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Disparities in Breast Cancer Treatment and Survival for Women with Disabilities

Ellen P. McCarthy, PhD, MPH; Long H. Ngo, PhD; Richard G. Roetzheim, MD, MSPH; Thomas N. Chirikos, PhD; Donglin Li, MD, MPH; Reed E. Drews, MD; and Lisa I. Iezzoni, MD, MSc
[+] Article and Author Information

From Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts, and H. Lee Moffitt Cancer Center & Research Institute, University of South Florida, Tampa, Florida.


Disclaimer: Although this study used the linked SEER–Medicare database, the interpretation and reporting of these data are solely the authors' responsibility.

Acknowledgments: The authors acknowledge the efforts of several groups responsible for the creation and dissemination of the linked SEER–Medicare database, including the Applied Research Program, National Cancer Institute; the Office of Research, Development and Information, Centers for Medicare & Medicaid Services; Information Management Services, Inc.; and the SEER Program tumor registries. The authors thank Roger B. Davis, ScD, for his statistical assistance.

Grant Support: By the National Cancer Institute (RO1 CA100029).

Potential Financial Conflicts of Interest: None disclosed.

Requests for Single Reprints: Ellen P. McCarthy, PhD, MPH, Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 1309 Beacon Street, Suite 220, Brookline, MA 02444; e-mail, emccarth@bidmc.harvard.edu.

Current Author Addresses: Dr. McCarthy: Division of General Medicine and Primary Care, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, 1309 Beacon Street, Suite 220, Brookline, MA 02444.

Drs. Ngo, Li, Drews, and Iezzoni: Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Boston, MA 02215.

Dr. Roetzheim: University of South Florida, 12901 Bruce B. Downs Boulevard, Tampa, FL 33612.

Dr. Chirikos: H. Lee Moffitt Cancer Center & Research Institute, 12902 Magnolia Drive, Tampa, FL 33612.

Author Contributions: Conception and design: E.P. McCarthy, R.G. Roetzheim, L.I. Iezzoni.

Analysis and interpretation of the data: E.P. McCarthy, L.H. Ngo, R.G. Roetzheim, T.N. Chirikos, D. Li, R.E. Drews, L.I. Iezzoni.

Drafting of the article: E.P. McCarthy, L.I. Iezzoni.

Critical revision of the article for important intellectual content: E.P. McCarthy, R.G. Roetzheim, T.N. Chirikos, R.E. Drews, L.I. Iezzoni.

Final approval of the article: E.P. McCarthy, L.H. Ngo, R.G. Roetzheim, T.N. Chirikos, D. Li, R.E. Drews, L.I. Iezzoni.

Provision of study materials or patients: L.I. Iezzoni.

Statistical expertise: E.P. McCarthy, L.H. Ngo, T.N. Chirikos, D. Li, L.I. Iezzoni.

Obtaining of funding: E.P. McCarthy, L.I. Iezzoni.

Administrative, technical, or logistic support: L.H. Ngo, D. Li, R.E. Drews.

Collection and assembly of data: E.P. McCarthy, D. Li.


Ann Intern Med. 2006;145(9):637-645. doi:10.7326/0003-4819-145-9-200611070-00005
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On average, women with SSDI and Medicare coverage were 4.4 years older than other women, and 18.4% of women with SSDI and Medicare coverage were non-Hispanic black, compared with 8.7% of other women (Table 1). Women with SSDI and Medicare coverage were much more likely to never have married (26.4% vs. 12.8%). Table 1 also shows various tumor characteristics, including cancer stage at diagnosis, that are available from SEER data. Tumor attributes of women with and women without SSDI and Medicare coverage did not seem to differ, particularly stage at diagnosis, tumor size, and histology.

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Summary for Patients

Differences in Breast Cancer Treatment and Survival among Women with Disabilities

The summary below is from the full report titled “Disparities in Breast Cancer Treatment and Survival for Women with Disabilities.” It is in the 7 November 2006 issue of Annals of Internal Medicine (volume 145, pages 637-645). The authors are E.P. McCarthy, L.H. Ngo, R.G. Roetzheim, T.N. Chirikos, D. Li, R.E. Drews, and L.I. Iezzoni.

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