BACKGROUND AND OBJECTIVES: This study examines differences in @entity0 survival between African-American and white @entity1 to determine whether there is a racial difference in survival after accounting for established influences on outcome, such as stage of @entity5 , health status, health behavior, utilization patterns, access to care, quality of care, and the doctor- @entity1 relationship. METHODS: This study is a retrospective review of clinical records. The sample consists of 246 @entity1 of three staff model HMOs who had mastectomies at stage II or above. Data on @entity1 demographics, stage of @entity5 , health status, and health behavior and utilization, including preventive care, were extracted from @entity1 records. Multivariate logistic regression was used to predict the determinants of advanced stage of @entity5 . Cox survival analysis was used to predict the determinants of survival. RESULTS: Missed appointments and stage of @entity5 were the key determinants of survival. The effect of race on survival was marginal after adjusting for these factors. Race, @entity1 who missed appointments, and @entity1 who delayed in reporting @entity0 were determinants of advanced stage. African-Americans were overrepresented among @entity1 who missed appointments. CONCLUSIONS: Missed appointments was a determinant of both advanced stage and shorter survival. This measure is an important component of how race affects survival. Compliance with appointment keeping and alleviating reasons for noncompliance must be considered as factors in @entity0 survival.

Disaggregating the effects of race on XXXX survival.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity0 :: ('MESH:D001943', 'Disease') :: ['breast cancer', 'breast cancer symptoms']
@entity0 :: (MESH:D001943,Disease) :: ['breast cancer']
