Black and Asian women are more likely than white women to experience significant delays in
The study looked at 45,186 caseswomen whose mammograms show a tissue abnormality requiring a biopsy to determine the presence of cancer. Across the study population, 34.6% of women were not biopsied within 30 days, 16% were not biopsied within 60 days, and 12% were not biopsied within 90 days.
Using the time to biopsy as a referenceIn white patients, the researchers found the following: At 30 days, the risk of biopsy failure was 66% higher in Asian women, 52% higher in black women, and 50% higher in Hispanic women.
After 90 days, black women were 28% more likely to refuse a biopsy. Among Asian women and Hispanic women, the risk was higher by 21% and 12%, respectively.
Digging deeper, the researchers studied the impactpredetermined factors at the facility level—academic affiliation, screening method, and availability of on-site biopsy—and were surprised to find that "none of these factors explained the apparent difference."
The authors wrote: "Structural racism, both within and outside the healthcare system, may contribute to these differences."