E-viri
Recenzirano
-
Knaus, Maria E.; Onwuka, Amanda J.; Bowder, Alexis; Courtney, Cathleen; Deans, Katherine J.; Downard, Cynthia D.; Duran, Yara K.; Fallat, Mary E.; Fraser, Jason D.; Gadepalli, Samir K.; Kabre, Rashmi; Kalbfell, Elle L.; Kohler, Jonathan; Lal, Dave R.; Landman, Matthew P.; Lawrence, Amy E.; Leys, Charles M.; Lu, Patricia; Mak, Grace Z.; Markel, Troy A.; Merchant, Naila; Nguyen, Tina; Pilkington, Mercedes; Port, Elissa; Rymeski, Beth; Saito, Jacqueline; Sato, Thomas T.; St Peter, Shawn D.; Wright, Tiffany; Minneci, Peter C.; Grabowski, Julia E.
The Journal of surgical research, November 2022, 2022-11-00, 20221101, Letnik: 279Journal Article
Disparities in surgical management have been documented across a range of disease processes. The objective of this study was to investigate sociodemographic disparities in young females undergoing excision of a breast mass. A retrospective study of females aged 10-21 y who underwent surgery for a breast lesion across eleven pediatric hospitals from 2011 to 2016 was performed. Differences in patient characteristics, workup, management, and pathology by race/ethnicity, insurance status, median neighborhood income, and urbanicity were evaluated with bivariate and multivariable regression analyses. A total of 454 females were included, with a median age of 16 y interquartile range (IQR: 3). 44% of patients were nonHispanic (NH) Black, 40% were NH White, and 7% were Hispanic. 50% of patients had private insurance, 39% had public insurance, and 9% had other/unknown insurance status. Median neighborhood income was $49,974, and 88% of patients resided in a metropolitan area. NH Whites have 4.5 times the odds of undergoing preoperative fine needle aspiration or core needle biopsy compared to NH Blacks (CI: 2.0, 10.0). No differences in time to surgery from the initial imaging study, size of the lesion, or pathology were observed on multivariable analysis. We found no significant differences by race/ethnicity, insurance status, household income, or urbanicity in the time to surgery after the initial imaging study. The only significant disparity noted on multivariable analysis was NH White patients were more likely to undergo preoperative biopsy than were NH Black patients; however, the utility of biopsy in pediatric breast masses is not well established. •No disparities were found in time to surgery for pediatric breast masses.•No disparities were found in size of lesion or pathology type.•White patients were 4.5x more likely to undergo biopsy than Black patients.
Avtor
Vnos na polico
Trajna povezava
- URL:
Faktor vpliva
Dostop do baze podatkov JCR je dovoljen samo uporabnikom iz Slovenije. Vaš trenutni IP-naslov ni na seznamu dovoljenih za dostop, zato je potrebna avtentikacija z ustreznim računom AAI.
Leto | Faktor vpliva | Izdaja | Kategorija | Razvrstitev | ||||
---|---|---|---|---|---|---|---|---|
JCR | SNIP | JCR | SNIP | JCR | SNIP | JCR | SNIP |
Baze podatkov, v katerih je revija indeksirana
Ime baze podatkov | Področje | Leto |
---|
Povezave do osebnih bibliografij avtorjev | Povezave do podatkov o raziskovalcih v sistemu SICRIS |
---|
Vir: Osebne bibliografije
in: SICRIS
To gradivo vam je dostopno v celotnem besedilu. Če kljub temu želite naročiti gradivo, kliknite gumb Nadaljuj.