{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T16:13:55Z","timestamp":1788279235936,"version":"build-2803163510"},"reference-count":45,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T00:00:00Z","timestamp":1783209600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T00:00:00Z","timestamp":1783209600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100013305","name":"MTF Biologics","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013305","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Persistent disparities in breast cancer (BC) care highlight the need to better understand patient experiences across diverse populations. This study examined racial differences in BC treatment, BR decisions, and social media use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A web survey of 413 racially diverse breast cancer survivors collected self reported clinical data, BREAST\u2010Q scores, and social media use. Multivariate regression examined BC treatment, BR complications, social media use, and satisfaction by race.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Black and Hispanic women were more likely to have mastectomy and chemotherapy than white women (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), even after adjusting for stage (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.368). Asian women were less likely to receive chemotherapy or radiation (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Despite more breast\u2010conserving surgery (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001 vs. Black;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05 vs. Hispanic), white women reported lower breast satisfaction (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Black and Hispanic women relied more on social media for information (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). Younger age, tobacco use, radiation, and comorbidities increased BR complication risk.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Women of color in this study experienced more aggressive treatment patterns and were more likely to rely on social media for information, highlighting an opportunity to address inequities in breast cancer care. Leveraging social media to deliver culturally tailored, evidence\u2010based information may enhance understanding of treatment and surgical options, as well as complication risks, thereby promoting more equitable, patient\u2010centered care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.70304","type":"journal-article","created":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T16:48:48Z","timestamp":1783270128000},"page":"383-393","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Racial Differences in Breast Cancer Treatment and Information Access"],"prefix":"10.1002","volume":"134","author":[{"given":"Tokoya","family":"Williams","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Plastic and Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6339-6717","authenticated-orcid":false,"given":"May X.","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Plastic and Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keenan S.","family":"Fine","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Plastic and Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley A.","family":"Melnick","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Plastic and Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly C.","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Plastic and Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johna","family":"Joseph","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Plastic and Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jayla","family":"Allums","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Plastic and Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rolando J.","family":"Casas Fuentes","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Plastic and Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brigid M.","family":"Coles","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Plastic and Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9552-6483","authenticated-orcid":false,"given":"Robert D.","family":"Galiano","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Plastic and Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,5]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"American Society of Plastic Surgeons. American Society of Plastic Surgeons. American Society of Plastic Surgeons. Published2022 https:\/\/www.plasticsurgery.org\/news\/plastic-surgery-statistics."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2016.06.004"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-019-07251-9"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2014.548"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2017.0977"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2016.69.9561"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-10487-z"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjaa204"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004275"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2022.2074780"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000008584"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181aee807"},{"key":"e_1_2_9_14_1","unstructured":"Kantar Profiles.ESOMAR 37 Questions: Kantar Profiles Response on Sample Quality and Online Panel Methodology.Kantar Group. Published 2024. Accessed June 26 2026."},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.24741"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2011.10.001"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.23736\/S2724-5691.22.09820-3"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-020-08829-4"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.5993\/AJHB.45.2.14"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2018.06.002"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-022-06585-y"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000003826"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.27584"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002947"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11764-020-00959-8"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000004180"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2016.69.9561"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.3978\/j.issn.2227-684X.2015.04.13"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2022.08.029"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073274818795489"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpra.2020.03.002"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-10377-4"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.26417"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1716846"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-057171"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/XCS.0000000000000143"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000001503"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001090"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-021-01174-6"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000005313"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-018-1347-3"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40615-020-00817-4"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2023.01.009"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.2196\/28152"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000012130"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549-025-07752-0"}],"container-title":["Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jso.70304","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jso.70304","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jso.70304","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T15:14:39Z","timestamp":1788275679000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jso.70304"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,5]]},"references-count":45,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1002\/jso.70304"],"URL":"https:\/\/doi.org\/10.1002\/jso.70304","archive":["Portico"],"relation":{},"ISSN":["0022-4790","1096-9098"],"issn-type":[{"value":"0022-4790","type":"print"},{"value":"1096-9098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,5]]},"assertion":[{"value":"2025-10-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-05","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}