Skip to main content
Journal cover image

Sequential matched analysis of racial disparities in breast cancer hospitalization outcomes among African American and White patients.

Publication ,  Journal Article
Ogunsina, K; Naik, G; Vin-Raviv, N; Akinyemiju, TF
Published in: Cancer Epidemiol
August 2017

BACKGROUND: The purpose of this study is to determine if racial disparities in inpatient outcomes persist among hospitalized patients comparing African American and White breast cancer patients matched on demographics, presentation and treatment. METHODS: A total of 136,211 African American and White breast cancer patients from the Healthcare Cost and Utilization Project - Nationwide Inpatient Sample (HCUP-NIS) database, matched on demographics alone, demographics and presentation or demographics, presentation and treatment were studied. Conditional logistic regression was conducted to evaluate post-surgical complications, length of stay and in-hospital mortality outcomes. Analysis was further stratified by age (≤65 years and >65years) to evaluate whether disparities were larger in younger or older patients. All analysis was conducted using SAS 9.3. RESULTS: White women had significantly shorter hospital length of stay when matched on demographics (β=-0.87, p-value=<0.0001), demographics and presentation (β=-0.63, p-value=<0.0001), and demographics, presentation and treatment (β=-0.51, p-value=<0.0001) compared with African Americans. White women also had lower odds of mortality compared with African American women when matched on demographics (OR: 0.72, 95% CI: 0.65-0.79), demographics and presentation (OR: 0.77, 95% CI: 0.71-0.85), or matched on demographics, presentation and treatment (OR: 0.80, 95% CI: 0.73-0.88). The racial difference observed in length of stay and mortality was larger in the age group ≤65 years compared with >65years CONCLUSION: African American women experienced higher odds of inpatient mortality and longer length of stay compared with White women even after accounting for differences in demographics, presentation and treatment characteristics.

Duke Scholars

Published In

Cancer Epidemiol

DOI

EISSN

1877-783X

Publication Date

August 2017

Volume

49

Start / End Page

138 / 143

Location

Netherlands

Related Subject Headings

  • White People
  • United States
  • Oncology & Carcinogenesis
  • Middle Aged
  • Logistic Models
  • Length of Stay
  • Humans
  • Hospitalization
  • Hospital Mortality
  • Healthcare Disparities
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ogunsina, K., Naik, G., Vin-Raviv, N., & Akinyemiju, T. F. (2017). Sequential matched analysis of racial disparities in breast cancer hospitalization outcomes among African American and White patients. Cancer Epidemiol, 49, 138–143. https://doi.org/10.1016/j.canep.2017.06.002
Ogunsina, Kemi, Gurudatta Naik, Neomi Vin-Raviv, and Tomi F. Akinyemiju. “Sequential matched analysis of racial disparities in breast cancer hospitalization outcomes among African American and White patients.Cancer Epidemiol 49 (August 2017): 138–43. https://doi.org/10.1016/j.canep.2017.06.002.
Ogunsina, Kemi, et al. “Sequential matched analysis of racial disparities in breast cancer hospitalization outcomes among African American and White patients.Cancer Epidemiol, vol. 49, Aug. 2017, pp. 138–43. Pubmed, doi:10.1016/j.canep.2017.06.002.
Journal cover image

Published In

Cancer Epidemiol

DOI

EISSN

1877-783X

Publication Date

August 2017

Volume

49

Start / End Page

138 / 143

Location

Netherlands

Related Subject Headings

  • White People
  • United States
  • Oncology & Carcinogenesis
  • Middle Aged
  • Logistic Models
  • Length of Stay
  • Humans
  • Hospitalization
  • Hospital Mortality
  • Healthcare Disparities