Journal of surgical oncology · 2026
Racial Differences in Breast Cancer Treatment and Information Access.
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Williams Tokoya, Li May X, Fine Keenan S, Melnick Bradley A, Ho Kelly C, Joseph Johna, Allums Jayla, Casas Fuentes Rolando J, Coles Brigid M, Galiano Robert D
Аннотация
BACKGROUND AND OBJECTIVES: Persistent disparities in breast cancer (BC) care highlight the need to better understand patient experiences across diverse populations. This study examined racial differences in BC treatment, BR decisions, and social media use.
METHODS: A web survey of 413 racially diverse breast cancer survivors collected self reported clinical data, BREAST-Q scores, and social media use. Multivariate regression examined BC treatment, BR complications, social media use, and satisfaction by race.
RESULTS: Black and Hispanic women were more likely to have mastectomy and chemotherapy than white women (p < 0.01; p < 0.001), even after adjusting for stage (p = 0.368). Asian women were less likely to receive chemotherapy or radiation (p < 0.01). Despite more breast-conserving surgery (p < 0.001 vs. Black; p < 0.05 vs. Hispanic), white women reported lower breast satisfaction (p < 0.05). Black and Hispanic women relied more on social media for information (p < 0.001; p < 0.01). Younger age, tobacco use, radiation, and comorbidities increased BR complication risk.
CONCLUSIONS: Women of color in this study experienced more aggressive treatment patterns and were more likely to rely on social media for information, highlighting an opportunity to address inequities in breast cancer care. Leveraging social media to deliver culturally tailored, evidence-based information may enhance understanding of treatment and surgical options, as well as complication risks, thereby promoting more equitable, patient-centered care.
METHODS: A web survey of 413 racially diverse breast cancer survivors collected self reported clinical data, BREAST-Q scores, and social media use. Multivariate regression examined BC treatment, BR complications, social media use, and satisfaction by race.
RESULTS: Black and Hispanic women were more likely to have mastectomy and chemotherapy than white women (p < 0.01; p < 0.001), even after adjusting for stage (p = 0.368). Asian women were less likely to receive chemotherapy or radiation (p < 0.01). Despite more breast-conserving surgery (p < 0.001 vs. Black; p < 0.05 vs. Hispanic), white women reported lower breast satisfaction (p < 0.05). Black and Hispanic women relied more on social media for information (p < 0.001; p < 0.01). Younger age, tobacco use, radiation, and comorbidities increased BR complication risk.
CONCLUSIONS: Women of color in this study experienced more aggressive treatment patterns and were more likely to rely on social media for information, highlighting an opportunity to address inequities in breast cancer care. Leveraging social media to deliver culturally tailored, evidence-based information may enhance understanding of treatment and surgical options, as well as complication risks, thereby promoting more equitable, patient-centered care.