Understanding/Addressing Health Disparities to Improve Breast Cancer Care
Disparities in breast cancer care and outcomes between African-Americans and Caucasians remain a major public health concern. A higher breast cancer-specific mortality is seen in African-Americans compared with Caucasians. Various socioeconomic and biological factors contribute to this gap. For example, socioeconomic disadvantages among the African-American community hinder access to adequate healthcare coverage. This in turn can delay the time to diagnosis and may contribute to more advanced-stage disease at presentation. Equitable access to timely and high-quality care is crucial for improved disease-specific outcomes. The patterns regarding younger age and more aggressive disease among these patients are related to tumor biology and genetics.
In addition to socioeconomic factors and biology/genetics, there are a whole host of other factors that can contribute to differences in breast cancer incidence and outcome between different subsets of the population such as lifestyle and reproductive experiences; environmental exposures; and diet and nutrition factors.
This education activity will help outline the existing breast cancer disparities, as well as highlight methods/strategies that may help narrow the racial/survival gap and provide better cancer care to all.
This educational program is designed to meet the educational needs of physicians, nurse practitioners, nurses, physician assistants, pharmacists, and other health care professionals who manage patients with breast cancer.
Following this activity, participants should be able to:
- Review the diverse spectrum of socioeconomic issues contributing to disparities in access to and delivery of breast cancer care.
- Describe the effect of tumor biology and genetics on breast cancer risk and outcomes of treatment.
- Apply methods and strategies that provide equitable access to timely and high-quality breast cancer care to clinical practice.
Otis Webb Brawley, MD
The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
NCCN Medical Education Disclosure Policy
It is the policy of NCCN that every 12 months, all faculty, moderators, activity planners and all internal planning staff participating in NCCN continuing education activities are expected to disclose any financial relationships with a commercial interest as defined by the Accreditation Council for Continuing Medical Education (ACCME) Standards for Commercial Support. In addition, all faculty presentations have been reviewed for adherence to the ACCME’s Standards for Commercial Support (the provider develops activities/educational interventions independent of commercial interests [SCS 1, 2 and 6] by experts on the topics).
Per the ACCME Standards for Commercial Support, individuals who do not disclose relevant financial relationships will be disqualified from involvement in the CE activity as a content developer, planner, or presenter. A complete list of individuals’ relationships with external entities is available upon request.
NCCN continuing education considers financial relationships to create a “conflict of interest” when an individual has both a financial relationship with a commercial interest and the opportunity to affect CE content about the products or services of a commercial interest with which he/she and/or a spouse or partner has a financial relationship.
NCCN continuing education considers “relevant financial relationships” as financial relationships in any amount occurring within the past 12 months that create a conflict of interest. NCCN does not set a minimal dollar amount for relationships to be significant. Inherent in any amount is the incentive to maintain or increase the value of the relationship.
All faculty for this continuing education activity are competent in the subject matter and qualified by experience, training, and/or preparation for the tasks and methods of delivery.
Faculty presentations may include discussion of off-label use. Faculty will disclose that the use in question is not currently approved by the FDA per the product labeling.
The faculty listed below discloses the following relevant financial relationships:
Otis Webb Brawley, MD
Genentech, Inc.: Scientific Advisor
PDX Biosciences: Board Member
NCCN Staff Disclosures
The NCCN Activity Planning staff listed below discloses no relevant financial relationships:
Mike Abrams; Melissa Esplen; Mark A. Geisler; Kristina M. Gregory, RN, MSN, OCN; Kristin Kline Hasson; Rose Joyce; Karen Kanefield; Lisa Perfidio, MS; Shannon Ryan, CMP; Kathy Ann Smith, CHCP; Sarah Weinstein
The NCCN Clinical staff listed below discloses no relevant financial relationships:
Jennifer L. Burns, BS; Giby V. George, MD; Rashmi Kumar, PhD
In support of improving patient care, National Comprehensive Cancer Network (NCCN) is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
NCCN designates this enduring activity for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
NCCN designates this educational activity for a maximum of 0.75 contact hour.
NCCN designates this knowledge-based continuing education activity for 0.75 contact hour (0.075 CEUs) of continuing education credit. UAN: JA4008196-0000-21-026-H01-P
NCCN has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 0.75 AAPA Category 1 CME credit. Approval is valid until March 15, 2022. PAs should only claim credit commensurate with the extent of their participation.
- 0.75 AAPA Category 1 CME credit
- 0.75 ACPE contact hours
- 0.75 AMA PRA Category 1 Credit™
- 0.75 ANCC contact hours
- 0.75 Participation
To complete this activity, users will need:
- A device with an Internet connection
- An HTML5 capable browser for video or audio playback
- One of the two latest versions of Google Chrome, Mozilla Firefox, or Safari
- Internet Explorer is no longer supported
- Adobe Reader or other PDF reader software for certificate viewing/printing