There are large gaps in our understanding of racial/ethnic disparities in treatment experiences and outcomes for women with breast cancer across the continuum of care. In particular, there is virtually no information about the treatment experiences of Latinas and the implications on return to work and quality of life into the survivorship period. Furthermore, there are lingering concerns about disparities in outcomes related to paid work and quality of life for African American women. To address these issues we propose to perform a follow-up survey at 3 years after diagnosis of a cohort of 2498 patients diagnosed with breast cancer during a period from May 2005 to February 2007 and reported to the Los Angeles and Detroit SEER registries. We will examine racial/ethnic differences in disruption in paid work for patients with breast cancer into the survivorship period. We will also examine racial/ethnic differences in quality of life domains including financial stress for patients with breast cancer into the early survivorship period.

Public Health Relevance

Results from the study will inform health care policy and interventions to improve the quality of care for vulnerable patient populations.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA109696-06
Application #
7920941
Study Section
Health Services Organization and Delivery Study Section (HSOD)
Program Officer
Arora, Neeraj K
Project Start
2004-09-01
Project End
2012-08-31
Budget Start
2010-09-01
Budget End
2012-08-31
Support Year
6
Fiscal Year
2010
Total Cost
$499,382
Indirect Cost
Name
University of Michigan Ann Arbor
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
073133571
City
Ann Arbor
State
MI
Country
United States
Zip Code
48109
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Janz, Nancy K; Li, Yun; Beesley, Lauren J et al. (2016) Worry about recurrence in a multi-ethnic population of breast cancer survivors and their partners. Support Care Cancer 24:4669-78
Jagsi, Reshma; Griffith, Kent A; Kurian, Allison W et al. (2015) Concerns about cancer risk and experiences with genetic testing in a diverse population of patients with breast cancer. J Clin Oncol 33:1584-91
Martinez, Kathryn A; Li, Yun; Resnicow, Ken et al. (2015) Decision Regret following Treatment for Localized Breast Cancer: Is Regret Stable Over Time? Med Decis Making 35:446-57
Jagsi, Reshma; Li, Yun; Morrow, Monica et al. (2015) Patient-reported Quality of Life and Satisfaction With Cosmetic Outcomes After Breast Conservation and Mastectomy With and Without Reconstruction: Results of a Survey of Breast Cancer Survivors. Ann Surg 261:1198-206
Hawley, Sarah T; Jagsi, Reshma; Morrow, Monica et al. (2014) Social and Clinical Determinants of Contralateral Prophylactic Mastectomy. JAMA Surg 149:582-9
Friese, Christopher R; Martinez, Kathryn A; Abrahamse, Paul et al. (2014) Providers of follow-up care in a population-based sample of breast cancer survivors. Breast Cancer Res Treat 144:179-84
Jagsi, Reshma; Hawley, Sarah T; Abrahamse, Paul et al. (2014) Impact of adjuvant chemotherapy on long-term employment of survivors of early-stage breast cancer. Cancer 120:1854-62

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