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McClintock NC, Ayabe RI, Salas Parra RD, et al. A Microcosm of Disparities in Breast Cancer: Comparison Between a Private Hospital and a Safety-Net County Hospital Within Los Angeles County. Am Surg. 2021;3134821998668doi: 10.1177/0003134821998668.
McClintock, N. C., Ayabe, R. I., Salas Parra, R. D., Kaji, A. H., Orozco, J. I. J., Marzese, D. M., Samuels, E., Stern, S. L., Dauphine, C., & Ozao-Choy, J. J. (2021). A Microcosm of Disparities in Breast Cancer: Comparison Between a Private Hospital and a Safety-Net County Hospital Within Los Angeles County. The American surgeon, 3134821998668. https://doi.org/10.1177/0003134821998668
McClintock, Natalie C, et al. "A Microcosm of Disparities in Breast Cancer: Comparison Between a Private Hospital and a Safety-Net County Hospital Within Los Angeles County." The American surgeon vol. (2021): 3134821998668. doi: https://doi.org/10.1177/0003134821998668
McClintock NC, Ayabe RI, Salas Parra RD, Kaji AH, Orozco JIJ, Marzese DM, Samuels E, Stern SL, Dauphine C, Ozao-Choy JJ. A Microcosm of Disparities in Breast Cancer: Comparison Between a Private Hospital and a Safety-Net County Hospital Within Los Angeles County. Am Surg. 2021 Feb 25;3134821998668. doi: 10.1177/0003134821998668. Epub 2021 Feb 25. PMID: 33629873.
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Am Surg. 2021 Feb 25;3134821998668. doi: 10.1177/0003134821998668. Epub 2021 Feb 25.

A Microcosm of Disparities in Breast Cancer: Comparison Between a Private Hospital and a Safety-Net County Hospital Within Los Angeles County.

The American surgeon

Natalie C McClintock, Reed I Ayabe, Ruben D Salas Parra, Amy H Kaji, Javier I J Orozco, Diego M Marzese, Estela Samuels, Stacey L Stern, Christine Dauphine, Junko J Ozao-Choy

Affiliations

  1. 21640Harbor-UCLA Medical Center, Torrance, CA, USA.
  2. BronxCare Health System, Bronx, NY, USA.
  3. Los Angeles Biomedical Research Institute, Torrance, CA, USA.
  4. Saint John's Cancer Institute (formerly know as John Wayne Cancer Institute), 20279Santa Monica, CA, USA.
  5. Cancer Biology Group, 20279Balearic Islands Health Research Institute (IDISBA), Palma, Spain.

PMID: 33629873 DOI: 10.1177/0003134821998668

Abstract

BACKGROUND: Breast cancer survival is improving due to early detection and treatment advances. However, racial/ethnic differences in tumor biology, stage, and mortality remain. The objective of this study was to analyze presumed disparities at a local level.

METHODS: Breast cancer patients at a county hospital and private hospital from 2010 to 2012 were retrospectively reviewed. Demographic, clinical, pathologic, and surgical data were collected. Comparisons were made between hospital cohorts and between racial/ethnic groups from both hospitals combined.

RESULTS: 754 patients were included (322 from county hospital and 432 from private hospital). All patients were female. The median age was 54 years at county hospital and 60 years at private hospital (

DISCUSSION: At county hospital compared to private hospital, the proportion of racial/ethnic minorities was higher, and patients presented at younger ages with more aggressive tumors and more advanced disease. The racial/ethnic disparities that were identified locally are largely consistent with those identified in national database studies. These marked differences at hospitals within a diverse city highlight the need for further research into the disparities.

Keywords: breast; socioeconomic

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