stage Breast Carcinoma and Increased Use of Breast Conservation Therapy.” Lancet 356: 1148 – 52. | en_US |
dc.identifier.citedreference | Nayfield, S. G., B. C. Bongiovanni, M. H. Alciati, R. A. Fischer, and L. Bergner. 1994. “ Statutory Requirements for Disclosure of Breast Cancer Treatment Alternatives.” Journal of National Cancer Institute 86: 1202 – 08. | en_US |
dc.identifier.citedreference | Newman, E. A., A. Guest, M. A. Helive, M. A. Roubidoux, A. E. Chang, C. G. Kleer, K. M. Diehl, V. M. Cimmino, L. Pierce, D. Hayes, L. A. Newman, and M. S. Sabel. 2006. “ Changes in Surgical Management Resulting from Case Review at a Breast Cancer Multidisciplinary Tumor Board.” Cancer 107: 2346 – 51. | en_US |
dc.identifier.citedreference | Nold, R. J., R. L. Beamer, S. D. Helmer, and M. F. McBoyle. 2000. “ Factors Influencing a Woman's Choice to Undergo Breast Conserving Surgery versus Modified Radical Mastectomy.” American Journal of Surgery 180 ( 6 ): 413 – 8. | en_US |
dc.identifier.citedreference | Polacek, G. N., M. C. Ramos, and R. L. Ferrer. 2007. “ Breast Cancer Disparities and Decision-Making among U.S. Women.” Patient Education and Counseling 65 ( 2 ): 158 – 65. | en_US |
dc.identifier.citedreference | Rimer, B. K., P. A. Briss, P. K. Zeller, E. C. Chan, and S. H. Woolf. 2004. “ Informed Decision Making: What Is Its Role in Cancer Screening? ” Cancer 101 ( 5 Suppl ): 1214 – 28. | en_US |
dc.identifier.citedreference | Roter, D. L., and J. A. Hall. 2004. “ Physician Gender and Patient–Centered Communication: A Critical Review of Empirical Research.” Annual Review of Public Health 25: 497 – 519. | en_US |
dc.identifier.citedreference | Sepucha, K., E. Ozanne, K. Silvia, A. Partridge, and A. G. Mulley. 2007. “ An Approach to Measuring the Quality of Breast Cancer Decisions.” Patient Education and Counseling 65 ( 2 ): 261 – 69. | en_US |
dc.identifier.citedreference | Siminoff, L. A., G. C. Graham, and N. H. Gordon. 2006. “ Cancer Communication Patterns and the Influence of Patient Characteristics: Disparities in Information Giving and Affective Behaviors.” Patient Education and Counseling 62 ( 3 ): 355 – 60. | en_US |
dc.identifier.citedreference | Simon, M. S., M. Banerjee, H. Crossley-May, F. D. Vigneau, A. M. Noone, and K. Schwartz. 2006. “ Racial Differences in Breast Cancer Survival in the Detroit Metropolitan Area.” Breast Cancer Research Treatment 97 ( 2 ): 149 – 55. | en_US |
dc.identifier.citedreference | Temple, W. J., M. L. Russell, L. L. Parsons, S. M. Huber, C. A. Jones, J. Bankes, and M. Eliasziw. 2006. “ Conservation Surgery for Breast Cancer as the Preferred Choice: A Prospective Analysis.” Journal of Clinical Oncology 24: 3367 – 73. | en_US |
dc.identifier.citedreference | Thind, A., and R. C. Maly. 2006. “ The Surgeon-Patient Interaction in Older Women with Breast Cancer: What Are the Determinants of a Helpful Discussion? ” Annals Surgery Oncology 13 ( 6 ): 788 – 93. | en_US |
dc.identifier.citedreference | Waljee, J. F., S. T. Hawley, A. K. Alderman, M. Morrow, and S. J. Katz. 2007. “ Patient Satisfaction with Treatment of Breast Cancer: Does Surgeon Specialization Matter? ” Journal of Clinical Oncology 25 ( 4 ): 3694 – 8. | en_US |
dc.identifier.citedreference | Wennberg, J. E. 2002. “ Unwarranted Variations in Healthcare Delivery: Implications for Academic Medical Centers.” British Medical Journal 325: 961 – 64. | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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