Journal
MEDICAL CARE RESEARCH AND REVIEW
Volume 64, Issue 5, Pages 195S-242SPublisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1077558707305410
Keywords
breast cancer; screening; diagnosis; treatment; race; ethnicity; intervention
Funding
- NIA NIH HHS [K08 AG027200, K08 AG027200-02] Funding Source: Medline
- NIDDK NIH HHS [K23 DK075006-01, K23 DK075006] Funding Source: Medline
- NIEHS NIH HHS [P50 ES012382, P50 ES12382] Funding Source: Medline
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The authors conduct a systematic review of the literature to identify interventions designed to enhance breast cancer screening, diagnosis, and treatment among minority women. Most trials in this area have focused on breast cancer screening, while relatively few have addressed diagnostic testing or breast cancer treatment. Among patient-targeted screening interventions, those that are culturally tailored or addressed financial or logistical barriers are generally more effective than reminder-based interventions, especially among women with fewer financial resources and those without previous mammography. Chart-based reminders increase physician adherence to mammography guidelines but are less effective at increasing clinical breast examination. Several trials demonstrate that case management is an effective strategy for expediting diagnostic testing after screening abnormalities have been found. Additional support for these and other proven health care organization-based interventions appears justified and may be necessary to eliminate racial and ethnic breast cancer disparities.
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