FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2913174906> ?p ?o ?g. }

• W2913174906 abstract "Introduction: The criteria for coverage of BRCA testing vary by insurance company, and out-of-pocket costs can be prohibitive for many. Previous studies investigating rates of BRCA testing analyzed patient populations consisting of predominantly white women and women with private insurance. This study compares the differences in rates of BRCA testing among women diagnosed with breast cancer at a safety net hospital affiliated with an academic medical center and a tertiary-care university hospital in order to determine any factors associated with or predictive of testing differences. Methods: Retrospective chart review was performed using a dataset obtained from the Georgia Tumor Registry of women seen at Grady Memorial Hospital (GMH) and Emory University Hospital (EUH) between 2010 and 2014 who were diagnosed with breast cancer between the ages of 20-70. Of the 1,142 EUH cases, 652 charts were randomly selected and all 532 GMH cases have been reviewed to date. Demographic information collected included age, race, insurance status, type of insurance, and mean and median household income based on zip code of residence. Records were reviewed for documentation of referral to genetic counseling, if testing was performed, and testing results. National Comprehensive Cancer Network (NCCN) guidelines for BRCA testing were used in the study to identify high-risk patients. Data analysis was performed using univariate analysis and multivariable logistic regression. Results: Data from 529 EUH charts and 468 GMH charts were included in the final analysis. Among GMH patients, 81.4% were black/African American, 5.6% were white/Caucasian, and 7.9% were Hispanic/Latina. Mean age at diagnosis was 49.3 (SD 8.1). Mean household income for GMH patients was $60,292 (SD $22,975). At time of diagnosis, 37.2% of GMH patients had Medicaid, 7.7% had Medicare, 24.4% had private insurance, and 29.9% were uninsured. Among EUH patients, 35.7% were black, 56.9% were white, and 1.1% were Latina. Mean age at diagnosis was 48.84 (SD 7.61). Mean household income of EUH patients was $82,284 (SD $30,422). At time of diagnosis, 13.4% of EUH patients had Medicaid, 1.3% had Medicare, 84.3% had private insurance, and 0.8% were uninsured. Black patients were more likely to be high risk. High-risk patients were tested at a higher rate than low-risk patients (38% vs 8%, p Conclusion: Hospital- and race-related disparities in rates of BRCA testing exist despite both hospitals being staffed by the same university-based oncology faculty. The data also suggest disparities related to insurance status and income. This raises concern for financial and logistical barriers impeding genetic counseling and testing in a safety net hospital setting despite a higher proportion of high-risk patients. Analysis is ongoing to determine whether high-risk patients are less likely to undergo BRCA testing in a safety net hospital compared to a university hospital setting. Interventions to increase BRCA testing and counseling among high-risk breast cancer patients must be adapted to meet the challenges of resource-poor settings. Citation Format: Demetria J. Smith, Christopher Sauter, Chao Zhang, Zhengjia Chen, Keerthi Gogineni. Patterns of BRCA testing at a safety net compared to a university hospital [abstract]. In: Proceedings of the Tenth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2017 Sep 25-28; Atlanta, GA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2018;27(7 Suppl):Abstract nr B34." @default.
• W2913174906 created "2019-02-21" @default.
• W2913174906 creator A5042210553 @default.
• W2913174906 creator A5065208266 @default.
• W2913174906 creator A5069264731 @default.
• W2913174906 creator A5078752481 @default.
• W2913174906 creator A5089966579 @default.
• W2913174906 date "2018-07-01" @default.
• W2913174906 modified "2023-09-27" @default.
• W2913174906 title "Abstract B34: Patterns of BRCA testing at a safety net compared to a university hospital" @default.
• W2913174906 doi "https://doi.org/10.1158/1538-7755.disp17-b34" @default.
• W2913174906 hasPublicationYear "2018" @default.
• W2913174906 type Work @default.
• W2913174906 sameAs 2913174906 @default.
• W2913174906 citedByCount "0" @default.
• W2913174906 crossrefType "proceedings-article" @default.
• W2913174906 hasAuthorship W2913174906A5042210553 @default.
• W2913174906 hasAuthorship W2913174906A5065208266 @default.
• W2913174906 hasAuthorship W2913174906A5069264731 @default.
• W2913174906 hasAuthorship W2913174906A5078752481 @default.
• W2913174906 hasAuthorship W2913174906A5089966579 @default.
• W2913174906 hasConcept C121608353 @default.
• W2913174906 hasConcept C126322002 @default.
• W2913174906 hasConcept C144024400 @default.
• W2913174906 hasConcept C149923435 @default.
• W2913174906 hasConcept C151956035 @default.
• W2913174906 hasConcept C194828623 @default.
• W2913174906 hasConcept C195910791 @default.
• W2913174906 hasConcept C2776135927 @default.
• W2913174906 hasConcept C2776269092 @default.
• W2913174906 hasConcept C2778527826 @default.
• W2913174906 hasConcept C512399662 @default.
• W2913174906 hasConcept C530470458 @default.
• W2913174906 hasConcept C71924100 @default.
• W2913174906 hasConceptScore W2913174906C121608353 @default.
• W2913174906 hasConceptScore W2913174906C126322002 @default.
• W2913174906 hasConceptScore W2913174906C144024400 @default.
• W2913174906 hasConceptScore W2913174906C149923435 @default.
• W2913174906 hasConceptScore W2913174906C151956035 @default.
• W2913174906 hasConceptScore W2913174906C194828623 @default.
• W2913174906 hasConceptScore W2913174906C195910791 @default.
• W2913174906 hasConceptScore W2913174906C2776135927 @default.
• W2913174906 hasConceptScore W2913174906C2776269092 @default.
• W2913174906 hasConceptScore W2913174906C2778527826 @default.
• W2913174906 hasConceptScore W2913174906C512399662 @default.
• W2913174906 hasConceptScore W2913174906C530470458 @default.
• W2913174906 hasConceptScore W2913174906C71924100 @default.
• W2913174906 hasLocation W29131749061 @default.
• W2913174906 hasOpenAccess W2913174906 @default.
• W2913174906 hasPrimaryLocation W29131749061 @default.
• W2913174906 hasRelatedWork W1594199077 @default.
• W2913174906 hasRelatedWork W1996996029 @default.
• W2913174906 hasRelatedWork W2044085493 @default.
• W2913174906 hasRelatedWork W2071552615 @default.
• W2913174906 hasRelatedWork W2198692467 @default.
• W2913174906 hasRelatedWork W2262524499 @default.
• W2913174906 hasRelatedWork W2726245009 @default.
• W2913174906 hasRelatedWork W2921162207 @default.
• W2913174906 hasRelatedWork W3033227960 @default.
• W2913174906 hasRelatedWork W637675151 @default.
• W2913174906 isParatext "false" @default.
• W2913174906 isRetracted "false" @default.
• W2913174906 magId "2913174906" @default.
• W2913174906 workType "article" @default.