Disparities in Breast Cancer Survival in the United States (2001–2009): Findings From the CONCORD-2 Study

Details

• Alternative Title:
  Cancer
• Personal Author:
  Miller, Jacqueline W. ; Smith, Judith Lee ; Ryerson, A. Blythe ; Tucker, Thomas C. ; Allemani, Claudia
• Description:
  BACKGROUND
  
  Reducing breast cancer incidence and achieving equity in breast cancer outcomes remains a priority for public health practitioners, health care providers, policy makers, and health advocates. Monitoring breast cancer survival can help evaluate the effectiveness of health services, quantify inequities in outcomes between states or population subgroups, and inform efforts to improve the effectiveness of cancer management and treatment.
  
  METHODS
  
  We analyzed breast cancer survival using individual patient records from 37 statewide registries that participated in the CONCORD-2 study, covering approximately 80% of the US population. Females were diagnosed between 2001 and 2009 and were followed through December 31, 2009. Age-standardized net survival at 1 year, 3 years, and 5 years after diagnosis was estimated by state, race (white, black), stage at diagnosis, and calendar period (2001–2003 and 2004–2009).
  
  RESULTS
  
  Overall, 5-year breast cancer net survival was very high (88.2%). Survival remained remarkably high from 2001 through 2009. Between 2001 and 2003, survival was 89.1% for white females and 76.9% for black females. Between 2004 and 2009, survival was 89.6% for white females and 78.4% for black females.
  
  CONCLUSIONS
  
  Breast cancer survival was more than 10 percentage points lower for black females than for white females, and this difference persisted over time. Reducing racial disparities in survival remains a challenge that requires broad, coordinated efforts at the federal, state, and local levels. Monitoring trends in breast cancer survival can highlight populations in need of improved cancer management and treatment.
  
  
• Subjects:
  Adolescent Adult Aged Aged, 80 And Over Black Or African American Breast Neoplasms Female Health Status Disparities Humans Middle Aged Neoplasm Staging Registries United States White People Young Adult

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• Keywords:
  Breast Cancer Health Disparities Population-based Survival Trends
• Source:
  Cancer. 123(Suppl 24):5100-5118
• Pubmed ID:
  29205311
• Pubmed Central ID:
  PMC5826549
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  123
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:1745ae13db25b29642b238a769dd5d341033d277f9ec76ca6ba54d304792f0ba63a5f934bdf51b641338cef505b17b2869a3a2e76d000ef21902129c4669d26e
• Download URL:
  https://stacks.cdc.gov/view/cdc/52133/cdc_52133_DS1.pdf
• File Type:
  [PDF - 337.37 KB ]