In a study published in the January issue of Cancer Epidemiology, Biomarkers & Prevention, we analyzed the data of more than 900 patients to learn about the obstacles that patients face in obtaining timely mammography screening and subsequent treatment of breast cancer. The data were obtained in a study of breast cancer treatment in Chicago where 411 African American women were questioned, 397 and 181 Hispanic whites. The data used in the study were collected between 2005 and 2008.
Richard Uorneke and colleagues found that compared with white patients, African-American and Hispanic were directed more than one institution (36 percent and 47 percent versus 26 percent) and faced diagnostic delay of 60 days (27 percent and 32 percent compared to 12 percent). In African-American and Hispanic patients rarely detected breast cancer through screening (47 percent and 42 percent versus 59 percent).
"Patients with low income, as well as patients from among racial and ethnic minorities, mostly living in communities with inadequate medical care, often get care in resource-limited hospitals", - says Richard Uorneke, professor of epidemiology, research fellow of the Institute of Research and Illinois University Cancer center. - Time is paramount, especially for African Americans, who compared with white women are at greater risk of invasive breast cancer. Delay in diagnosis and treatment of patients often occurs when hospital facilities do not have the proper equipment to assist, and the diagnosis is necessary to address a few times. " Moreover, some patients undergo mammography and diagnostic testing in non-accredited institutions.
Passage of mammography at an accredited medical institution guarantees the timely diagnosis of breast cancer, but such access is usually dependent on the direction of the patient's attending physician. Selection of medical centers may be limited by insurance.
"Understanding, can improve access to health care trends of the process adopted by primary care physicians for women who do not receive adequate medical care, - says Uorneke. - The study results support the study of health policy to increase the number of appeals to institutions dealing with breast cancer in Chicago. "