Published in the December 1, 2006 issue of CANCER, a peer-reviewed journal of the American Cancer Society, the study reviewed patient data from two different clinical trial protocols – to control for healthcare access biases – and found that African-Americans have tumors with poorer prognostic cellular characteristics and more aggressive clinical presentations, pointing to the possibility that racially influenced tumor biology may contribute to observed racial disparities in breast cancer outcome.
Population-based studies have demonstrated significant differences in breast cancer survival rates based on race, particularly among African-Americans who are more likely to die of their disease than Caucasians. However, other races have been poorly studied. An often hypothesized explanation is socioeconomic differences that impact healthcare and access. Recent data suggest, however, that there may be differences in the tumors at the cellular level that may contribute to poor clinical presentations and outcomes.
Led by Wendy A. Woodward, M.D. of the University of Texas M. D. Anderson Cancer Center in Houston, researchers reviewed medical records and outcome data from 2,140 Caucasian, Hispanic and African-American breast cancer patients enrolled in clinical trials, controlling for differences in treatment that compromise other studies. Patients were either treated with chemotherapy before (neoadjuvant) or after (adjuvant) mastectomy.
The researchers found that in both treatment groups African-American race was independently associated with poor tumor and clinical characteristics and low survival rates compared to both Caucasian-Hispanic cohorts. For example, African-Americans presented with more advanced disease and were likely to have estrogen-receptor negative tumors. Analysis to control for other confounding factors confirmed that African-American race by itself was associated with lower survival in both treatment groups.
This study, conclude the authors, supports previous data "that African-American women more frequently had ER-negative disease and high-grade tumors and that African-American race was associated with a poorer survival rate." This was confirmed in "two independent data sets of patients treated on prospective protocols."
The importance of biodiversity in forests could increase due to climate change
17.11.2017 | Deutsches Zentrum für integrative Biodiversitätsforschung (iDiv) Halle-Jena-Leipzig
Win-win strategies for climate and food security
02.10.2017 | International Institute for Applied Systems Analysis (IIASA)
High-precision measurement of the g-factor eleven times more precise than before / Results indicate a strong similarity between protons and antiprotons
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Heat from the friction of rocks caused by tidal forces could be the “engine” for the hydrothermal activity on Saturn's moon Enceladus. This presupposes that...
The WHO reports an estimated 429,000 malaria deaths each year. The disease mostly affects tropical and subtropical regions and in particular the African continent. The Fraunhofer Institute for Silicate Research ISC teamed up with the Fraunhofer Institute for Molecular Biology and Applied Ecology IME and the Institute of Tropical Medicine at the University of Tübingen for a new test method to detect malaria parasites in blood. The idea of the research project “NanoFRET” is to develop a highly sensitive and reliable rapid diagnostic test so that patient treatment can begin as early as possible.
Malaria is caused by parasites transmitted by mosquito bite. The most dangerous form of malaria is malaria tropica. Left untreated, it is fatal in most cases....
The formation of stars in distant galaxies is still largely unexplored. For the first time, astron-omers at the University of Geneva have now been able to closely observe a star system six billion light-years away. In doing so, they are confirming earlier simulations made by the University of Zurich. One special effect is made possible by the multiple reflections of images that run through the cosmos like a snake.
Today, astronomers have a pretty accurate idea of how stars were formed in the recent cosmic past. But do these laws also apply to older galaxies? For around a...
Just because someone is smart and well-motivated doesn't mean he or she can learn the visual skills needed to excel at tasks like matching fingerprints, interpreting medical X-rays, keeping track of aircraft on radar displays or forensic face matching.
That is the implication of a new study which shows for the first time that there is a broad range of differences in people's visual ability and that these...
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