Examining inequities associated with incarceration among breast cancer patients

Introduction Breast cancer treatment patterns and quality of care among patients experiencing incarceration are underexplored. This study examined associations between incarceration and breast cancer disease and treatment characteristics. Methods This retrospective analysis was conducted at a tertia...

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Bibliographic Details
Published in:Cancer medicine (Malden, MA) MA), 2024-08, Vol.13 (15), p.e7428-n/a
Main Authors: Iwai, Yoshiko, Yu, Alice Yunzi L., Thomas, Samantha M., Jones, Tyler, Westbrook, Kelly E., Knittel, Andrea K., Fayanju, Oluwadamilola M.
Format: Article
Language:English
Subjects:
Adult
Aged
Breast cancer
Breast Neoplasms - mortality
Breast Neoplasms - therapy
Cancer therapies
Chemotherapy
Diagnosis
Electronic health records
Electronic medical records
Endocrine therapy
Family medical history
Female
Healthcare Disparities - statistics & numerical data
Humans
Immunotherapy
Imprisonment
Incarceration - statistics & numerical data
Mammography
Medical diagnosis
Medical screening
Middle Aged
Minority & ethnic groups
Mortality
Patients
Population
Prisons
Public safety
Radiation therapy
Retrospective Studies
Southeastern United States - epidemiology
Surgery
Time-to-Treatment - statistics & numerical data
Variables
Citations: Items that this one cites
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Summary:Introduction Breast cancer treatment patterns and quality of care among patients experiencing incarceration are underexplored. This study examined associations between incarceration and breast cancer disease and treatment characteristics. Methods This retrospective analysis was conducted at a tertiary center in the Southeastern United States that serves as the state's safety‐net hospital and primary referral site for the state's prisons. All patients ≥18 years diagnosed with breast cancer between 4/14/2014–12/30/2020 were included. Incarceration status was determined through electronic health record review. Linear regression was used to estimate the association of incarceration with time to treatment. Unadjusted overall survival (OS) was estimated using the Kaplan–Meier method with log‐rank tests to compare groups. Results Of the 4329 patients included, 30 (0.7%) were incarcerated at the time of diagnosis or treatment (DI) and 4299 (99.3%) had no incarceration history (NI). Compared to patients who were NI, patients who were DI were younger (p 
ISSN:2045-7634
2045-7634
DOI:10.1002/cam4.7428