PURPOSE: Black @entity1 with @entity0 have poorer survival than do white @entity1 , but little is known about racial disparities in @entity2675 . We analyzed race and other predictors of treatment and survival among @entity1 with @entity0 . @entity1 AND METHODS: We used the Surveillance, Epidemiology, and End Results (SEER) Medicare database to identify @entity1 65 years of age or older diagnosed with @entity0 from 1991 to 2002. Multivariate regression was used to compare those treated with those not treated with either chemotherapy or radiation therapy, adjusting for known clinical and demographic factors. Cox proportional hazards regression models were used to analyze survival. RESULTS: Of 510 @entity2675 cases (456 white, 34 black), 94% underwent mastectomy, 28% received adjuvant chemotherapy, and 29% received radiation therapy. Among those with known hormone receptors, 95% had hormone-sensitive @entity5 . In a multivariate analysis, chemotherapy was associated with younger age, advanced stage, and @entity5282 -negative @entity5 . Radiation therapy was associated with younger age and advanced stage. Black @entity1 were approximately 50% less likely to undergo consultation with an oncologist and subsequently receive chemotherapy; however, the results did not reach statistical significance. The @entity0 -specific mortality hazard ratio was more than tripled for black versus white @entity1 (hazard ratio = 3.29; 95% CI, 1.10 to 9.86). CONCLUSION: After adjustment for known clinical, demographic, and treatment factors, there was an association of black race with increased @entity2675 -specific mortality. Although @entity2675 is rare, the reasons for these disparities need to be better understood.

Racial disparities in treatment and survival of XXXX .

@entity1 :: ('9606', 'Species') :: ['women', 'PATIENTS', 'men'] @entity0 :: ('MESH:D001943', 'Disease') :: ['stage I-III breast cancer', 'breast cancer'] @entity2675 :: ('MESH:D018567', 'Disease') :: ['male breast cancer'] @entity5 :: ('MESH:D009369', 'Disease') :: ['tumors'] @entity5282 :: ('3164', 'Gene') :: ['hormone receptor']
@entity2675 :: (MESH:D018567,Disease) :: ['male breast cancer']
