Variations in breast cancer histology and treatment patterns between the major ethnic groups of South West Sydney

Breast J. 2018 Jul;24(4):615-619. doi: 10.1111/tbj.12973. Epub 2017 Dec 19.

Abstract

Studies in the United States and United Kingdom have demonstrated ethnic variations in breast cancer receptor status, histology, and treatment access. This study aimed to investigate whether ethnicity variation similarly exists in Australia. Patients diagnosed with breast cancer between 2006 and 2011 across all public hospitals in the South Western Sydney Local Health District were identified and patient data collected retrospectively. Logistic regression analysis was used to measure the association between various biologic and treatment parameters and ethnicity. Ethnicity was found to have an influence on age of diagnosis, histology, treatment utilization, and recurrence in breast cancer patients.

Keywords: Asian continental ancestry group; Australia; breast neoplasms; cancer biology; cultural diversity; ethnic health; healthcare disparities; race relations.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Arabs / statistics & numerical data
  • Asian People / statistics & numerical data
  • Breast Neoplasms / ethnology*
  • Breast Neoplasms / pathology
  • Breast Neoplasms / therapy
  • Carcinoma, Ductal, Breast / ethnology*
  • Carcinoma, Ductal, Breast / pathology
  • Carcinoma, Ductal, Breast / therapy
  • Carcinoma, Lobular / ethnology*
  • Carcinoma, Lobular / pathology
  • Carcinoma, Lobular / therapy
  • Drug Therapy / statistics & numerical data
  • Female
  • Humans
  • Logistic Models
  • Mastectomy / statistics & numerical data
  • Middle Aged
  • Native Hawaiian or Other Pacific Islander / statistics & numerical data
  • Neoplasm Recurrence, Local / ethnology
  • New South Wales / epidemiology
  • Radiotherapy / statistics & numerical data
  • Retrospective Studies
  • White People / statistics & numerical data