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Showing content from https://pubmed.ncbi.nlm.nih.gov/32864279/ below:

Impact of Healthcare Access Disparities on Initial Diagnosis of Breast Cancer in the Emergency Department

Affiliations

• ¹ Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA.
• ² Emergency Medicine, California University of Science and Medicine, San Bernardino, USA.

• PMID: 32864279
• PMCID: PMC7451079
• DOI: 10.7759/cureus.10027

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Allison M Yee et al. Cureus. 2020.

• ¹ Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA.
• ² Emergency Medicine, California University of Science and Medicine, San Bernardino, USA.

• PMID: 32864279
• PMCID: PMC7451079
• DOI: 10.7759/cureus.10027

Item in Clipboard

Breast cancer continues to be the second leading cause of cancer deaths in women in the United States. This is more noticeable in communities with pronounced healthcare disparities. The aim of this study was to investigate the different demographics that might play a role in the detection of breast cancer in a county hospital emergency department (ED). A retrospective study was conducted of female patients diagnosed with breast cancer over a five-year period (1/1/2015 to 12/31/2018). Patients with breast cancer as the primary or secondary diagnosis were identified. This study shows that 66 (73.3%) women diagnosed in the ED were Hispanic or African American. There was a significant delay (a median of 461 days) in the time between the diagnosis of suspected breast cancer in the ED to their follow-up visit with definitive diagnosis in a primary care clinic. These findings suggest that women with a suspected breast cancer diagnosis who are seen in a safety net hospital and have Medicaid funding may have significant delays before final diagnosis is made. Patient demographics could have an impact on the patients' access to screening and regular healthcare visits, hindering an early breast cancer diagnosis by a primary care provider.

Keywords: african american; breast cancer; diagnostic delay; emergency department; healthcare disparities; hispanic; initial diagnosis.

Copyright © 2020, Yee et al.

PubMed Disclaimer

The authors have declared that no competing interests exist.

• Impact of Insurance Type on Access to Pediatric Surgical Care.

  Watson RR, Niedziela CJ, Nuzzi LC, Netson RA, McNamara CT, Ayannusi AE, Flanagan S, Massey GG, Labow BI. Watson RR, et al. Plast Reconstr Surg Glob Open. 2024 May 17;12(5):e5831. doi: 10.1097/GOX.0000000000005831. eCollection 2024 May. Plast Reconstr Surg Glob Open. 2024. PMID: 38798939 Free PMC article.

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