Previous studies have revealed racial and ethnic disparities in the treatment of breast cancer. For example, African-American and Hispanic women are less likely to receive BCS compared to whites, and more likely to die from their cancer than white women. The roots of these disparities may lie in socioeconomic or tumor-specific factors, but little is known about the contribution of physician-patient communication to treatment decisions and its impact on cancer management.
Rose C. Maly, M.D., M.S.P.H. and colleagues from the David Geffen School of Medicine at the University of California at Los Angeles interviewed 257 breast cancer patients aged 55 and above within three to nine months of their diagnosis. The objective of their study was to identify racial and ethnic differences in physician-patient communication and their impact on the treatment received.
The researchers found that Hispanic women were significantly more likely to identify a family member as the final decision-maker for treatment than were African-Americans and whites, regardless of their acculturation to American society. About a quarter of African-Americans and whites identified the physician as the final decision-maker compared to just 10 percent of Hispanics. Women who identified a family member as the final decision-maker were also less likely to receive BCS than mastectomy.
Contact: Amy Molnar
John Wiley & Sons, Inc.