Latinas who spoke little English were less likely to undergo reconstruction surgery after a mastectomy for breast cancer, according to a study from researchers at the University of Michigan Comprehensive Cancer Center.
The study compared breast reconstruction among white women, African-American women, Latina women who were highly acculturated and Latina women who were less acculturated. Acculturation is a measure of how much a person is integrated into American society. For Latinas, a significant factor is whether they speak primarily English or Spanish.
The researchers looked at 806 women treated for breast cancer in Detroit and Los Angeles. They found 41 percent of white women and 41 percent of highly acculturated Latinas underwent reconstruction, while only 34 percent of African-Americans and 14 percent of less acculturated Latinas did.
Results of the study appear online Oct. 5 in the Journal of Clinical Oncology.
"We have good data that shows reconstruction after mastectomy improves quality of life. This is a body part that affects women's self esteem, body image, sexuality and social roles. Not all women should necessarily choose reconstruction – it's not right for everyone. But all women should be presented the option," says lead study author Amy Alderman, M.D., M.P.H., assistant professor of plastic surgery at the U-M Medical School.
The study authors found that the lagging reconstruction rates did not correlate to a lack of interest. In fact, more than half of the less-acculturated Latinas said they would have liked more information about breast reconstruction. This group was also less likely to report that their surgeon explained breast reconstruction, and they were less likely to be referred to a plastic surgeon than the other racial groups.
"Reconstruction is important to these women, but significantly more of the less-acculturated Latinas did not know how to get it. It suggests significant unmet needs for this vulnerable group. They have a desire for reconstruction, but no one's telling them about it," Alderman says.
The study showed similar trends for African-American women, although the most striking data was among the less-acculturated Latinas.
Breast reconstruction was tied to patients' satisfaction with their surgery. The highest satisfaction rates were from white women who had received reconstruction, among whom 94 percent were satisfied with their treatment. The lowest satisfaction, 56 percent, was among less-acculturated Latinas who did not receive reconstruction.
The study authors suggest more efforts must be made to present breast reconstruction options to all patients, including those who speak only Spanish. Further research is planned to understand how language and other cultural issues affect whether women receive breast reconstruction.
Breast cancer statistics: 194,280 Americans will be diagnosed with breast cancer this year and 40,610 will die from the disease, according to the American Cancer Society
Additional authors: Sarah Hawley, Ph.D., U-M Medical School and VA Ann Arbor Healthcare System; Nancy Janz, Ph.D., U-M School of Public Health; Mahasin S. Mujahid, Ph.D., Harvard School of Public Health; Monica Morrow, M.D., Memorial Sloan-Kettering Cancer Center; Ann S. Hamilton, Ph.D., University of Southern California; John Graff, Ph.D., Karmanos Cancer Institute; and Steven Katz, M.D., M.P.H., U-M Medical School and VA Ann Arbor Healthcare System
Funding: Robert Wood Johnson Foundation, National Cancer Institute
Reference: Journal of Clinical Oncology, DOI: 10.1200/JCO.2009.22.2455Resources:
Nicole Fawcett | EurekAlert!
Amputees can learn to control a robotic arm with their minds
28.11.2017 | University of Chicago Medical Center
The importance of biodiversity in forests could increase due to climate change
17.11.2017 | Deutsches Zentrum für integrative Biodiversitätsforschung (iDiv) Halle-Jena-Leipzig
DNA molecules that follow specific instructions could offer more precise molecular control of synthetic chemical systems, a discovery that opens the door for engineers to create molecular machines with new and complex behaviors.
Researchers have created chemical amplifiers and a chemical oscillator using a systematic method that has the potential to embed sophisticated circuit...
MPQ scientists achieve long storage times for photonic quantum bits which break the lower bound for direct teleportation in a global quantum network.
Concerning the development of quantum memories for the realization of global quantum networks, scientists of the Quantum Dynamics Division led by Professor...
Researchers have developed a water cloaking concept based on electromagnetic forces that could eliminate an object's wake, greatly reducing its drag while...
Tiny pores at a cell's entryway act as miniature bouncers, letting in some electrically charged atoms--ions--but blocking others. Operating as exquisitely sensitive filters, these "ion channels" play a critical role in biological functions such as muscle contraction and the firing of brain cells.
To rapidly transport the right ions through the cell membrane, the tiny channels rely on a complex interplay between the ions and surrounding molecules,...
The miniaturization of the current technology of storage media is hindered by fundamental limits of quantum mechanics. A new approach consists in using so-called spin-crossover molecules as the smallest possible storage unit. Similar to normal hard drives, these special molecules can save information via their magnetic state. A research team from Kiel University has now managed to successfully place a new class of spin-crossover molecules onto a surface and to improve the molecule’s storage capacity. The storage density of conventional hard drives could therefore theoretically be increased by more than one hundred fold. The study has been published in the scientific journal Nano Letters.
Over the past few years, the building blocks of storage media have gotten ever smaller. But further miniaturization of the current technology is hindered by...
11.12.2017 | Event News
08.12.2017 | Event News
07.12.2017 | Event News
15.12.2017 | Power and Electrical Engineering
15.12.2017 | Materials Sciences
15.12.2017 | Life Sciences