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Journal of the National Cancer Institute Advance Access originally published online on November 25, 2008
JNCI Journal of the National Cancer Institute 2008 100(23):1661-1663; doi:10.1093/jnci/djn412
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© The Author 2008. Published by Oxford University Press.

EDITORIALS

Reducing Disparities in Breast Cancer Care—A Daunting but Essential Responsibility

Rachel A. Freedman, Eric P. Winer

Affiliations of authors: Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA (RAF, EPW); Susan G. Komen for the Cure, Dallas, TX (EPW)

Correspondence to: Eric P. Winer, MD, Department of Medical Oncology, Dana-Farber Cancer Institute, 44 Binney St, Boston, MA 02115 (e-mail: ewiner@partners.org).

The first 10% of the full text of this article appears below.

Disparities in breast cancer care and outcomes by race and ethnicity are well documented. For example, black women have a lower incidence of breast cancer than their white counterparts but have a higher overall mortality (1). The inferior outcomes observed among black women are multifactorial in origin and can be attributed to many factors including more advanced stage at diagnosis (2,3), a lower proportion of hormone receptor–positive tumors (4), differences in comorbidity (5), provider variability (6), and a range of socioeconomic and cultural factors (7–10). Unraveling the complex relationship between race and socioeconomic status (SES) is difficult. Research has often focused on census data and population-based registries with variable inclusion of education, income, and insurance status into the analyses (11–13). Even when studies have controlled for . . . [Full Text of this Article]


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