National Healthcare Disparities Report - LDI Health Economist

Effectiveness of Care
Also, in the NHQR:
n In all years, women ages 70-79 and 80 and over were less likely than women under age 40 to receive
axillary node dissection or sentinel lymph node biopsy. Women under age 65 with public health
insurance only were less likely than those with private insurance to receive axillary node dissection
or sentinel lymph node biopsy.
Figure 2.4. Women under age 70 treated for breast cancer with breast-conserving surgery who received
radiation therapy within 1 year of diagnosis, by race and ethnicity, 2004-2008
Percent
100 White Black Asian
NHOPI AI/AN
2008 Achievable Benchmark: 93%
90
80
70
Percent
100
90
80
70
Total Non-Hispanic White
Hispanic
2008 Achievable Benchmark: 93%
Chapter 2 Cancer
60
60
50
Z
0
2004
2005
2006
2007
2008
50
Z
0
2004
2005
2006
2007
2008
Key: NHOPI = Native Hawaiian or Other Pacific Islander; AI/AN = American Indian or Alaska Native.
Source: Commission on Cancer, American College of Surgeons and American Cancer Society, National Cancer Data Base, 2004-
2008.
Denominator: Women under age 70 undergoing breast-conserving surgery.
n Between 2004 and 2008, the percentage of women under age 70 treated for breast cancer with
breast-conserving surgery who received radiation therapy within 1 year of diagnosis did not change
significantly overall or for any racial or ethnic group (Figure 2.4).
n In all years, Black and Asian women were less likely than White women and Hispanic women were
less likely than non-Hispanic White women to receive radiation therapy.
n The 2008 top 5 State achievable benchmark was 93%. vii There is no evidence of progress toward the
benchmark by any racial or ethnic group.
vii The top 5 States that contributed to the achievable benchmark are New Hampshire, North Dakota, Oregon, South Dakota, and
Wisconsin.
National Healthcare Disparities Report, 2011
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