Differences in breast cancer stage at diagnosis and cancer-specific survival by race and ethnicity in the United States
Women with early-stage breast cancers are expected to have excellent survival rates. It is important to identify factors that predict diagnosis of early-stage breast cancers. To determine the proportion of breast cancers that were identified at an early stage (stage I) in different racial/ethnic gro...
Uloženo v:
| Vydáno v: | JAMA : the journal of the American Medical Association Ročník 313; číslo 2; s. 165 |
|---|---|
| Hlavní autoři: | , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
United States
13.01.2015
|
| Témata: | |
| ISSN: | 1538-3598, 1538-3598 |
| On-line přístup: | Zjistit podrobnosti o přístupu |
| Tagy: |
Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
|
| Abstract | Women with early-stage breast cancers are expected to have excellent survival rates. It is important to identify factors that predict diagnosis of early-stage breast cancers.
To determine the proportion of breast cancers that were identified at an early stage (stage I) in different racial/ethnic groups and whether ethnic differences may be better explained by early detection or by intrinsic biological differences in tumor aggressiveness.
Observational study of women diagnosed with invasive breast cancer from 2004 to 2011 who were identified in the Surveillance, Epidemiology, and End Results (SEER) 18 registries database (N = 452,215). For each of 8 racial/ethnic groups, biological aggressiveness (triple-negative cancers, lymph node metastases, and distant metastases) of small-sized tumors of 2.0 cm or less was estimated. The odds ratio (OR) for being diagnosed at stage I compared with a later stage and the hazard ratio (HR) for death from stage I breast cancer by racial/ethnic group were determined. The date of final follow-up was December 31, 2011.
Breast cancer stage at diagnosis and 7-year breast cancer-specific survival, adjusted for age at diagnosis, income, and estrogen receptor status.
Of 373,563 women with invasive breast cancer, 268,675 (71.9%) were non-Hispanic white; 34,928 (9.4%), Hispanic white; 38,751 (10.4%), black; 25,211 (6.7%), Asian; and 5998 (1.6%), other ethnicities. Mean follow-up time was 40.6 months (median, 38 months). Compared with non-Hispanic white women diagnosed with stage I breast cancer (50.8%), Japanese women (56.1%) were more likely to be diagnosed (OR, 1.23 [95% CI, 1.15-1.31], P < .001) and black women (37.0%) were less likely to be diagnosed (OR, 0.65 [95% CI, 0.64-0.67], P < .001). Actuarial risk of death from stage I breast cancer at 7 years was higher among black women (6.2%) than non-Hispanic white women (3.0%) (HR, 1.57 [95% CI, 1.40-1.75]; P < .001), and lower among South Asian women (1.7%) (HR, 0.48 [95% CI, 0.20-1.15]; P = .10). Black women were more likely to die of breast cancer with small-sized tumors (9.0%) than non-Hispanic white women (4.6%) (HR, 1.96 [95% CI, 1.82-2.12]; P < .001); the difference remained after adjustment for income and estrogen receptor status (HR, 1.56 [95% CI, 1.45-1.69]; P < .001).
Among US women diagnosed with invasive breast cancer, the likelihood of diagnosis at an early stage, and survival after stage I diagnosis, varied by race and ethnicity. Much of the difference could be statistically accounted for by intrinsic biological differences such as lymph node metastasis, distant metastasis, and triple-negative behavior of tumors. |
|---|---|
| AbstractList | Women with early-stage breast cancers are expected to have excellent survival rates. It is important to identify factors that predict diagnosis of early-stage breast cancers.IMPORTANCEWomen with early-stage breast cancers are expected to have excellent survival rates. It is important to identify factors that predict diagnosis of early-stage breast cancers.To determine the proportion of breast cancers that were identified at an early stage (stage I) in different racial/ethnic groups and whether ethnic differences may be better explained by early detection or by intrinsic biological differences in tumor aggressiveness.OBJECTIVETo determine the proportion of breast cancers that were identified at an early stage (stage I) in different racial/ethnic groups and whether ethnic differences may be better explained by early detection or by intrinsic biological differences in tumor aggressiveness.Observational study of women diagnosed with invasive breast cancer from 2004 to 2011 who were identified in the Surveillance, Epidemiology, and End Results (SEER) 18 registries database (N = 452,215). For each of 8 racial/ethnic groups, biological aggressiveness (triple-negative cancers, lymph node metastases, and distant metastases) of small-sized tumors of 2.0 cm or less was estimated. The odds ratio (OR) for being diagnosed at stage I compared with a later stage and the hazard ratio (HR) for death from stage I breast cancer by racial/ethnic group were determined. The date of final follow-up was December 31, 2011.DESIGN, SETTING, AND PARTICIPANTSObservational study of women diagnosed with invasive breast cancer from 2004 to 2011 who were identified in the Surveillance, Epidemiology, and End Results (SEER) 18 registries database (N = 452,215). For each of 8 racial/ethnic groups, biological aggressiveness (triple-negative cancers, lymph node metastases, and distant metastases) of small-sized tumors of 2.0 cm or less was estimated. The odds ratio (OR) for being diagnosed at stage I compared with a later stage and the hazard ratio (HR) for death from stage I breast cancer by racial/ethnic group were determined. The date of final follow-up was December 31, 2011.Breast cancer stage at diagnosis and 7-year breast cancer-specific survival, adjusted for age at diagnosis, income, and estrogen receptor status.MAIN OUTCOMES AND MEASURESBreast cancer stage at diagnosis and 7-year breast cancer-specific survival, adjusted for age at diagnosis, income, and estrogen receptor status.Of 373,563 women with invasive breast cancer, 268,675 (71.9%) were non-Hispanic white; 34,928 (9.4%), Hispanic white; 38,751 (10.4%), black; 25,211 (6.7%), Asian; and 5998 (1.6%), other ethnicities. Mean follow-up time was 40.6 months (median, 38 months). Compared with non-Hispanic white women diagnosed with stage I breast cancer (50.8%), Japanese women (56.1%) were more likely to be diagnosed (OR, 1.23 [95% CI, 1.15-1.31], P < .001) and black women (37.0%) were less likely to be diagnosed (OR, 0.65 [95% CI, 0.64-0.67], P < .001). Actuarial risk of death from stage I breast cancer at 7 years was higher among black women (6.2%) than non-Hispanic white women (3.0%) (HR, 1.57 [95% CI, 1.40-1.75]; P < .001), and lower among South Asian women (1.7%) (HR, 0.48 [95% CI, 0.20-1.15]; P = .10). Black women were more likely to die of breast cancer with small-sized tumors (9.0%) than non-Hispanic white women (4.6%) (HR, 1.96 [95% CI, 1.82-2.12]; P < .001); the difference remained after adjustment for income and estrogen receptor status (HR, 1.56 [95% CI, 1.45-1.69]; P < .001).RESULTSOf 373,563 women with invasive breast cancer, 268,675 (71.9%) were non-Hispanic white; 34,928 (9.4%), Hispanic white; 38,751 (10.4%), black; 25,211 (6.7%), Asian; and 5998 (1.6%), other ethnicities. Mean follow-up time was 40.6 months (median, 38 months). Compared with non-Hispanic white women diagnosed with stage I breast cancer (50.8%), Japanese women (56.1%) were more likely to be diagnosed (OR, 1.23 [95% CI, 1.15-1.31], P < .001) and black women (37.0%) were less likely to be diagnosed (OR, 0.65 [95% CI, 0.64-0.67], P < .001). Actuarial risk of death from stage I breast cancer at 7 years was higher among black women (6.2%) than non-Hispanic white women (3.0%) (HR, 1.57 [95% CI, 1.40-1.75]; P < .001), and lower among South Asian women (1.7%) (HR, 0.48 [95% CI, 0.20-1.15]; P = .10). Black women were more likely to die of breast cancer with small-sized tumors (9.0%) than non-Hispanic white women (4.6%) (HR, 1.96 [95% CI, 1.82-2.12]; P < .001); the difference remained after adjustment for income and estrogen receptor status (HR, 1.56 [95% CI, 1.45-1.69]; P < .001).Among US women diagnosed with invasive breast cancer, the likelihood of diagnosis at an early stage, and survival after stage I diagnosis, varied by race and ethnicity. Much of the difference could be statistically accounted for by intrinsic biological differences such as lymph node metastasis, distant metastasis, and triple-negative behavior of tumors.CONCLUSIONS AND RELEVANCEAmong US women diagnosed with invasive breast cancer, the likelihood of diagnosis at an early stage, and survival after stage I diagnosis, varied by race and ethnicity. Much of the difference could be statistically accounted for by intrinsic biological differences such as lymph node metastasis, distant metastasis, and triple-negative behavior of tumors. Women with early-stage breast cancers are expected to have excellent survival rates. It is important to identify factors that predict diagnosis of early-stage breast cancers. To determine the proportion of breast cancers that were identified at an early stage (stage I) in different racial/ethnic groups and whether ethnic differences may be better explained by early detection or by intrinsic biological differences in tumor aggressiveness. Observational study of women diagnosed with invasive breast cancer from 2004 to 2011 who were identified in the Surveillance, Epidemiology, and End Results (SEER) 18 registries database (N = 452,215). For each of 8 racial/ethnic groups, biological aggressiveness (triple-negative cancers, lymph node metastases, and distant metastases) of small-sized tumors of 2.0 cm or less was estimated. The odds ratio (OR) for being diagnosed at stage I compared with a later stage and the hazard ratio (HR) for death from stage I breast cancer by racial/ethnic group were determined. The date of final follow-up was December 31, 2011. Breast cancer stage at diagnosis and 7-year breast cancer-specific survival, adjusted for age at diagnosis, income, and estrogen receptor status. Of 373,563 women with invasive breast cancer, 268,675 (71.9%) were non-Hispanic white; 34,928 (9.4%), Hispanic white; 38,751 (10.4%), black; 25,211 (6.7%), Asian; and 5998 (1.6%), other ethnicities. Mean follow-up time was 40.6 months (median, 38 months). Compared with non-Hispanic white women diagnosed with stage I breast cancer (50.8%), Japanese women (56.1%) were more likely to be diagnosed (OR, 1.23 [95% CI, 1.15-1.31], P < .001) and black women (37.0%) were less likely to be diagnosed (OR, 0.65 [95% CI, 0.64-0.67], P < .001). Actuarial risk of death from stage I breast cancer at 7 years was higher among black women (6.2%) than non-Hispanic white women (3.0%) (HR, 1.57 [95% CI, 1.40-1.75]; P < .001), and lower among South Asian women (1.7%) (HR, 0.48 [95% CI, 0.20-1.15]; P = .10). Black women were more likely to die of breast cancer with small-sized tumors (9.0%) than non-Hispanic white women (4.6%) (HR, 1.96 [95% CI, 1.82-2.12]; P < .001); the difference remained after adjustment for income and estrogen receptor status (HR, 1.56 [95% CI, 1.45-1.69]; P < .001). Among US women diagnosed with invasive breast cancer, the likelihood of diagnosis at an early stage, and survival after stage I diagnosis, varied by race and ethnicity. Much of the difference could be statistically accounted for by intrinsic biological differences such as lymph node metastasis, distant metastasis, and triple-negative behavior of tumors. |
| Author | Ginsburg, Ophira Rochon, Paula A Iqbal, Javaid Narod, Steven A Sun, Ping |
| Author_xml | – sequence: 1 givenname: Javaid surname: Iqbal fullname: Iqbal, Javaid organization: Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada – sequence: 2 givenname: Ophira surname: Ginsburg fullname: Ginsburg, Ophira organization: Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada2Faculty of Medicine, Department of Medicine, University of Toronto, Toronto, Ontario, Canada3Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario – sequence: 3 givenname: Paula A surname: Rochon fullname: Rochon, Paula A organization: Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada3Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada – sequence: 4 givenname: Ping surname: Sun fullname: Sun, Ping organization: Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada – sequence: 5 givenname: Steven A surname: Narod fullname: Narod, Steven A organization: Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada3Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25585328$$D View this record in MEDLINE/PubMed |
| BookMark | eNpNkD1PwzAQhi0Eoh8wsyGPLCn-bJIRlU-pEgN0ji72uXWVuCV2ivrvKVAkbrnT-z56hhuR07AJSMgVZxPOGL9dQwsTwbia8FwKcUKGXMsik7osTv_dAzKKcc0Ow2V-TgZC60JLUQzJ5713DjsMBiP1gdYdQkzUwCHoaEywRAqJWg_LsIk-Ugj22GZxi8Y7b2jsu53fQUPrPe3A4A-EaRW88Wn_rU0rpIvgE1r6liBhvCBnDpqIl8c9JovHh_fZczZ_fXqZ3c0zUJylTGjunFK5RG6Eg1KhrsEKKKeOlQXXGmptRGGMtqrUXIJxzOZC1c4YmddWjMnNr3fbbT56jKlqfTTYNBBw08eKT7VQjBfT8oBeH9G-btFW28630O2rv2eJL_XMb6I |
| CitedBy_id | crossref_primary_10_1097_EDE_0000000000001413 crossref_primary_10_3389_fonc_2022_896431 crossref_primary_10_1186_s12885_020_07064_0 crossref_primary_10_1186_s40425_019_0499_y crossref_primary_10_1093_jjco_hyz102 crossref_primary_10_1245_s10434_021_10340_3 crossref_primary_10_1016_j_jasc_2024_02_005 crossref_primary_10_1089_jwh_2019_7724 crossref_primary_10_1186_s12911_018_0636_4 crossref_primary_10_1016_j_pec_2015_09_007 crossref_primary_10_1016_j_breast_2025_104437 crossref_primary_10_1016_j_amsu_2020_06_016 crossref_primary_10_1016_j_cancergen_2022_11_001 crossref_primary_10_3389_fpubh_2022_831906 crossref_primary_10_7759_cureus_27120 crossref_primary_10_1038_s41523_020_00187_4 crossref_primary_10_1200_JCO_2017_73_7932 crossref_primary_10_1080_14635240_2021_2019603 crossref_primary_10_1016_j_amjsurg_2019_07_016 crossref_primary_10_1038_bjc_2016_335 crossref_primary_10_1186_s12885_023_11121_9 crossref_primary_10_1080_0284186X_2020_1804613 crossref_primary_10_1002_cam4_7440 crossref_primary_10_1007_s10552_023_01833_5 crossref_primary_10_1016_j_ajcnut_2025_03_017 crossref_primary_10_1016_j_canep_2015_10_024 crossref_primary_10_1186_s12942_016_0067_3 crossref_primary_10_2196_19069 crossref_primary_10_1038_s41598_017_04250_2 crossref_primary_10_1038_s41598_018_23999_8 crossref_primary_10_1002_kjm2_70014 crossref_primary_10_1038_s41598_022_18727_2 crossref_primary_10_3390_curroncol32070402 crossref_primary_10_1097_SAP_0000000000003449 crossref_primary_10_3390_curroncol32040192 crossref_primary_10_1371_journal_pcbi_1008915 crossref_primary_10_1016_j_clbc_2019_04_014 crossref_primary_10_1155_ije_2209918 crossref_primary_10_1016_j_health_2023_100263 crossref_primary_10_1038_s41523_021_00215_x crossref_primary_10_1007_s40262_023_01338_z crossref_primary_10_1530_EC_18_0304 crossref_primary_10_1016_j_bjps_2023_11_002 crossref_primary_10_3389_fonc_2023_1062355 crossref_primary_10_1049_iet_nbt_2016_0012 crossref_primary_10_1007_s10549_023_07116_6 crossref_primary_10_1007_s40615_023_01704_4 crossref_primary_10_2196_55011 crossref_primary_10_1002_nano_202300191 crossref_primary_10_1007_s13187_018_1365_1 crossref_primary_10_1038_s41523_020_00186_5 crossref_primary_10_3322_caac_21271 crossref_primary_10_4329_wjr_v9_i7_312 crossref_primary_10_1634_theoncologist_2016_0229 crossref_primary_10_1002_pon_5807 crossref_primary_10_1016_j_jacr_2020_03_030 crossref_primary_10_1007_s12079_017_0416_4 crossref_primary_10_1155_2015_813456 crossref_primary_10_1038_s41374_019_0247_4 crossref_primary_10_1016_j_canep_2023_102443 crossref_primary_10_1016_j_puhe_2022_06_014 crossref_primary_10_1177_15248399221135762 crossref_primary_10_3390_healthcare10061066 crossref_primary_10_1016_j_breast_2020_02_009 crossref_primary_10_1002_cncr_34592 crossref_primary_10_3390_cells12050685 crossref_primary_10_1245_s10434_021_10275_9 crossref_primary_10_3390_cancers12092392 crossref_primary_10_1155_2020_1963814 crossref_primary_10_1177_0003134821998668 crossref_primary_10_1007_s40615_021_01164_8 crossref_primary_10_3390_biom13081207 crossref_primary_10_1007_s12552_021_09312_9 crossref_primary_10_1245_s10434_018_6735_8 crossref_primary_10_1002_cncr_32174 crossref_primary_10_1002_cncr_32296 crossref_primary_10_1007_s10549_016_4091_6 crossref_primary_10_1177_0017896917691789 crossref_primary_10_3322_caac_21494 crossref_primary_10_1016_j_breastdis_2016_04_013 crossref_primary_10_1093_jnci_djac131 crossref_primary_10_1136_bmjopen_2022_062079 crossref_primary_10_3389_fendo_2021_752176 crossref_primary_10_1002_ijc_32727 crossref_primary_10_1016_j_amjsurg_2017_02_009 crossref_primary_10_1158_2326_6066_CIR_18_0564 crossref_primary_10_1186_s12885_016_2204_6 crossref_primary_10_2147_IJWH_S439335 crossref_primary_10_1007_s10549_016_4015_5 crossref_primary_10_1177_1090198120920529 crossref_primary_10_1186_s12913_024_10740_7 crossref_primary_10_1007_s10549_022_06646_9 crossref_primary_10_1016_j_jmir_2017_09_006 crossref_primary_10_1007_s10549_020_05869_y crossref_primary_10_1186_s12893_021_01374_1 crossref_primary_10_1002_cncr_34346 crossref_primary_10_3390_nu13072189 crossref_primary_10_1016_j_jcpo_2018_01_003 crossref_primary_10_1186_s13058_020_01282_x crossref_primary_10_1245_s10434_018_6586_3 crossref_primary_10_1016_j_suronc_2021_101567 crossref_primary_10_1063_5_0248000 crossref_primary_10_1097_SLA_0000000000005004 crossref_primary_10_1007_s12609_020_00370_3 crossref_primary_10_1097_PAS_0000000000000656 crossref_primary_10_1038_s41437_021_00479_w crossref_primary_10_1016_j_jss_2025_05_012 crossref_primary_10_1001_jamanetworkopen_2020_3842 crossref_primary_10_1007_s10549_021_06311_7 crossref_primary_10_1089_biores_2018_0022 crossref_primary_10_3389_fendo_2022_856268 crossref_primary_10_1097_GRF_0000000000000239 crossref_primary_10_3390_ijms20051011 crossref_primary_10_3390_pharmacy9030126 crossref_primary_10_1016_j_jacr_2018_05_001 crossref_primary_10_1097_COC_0000000000000816 crossref_primary_10_1007_s12282_015_0641_8 crossref_primary_10_1002_cncr_35771 crossref_primary_10_1016_j_clbc_2023_11_006 crossref_primary_10_1080_01635581_2021_1952624 crossref_primary_10_1108_SR_05_2024_0425 crossref_primary_10_1002_cncr_33473 crossref_primary_10_3322_caac_21583 crossref_primary_10_1259_bjr_20211388 crossref_primary_10_1186_s12967_019_1968_2 crossref_primary_10_1186_s12885_015_1094_3 crossref_primary_10_1158_0008_5472_CAN_21_2105 crossref_primary_10_1186_s12905_023_02238_x crossref_primary_10_1016_j_urolonc_2020_11_031 crossref_primary_10_1097_MD_0000000000004614 crossref_primary_10_1016_j_clbc_2015_09_005 crossref_primary_10_1001_jamanetworkopen_2021_45934 crossref_primary_10_1186_s12916_022_02260_0 crossref_primary_10_1016_j_ijporl_2022_111331 crossref_primary_10_1056_NEJMc1810515 crossref_primary_10_3322_caac_21335 crossref_primary_10_1097_JS9_0000000000001478 crossref_primary_10_3322_caac_21695 crossref_primary_10_1007_s10552_019_01222_x crossref_primary_10_1038_s41598_020_79285_z crossref_primary_10_1158_0008_5472_CAN_17_0429 crossref_primary_10_3892_ol_2016_4804 crossref_primary_10_1200_JCO_2015_62_2126 crossref_primary_10_1177_1460458218824692 crossref_primary_10_1186_s13058_020_01385_5 crossref_primary_10_1093_her_cyab011 crossref_primary_10_2139_ssrn_2975597 crossref_primary_10_1016_S1470_2045_21_00462_9 crossref_primary_10_1016_j_jss_2020_05_066 crossref_primary_10_3322_caac_21320 crossref_primary_10_3390_ijerph192013004 crossref_primary_10_1097_MD_0000000000024136 crossref_primary_10_1002_cam4_6403 crossref_primary_10_1002_dmrr_2795 crossref_primary_10_1007_s10549_015_3323_5 crossref_primary_10_1111_phn_12299 crossref_primary_10_1007_s10549_020_05693_4 crossref_primary_10_1001_jamanetworkopen_2023_39584 crossref_primary_10_1634_theoncologist_2019_0123 crossref_primary_10_7759_cureus_75622 crossref_primary_10_1016_j_esmoop_2025_105304 crossref_primary_10_3322_caac_21314 crossref_primary_10_1007_s40615_022_01491_4 crossref_primary_10_1016_j_jss_2018_03_067 crossref_primary_10_1200_JCO_2017_74_2049 crossref_primary_10_1038_s41416_020_01038_6 crossref_primary_10_1186_s13008_022_00082_3 crossref_primary_10_1007_s11604_016_0562_2 crossref_primary_10_1007_s10238_025_01591_5 crossref_primary_10_1186_s12905_021_01274_9 crossref_primary_10_1007_s00330_016_4627_5 crossref_primary_10_1097_CEJ_0000000000000484 crossref_primary_10_1007_s10549_017_4389_z crossref_primary_10_1007_s10585_018_9902_1 crossref_primary_10_1016_j_breastdis_2015_04_007 crossref_primary_10_1186_s13058_024_01792_y crossref_primary_10_1177_1043659618793706 crossref_primary_10_3390_data2030030 crossref_primary_10_1016_j_jncc_2025_05_006 crossref_primary_10_1007_s10549_024_07437_0 crossref_primary_10_1007_s10903_020_01069_4 crossref_primary_10_3390_cancers16193294 crossref_primary_10_1016_j_breast_2018_12_005 crossref_primary_10_1038_s44276_024_00044_y crossref_primary_10_1093_nutrit_nuaf074 crossref_primary_10_1002_cncr_34198 crossref_primary_10_1245_s10434_017_5977_1 crossref_primary_10_1016_S0140_6736_16_31392_7 crossref_primary_10_1007_s10903_021_01161_3 crossref_primary_10_1007_s40615_019_00591_y crossref_primary_10_1200_GO_20_00316 crossref_primary_10_3322_caac_21412 crossref_primary_10_3390_bdcc7030142 crossref_primary_10_1097_SLA_0000000000004451 crossref_primary_10_1016_j_ijsu_2022_106829 crossref_primary_10_1093_jnci_djw314 crossref_primary_10_1158_1078_0432_CCR_24_1724 crossref_primary_10_1007_s40615_020_00855_y crossref_primary_10_1016_j_thromres_2018_10_002 crossref_primary_10_1056_NEJMoa2305488 crossref_primary_10_1002_cncr_30702 crossref_primary_10_3233_CBM_230011 crossref_primary_10_1111_1759_7714_13467 crossref_primary_10_3389_fpubh_2019_00018 crossref_primary_10_1111_jgs_16794 crossref_primary_10_3389_fimmu_2018_01209 crossref_primary_10_1089_jwh_2020_8478 crossref_primary_10_3322_caac_21754 crossref_primary_10_1002_cncr_34178 crossref_primary_10_1016_j_hemonc_2021_02_004 crossref_primary_10_1016_j_jnma_2022_02_007 crossref_primary_10_1007_s40615_024_02232_5 crossref_primary_10_1186_s12885_018_5201_0 crossref_primary_10_3389_fgene_2016_00022 crossref_primary_10_3390_cancers13153875 crossref_primary_10_1007_s40615_016_0324_y crossref_primary_10_1007_s10549_023_07140_6 crossref_primary_10_1007_s12672_019_00372_3 crossref_primary_10_3389_fonc_2022_788883 crossref_primary_10_1186_s12885_021_08929_8 crossref_primary_10_1136_bmjopen_2020_043642 crossref_primary_10_1007_s10552_023_01785_w crossref_primary_10_1093_oncolo_oyaf113 crossref_primary_10_1038_s41523_021_00299_5 crossref_primary_10_1146_annurev_genom_120319_095026 crossref_primary_10_3390_diagnostics12112850 crossref_primary_10_1002_ijgo_16174 crossref_primary_10_1007_s11302_020_09760_9 crossref_primary_10_1002_cncr_29645 crossref_primary_10_1002_cncr_33900 crossref_primary_10_1371_journal_pgen_1008009 crossref_primary_10_1371_journal_pone_0278742 crossref_primary_10_1007_s00259_022_05834_5 crossref_primary_10_1016_j_clbc_2020_11_012 crossref_primary_10_1245_s10434_016_5311_3 crossref_primary_10_1016_S1470_2045_19_30516_9 crossref_primary_10_1016_j_surg_2022_01_036 crossref_primary_10_1007_s10549_018_4956_y crossref_primary_10_1002_ijc_33331 crossref_primary_10_1007_s10479_020_03872_6 crossref_primary_10_1016_j_biopha_2019_108997 crossref_primary_10_1200_JGO_18_00265 crossref_primary_10_3390_cancers12020446 crossref_primary_10_1001_jamanetworkopen_2023_5834 crossref_primary_10_1007_s11764_018_0680_1 crossref_primary_10_1371_journal_pone_0238262 crossref_primary_10_1007_s10549_016_3974_x crossref_primary_10_1245_s10434_021_09688_3 crossref_primary_10_1007_s10549_017_4166_z crossref_primary_10_1016_j_suronc_2017_07_006 crossref_primary_10_3389_fonc_2021_585613 crossref_primary_10_3389_fpubh_2022_753861 crossref_primary_10_1002_cam4_3309 crossref_primary_10_3390_cancers17162618 crossref_primary_10_1016_j_amepre_2016_07_039 crossref_primary_10_1186_s12935_020_01608_x crossref_primary_10_1038_s41523_024_00701_y crossref_primary_10_1155_2017_2648296 crossref_primary_10_1245_s10434_022_11834_4 crossref_primary_10_1016_j_clinimag_2022_09_006 crossref_primary_10_1080_14656566_2024_2337261 crossref_primary_10_1002_ajpa_24144 crossref_primary_10_1038_s41370_021_00335_3 crossref_primary_10_3389_fpubh_2020_576964 crossref_primary_10_1007_s10549_016_3841_9 crossref_primary_10_1007_s10549_021_06174_y crossref_primary_10_1093_jbi_wbaa092 crossref_primary_10_1016_j_breast_2015_08_011 crossref_primary_10_1186_s12885_019_5941_5 crossref_primary_10_1007_s12609_020_00369_w crossref_primary_10_1016_j_lfs_2024_122684 crossref_primary_10_1016_j_euf_2021_09_002 crossref_primary_10_1016_j_breast_2022_02_006 crossref_primary_10_1007_s10552_024_01935_8 crossref_primary_10_1080_22423982_2019_1633190 crossref_primary_10_1161_CIR_0000000000001158 crossref_primary_10_1016_j_breast_2022_02_010 crossref_primary_10_1038_nm_3944 crossref_primary_10_1016_j_jcpo_2021_100275 crossref_primary_10_1007_s11307_018_1232_9 crossref_primary_10_1111_ceo_14488 crossref_primary_10_1007_s10549_023_06969_1 crossref_primary_10_1007_s12609_024_00529_2 crossref_primary_10_1371_journal_pone_0196134 crossref_primary_10_1002_cncr_31636 crossref_primary_10_1007_s10549_022_06729_7 crossref_primary_10_1097_GME_0000000000001327 crossref_primary_10_2147_BTT_S508634 crossref_primary_10_1089_heq_2018_0104 crossref_primary_10_1002_onco_13953 crossref_primary_10_1002_cam4_1430 crossref_primary_10_1111_imj_14326 crossref_primary_10_1186_s12889_021_12020_z crossref_primary_10_1245_s10434_021_09657_w crossref_primary_10_1016_j_clbc_2017_10_008 crossref_primary_10_1089_jwh_2021_0113 crossref_primary_10_1016_j_healthplace_2020_102498 crossref_primary_10_1158_1055_9965_EPI_24_0204 crossref_primary_10_1007_s40615_024_01949_7 crossref_primary_10_1093_milmed_usy417 crossref_primary_10_1111_tbj_13012 crossref_primary_10_1097_IAE_0000000000001816 crossref_primary_10_1186_s13058_016_0752_y crossref_primary_10_1016_j_jhep_2019_06_015 crossref_primary_10_1038_s41598_025_85434_z crossref_primary_10_1001_jamanetworkopen_2024_4862 crossref_primary_10_1016_j_amjsurg_2017_06_005 crossref_primary_10_1016_j_clbc_2020_04_002 crossref_primary_10_1016_j_clbc_2017_04_002 crossref_primary_10_1016_j_urolonc_2020_08_034 crossref_primary_10_1016_j_jss_2018_09_087 crossref_primary_10_1080_03007995_2020_1783646 crossref_primary_10_1016_j_jss_2022_11_031 crossref_primary_10_1016_j_compbiomed_2025_110757 crossref_primary_10_1038_s41598_023_39215_1 crossref_primary_10_1016_S2468_2667_21_00157_2 crossref_primary_10_1177_0003134820956335 crossref_primary_10_1245_s10434_023_14134_7 crossref_primary_10_3390_diagnostics14060660 crossref_primary_10_1007_s10549_017_4484_1 crossref_primary_10_1016_j_breast_2021_05_014 crossref_primary_10_3389_fonc_2018_00146 crossref_primary_10_1111_tbj_12785 crossref_primary_10_1002_cncr_32531 crossref_primary_10_1016_j_cnur_2015_05_008 crossref_primary_10_3389_fonc_2023_1156015 crossref_primary_10_1093_ajcp_aqab016 crossref_primary_10_1089_jayao_2014_0037 crossref_primary_10_1038_s41379_021_00890_y crossref_primary_10_1155_2020_7434783 crossref_primary_10_1371_journal_pmed_1004500 crossref_primary_10_1016_j_amjcard_2021_02_013 crossref_primary_10_1038_s41598_019_54170_6 crossref_primary_10_1016_j_canep_2015_07_010 crossref_primary_10_1007_s10552_019_01239_2 crossref_primary_10_1111_his_14328 crossref_primary_10_1136_bmjopen_2016_014968 crossref_primary_10_1016_S1470_2045_19_30163_9 crossref_primary_10_1002_cncr_33846 crossref_primary_10_4103_IJPM_IJPM_657_19 crossref_primary_10_1007_s10549_017_4161_4 crossref_primary_10_1002_jso_26667 crossref_primary_10_1200_JGO_17_00005 crossref_primary_10_1245_s10434_023_13103_4 crossref_primary_10_57264_cer_2025_0082 crossref_primary_10_3389_fonc_2020_604214 crossref_primary_10_1186_s12885_020_07593_8 crossref_primary_10_1038_s41588_024_01736_4 crossref_primary_10_1007_s12672_017_0312_7 crossref_primary_10_1007_s10549_021_06460_9 crossref_primary_10_3390_cancers14164027 crossref_primary_10_1038_s41523_019_0129_3 crossref_primary_10_1038_s41591_018_0309_y crossref_primary_10_1016_j_jnma_2020_05_021 crossref_primary_10_1097_CEJ_0000000000000929 crossref_primary_10_1200_GO_25_00083 crossref_primary_10_1016_j_bbcan_2018_10_005 crossref_primary_10_1038_s41598_017_08240_2 crossref_primary_10_1007_s12672_018_0325_x crossref_primary_10_1016_j_focus_2024_100301 crossref_primary_10_1111_jgs_18078 crossref_primary_10_1016_j_pop_2018_10_010 crossref_primary_10_1158_0008_5472_CAN_16_1959 crossref_primary_10_1007_s10549_021_06330_4 crossref_primary_10_1002_cncr_34632 crossref_primary_10_1007_s40615_021_01096_3 crossref_primary_10_1080_13557858_2018_1562053 crossref_primary_10_1371_journal_pone_0187018 crossref_primary_10_1186_s12885_024_12051_w crossref_primary_10_1158_0008_5472_CAN_19_3659 crossref_primary_10_1177_17588359231178125 crossref_primary_10_3390_cancers17101641 crossref_primary_10_1016_j_asjsur_2023_03_160 crossref_primary_10_1007_s00520_024_08958_6 crossref_primary_10_1002_cncr_32207 crossref_primary_10_1007_s10549_017_4173_0 crossref_primary_10_3389_fonc_2019_01474 crossref_primary_10_3390_cancers11030363 crossref_primary_10_1016_j_clbc_2022_06_005 crossref_primary_10_1016_j_prro_2022_08_004 crossref_primary_10_1002_cncr_31231 crossref_primary_10_1080_20476965_2018_1440925 crossref_primary_10_1007_s40273_015_0343_2 crossref_primary_10_1097_CEJ_0000000000000837 crossref_primary_10_1007_s10549_016_3749_4 crossref_primary_10_3389_fsurg_2022_779220 crossref_primary_10_1002_cncr_30378 crossref_primary_10_1186_s40064_015_1657_4 crossref_primary_10_1371_journal_pone_0224064 crossref_primary_10_1016_j_ygyno_2019_11_036 crossref_primary_10_1002_cncr_33889 crossref_primary_10_1007_s10549_022_06736_8 crossref_primary_10_1007_s11606_021_07368_2 crossref_primary_10_1038_s41598_023_27578_4 crossref_primary_10_1007_s10549_025_07627_4 crossref_primary_10_1007_s10903_016_0475_2 crossref_primary_10_3892_mco_2022_2528 crossref_primary_10_1186_s12913_020_05698_1 crossref_primary_10_1007_s10549_019_05449_9 crossref_primary_10_2217_bmt_2017_0013 crossref_primary_10_1038_s41598_020_61535_9 crossref_primary_10_1158_1055_9965_EPI_25_0011 crossref_primary_10_1177_000313482008600327 crossref_primary_10_1002_cnr2_1287 crossref_primary_10_1007_s12609_017_0247_6 crossref_primary_10_3892_or_2023_8587 crossref_primary_10_1177_1557988320970073 crossref_primary_10_1038_s41598_020_57704_5 crossref_primary_10_1089_whr_2021_0082 crossref_primary_10_3389_fcvm_2022_1009765 crossref_primary_10_3390_ijms21218238 crossref_primary_10_1001_jamanetworkopen_2023_46223 crossref_primary_10_1007_s12609_018_0280_0 crossref_primary_10_3389_fonc_2023_1217869 |
| ContentType | Journal Article |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1001/jama.2014.17322 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE - Academic MEDLINE |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1538-3598 |
| ExternalDocumentID | 25585328 |
| Genre | Research Support, Non-U.S. Gov't Journal Article |
| GeographicLocations | United States |
| GeographicLocations_xml | – name: United States |
| GrantInformation_xml | – fundername: Canadian Institutes of Health Research |
| GroupedDBID | --- -ET -~X .55 .XZ 0R~ 0WA 186 18M 1KJ 29J 2CT 2FS 2KS 2WC 354 39C 4.4 53G 5GY 5RE 6TJ 85S AAIKC AAMNW AAQOH AAQQT AAWTL ABBLC ABCQX ABEHJ ABIVO ABOCM ABPMR ABPPZ ABRSH ABWJO ACAHW ACGFS ACNCT ACPRK ADBBV ADUKH ADXHL AETEA AFCHL AFFNX AFRAH AGHSJ AHMBA ALMA_UNASSIGNED_HOLDINGS AMJDE ANMPU ARBJA BKOMP BRYMA C45 CGR CJ0 CS3 CUY CVF EAM EBD EBS ECM EIF EJD EMOBN EX3 F5P H13 HF~ KOO KQ8 L7B MVM N4W N9A NEJ NPM OBH OCB OGEVE OHH OMK OVD P-O P2P PQQKQ QJJ RAJ RNS S10 SJN SV3 TEORI TN5 UBY UHB UKR UMD UPT VVN WH7 WOW X7M XHN XSW XZL YFH YOC YPV YQT YQY YR2 YR5 YSK YYM YZZ ZCA ~H1 7X8 |
| ID | FETCH-LOGICAL-a410t-251ff4473e1c2fa94e5bad2a96f098155ab5c28cc5d49513acf0d724bfcc37bd2 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 517 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000347679300016&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1538-3598 |
| IngestDate | Thu Oct 02 04:06:27 EDT 2025 Mon Jul 21 05:32:15 EDT 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 2 |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-a410t-251ff4473e1c2fa94e5bad2a96f098155ab5c28cc5d49513acf0d724bfcc37bd2 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| PMID | 25585328 |
| PQID | 1652401869 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_1652401869 pubmed_primary_25585328 |
| PublicationCentury | 2000 |
| PublicationDate | 2015-Jan-13 20150113 |
| PublicationDateYYYYMMDD | 2015-01-13 |
| PublicationDate_xml | – month: 01 year: 2015 text: 2015-Jan-13 day: 13 |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | JAMA : the journal of the American Medical Association |
| PublicationTitleAlternate | JAMA |
| PublicationYear | 2015 |
| References | 25871681 - JAMA. 2015 Apr 14;313(14):1475-6. doi: 10.1001/jama.2015.2589 25871680 - JAMA. 2015 Apr 14;313(14):1475. doi: 10.1001/jama.2015.2583 26057299 - JAMA. 2015 Jun 9;313(22):2287. doi: 10.1001/jama.2015.5541 25585323 - JAMA. 2015 Jan 13;313(2):141-2. doi: 10.1001/jama.2014.17323 |
| References_xml | – reference: 25871680 - JAMA. 2015 Apr 14;313(14):1475. doi: 10.1001/jama.2015.2583 – reference: 25871681 - JAMA. 2015 Apr 14;313(14):1475-6. doi: 10.1001/jama.2015.2589 – reference: 25585323 - JAMA. 2015 Jan 13;313(2):141-2. doi: 10.1001/jama.2014.17323 – reference: 26057299 - JAMA. 2015 Jun 9;313(22):2287. doi: 10.1001/jama.2015.5541 |
| SSID | ssj0000137 |
| Score | 2.6311924 |
| Snippet | Women with early-stage breast cancers are expected to have excellent survival rates. It is important to identify factors that predict diagnosis of early-stage... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 165 |
| SubjectTerms | Aged Asian - statistics & numerical data Black or African American Black People - statistics & numerical data Breast Neoplasms - classification Breast Neoplasms - ethnology Breast Neoplasms - mortality Female Follow-Up Studies Hispanic or Latino - statistics & numerical data Humans Lymphatic Metastasis Middle Aged Native Hawaiian or Other Pacific Islander - statistics & numerical data Neoplasm Invasiveness Neoplasm Staging Registries SEER Program - statistics & numerical data Triple Negative Breast Neoplasms - classification Triple Negative Breast Neoplasms - ethnology Triple Negative Breast Neoplasms - mortality United States White People - statistics & numerical data |
| Title | Differences in breast cancer stage at diagnosis and cancer-specific survival by race and ethnicity in the United States |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/25585328 https://www.proquest.com/docview/1652401869 |
| Volume | 313 |
| WOSCitedRecordID | wos000347679300016&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV07T8MwELaAIsTC-1FeMhKroX4kTiaEgIqBVh0AdYscP6BLWpoU1H_POXEFCxISS5bESWR_Pn_n-3yH0AWTLFHAAwhQInBQbMqI4sIrHAEtTjkT1WdhXh5lv58Mh-kgbLiVQVa5sIm1oTZj7ffIr2gcweLjCyhdT96Jrxrlo6uhhMYyanGgMh7Vcpj8SB9V58ysJ7XPVLdI7fOddYiKSyq5r5z7G7-s15nu5n__cAttBIaJbxpIbKMlW-ygtV6Ioe-iz7tQEwUsBB4VOPey9AprP_xTDGTx1WJVYdNo8EYlVoUJd4k_l-m1RbicgYkBkOJ8jqdK2_ohW70V8JFq7l8LxBI3hBY3hHYPPXfvn24fSCi_QJSgnYoA83FOCMkt1cypVNgoV4apNHadNAEeovJIs0TryICXRbnSrmMkE7nTmsvcsH20UowLe4iwBC9RyjjOcyuF4XEqOpxJy6mlLnaJbKPzRZdmAG8fs1CFHc_K7LtT2-igGZds0uThyMAbArLBkqM_tD5G6zDaXqdIKD9BLQeT256iVf1RjcrpWY0buPYHvS-0wc1F |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Differences+in+breast+cancer+stage+at+diagnosis+and+cancer-specific+survival+by+race+and+ethnicity+in+the+United+States&rft.jtitle=JAMA+%3A+the+journal+of+the+American+Medical+Association&rft.au=Iqbal%2C+Javaid&rft.au=Ginsburg%2C+Ophira&rft.au=Rochon%2C+Paula+A&rft.au=Sun%2C+Ping&rft.date=2015-01-13&rft.eissn=1538-3598&rft.volume=313&rft.issue=2&rft.spage=165&rft_id=info:doi/10.1001%2Fjama.2014.17322&rft_id=info%3Apmid%2F25585328&rft_id=info%3Apmid%2F25585328&rft.externalDocID=25585328 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1538-3598&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1538-3598&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1538-3598&client=summon |