Survival disparities in Male patients with breast cancer

David J. Restrepo, Daniel Boczar, Maria T. Huayllani, Andrea Sisti, Sarah A. McLaughlin, Aaron Spaulding, Alexander S. Parker, Rickey E. Carter, Aaron L. Leppin, Antonio J. Forte

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Background/Aim: We evaluated factors associated with mortality among men with breast cancer. Materials and Methods: We used the National Cancer Database to identify men with breast cancer and evaluated factors associated with mortality, using a Cox regression model. Results: Black patients experienced an increased risk of death from any cause compared to white patients [hazard ratio (HR)=1.19, 95%CI=1.05-1.37]. Patients with government insurance had a greater risk of death compared to privately insured patients (HR=1.57, 95%CI=1.41-1.75). When compared to patients with an income of >$46,000, those with an income <$30,000 presented an increased risk of death (HR=1.35, 95%CI=1.14-1.60). Finally, patients treated at a comprehensive community cancer program (HR=1.129, 95%CI=1.021-1.248), community cancer program (HR=1.164, 95%CI=1.010-1.343), or integrated network cancer program (HR=1.216; 95%CI=1.056-1.401) experienced elevated risk of death compared to those treated at academic/research-programs. Conclusion: Race, insurance, income, education, and facility type are associated with the risk of mortality in male patients with breast cancer.

Original languageEnglish (US)
Pages (from-to)5669-5674
Number of pages6
JournalAnticancer research
Volume39
Issue number10
DOIs
StatePublished - 2019

Keywords

  • Breast neoplasm
  • Disparities
  • Income
  • Male
  • Survival

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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