Faculty, Staff and Student Publications
Language
English
Publication Date
1-1-2025
Journal
Geriatric Nursing
DOI
10.1016/j.gerinurse.2025.103514
PMID
40628095
PMCID
PMC12450473
PubMedCentral® Posted Date
9-22-2025
PubMedCentral® Full Text Version
Author MSS
Abstract
This study examined racial and geographic disparities in breast cancer detection modalities (screening-, diagnostic-, or non-mammography) with cancer stage and mortality. A retrospective cohort study was conducted using Texas Cancer Registry-Medicare linkage data for geriatric women. Cancers detected through screening and diagnostic mammography had 43 % (95 % CI, 39 %-46 %, p < .0001) and 31 % (95 % CI, 27 %-35 %, p < .0001) lower all-cause mortality, and 49 % (95 % CI, 41 %-54 %, p < .0001) and 37 % (95 % CI, 32 %-43 %, p < .0001) lower cancer-specific mortality, respectively, compared to non-mammography-detected breast cancers. Patients from rural areas were 17 % (95 % CI, 1.06 - 1.29) more likely to be diagnosed with mid- (p = .0023) and advanced stage (p = .003) cancers compared to their urban counterparts. Racial or geographic disparities in cancer detection modalities with associated mortality no longer exist after adjusting for covariates. Healthcare professionals can leverage these findings to promote rural cancer health equity.
Keywords
Humans, Female, Breast Neoplasms, Aged, Retrospective Studies, Healthcare Disparities, Mammography, Texas, Early Detection of Cancer, Aged, 80 and over, United States, Medicare, Rural Population, Registries, Diagnostic mammography, Screening mammography, Breast cancer mortality, Racial disparity, Rural-urban disparity
Published Open-Access
yes
Recommended Citation
Liu, Zhaoli; Nicot-Cartsonis, Mathilda; Digbeu, Biai D E; et al., "Disparities in Breast Cancer Detection Modalities and Outcomes Among Geriatric Female Cancer Patients" (2025). Faculty, Staff and Student Publications. 5745.
https://digitalcommons.library.tmc.edu/uthgsbs_docs/5745
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