{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T10:28:11Z","timestamp":1793788091376,"version":"4.6.1"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T00:00:00Z","timestamp":1786320000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Time to surgery (TTS)\u2009&gt;\u200960 days is a Commission on Cancer quality metric associated with worse outcomes in breast cancer. Asian American and Pacific Islander (AAPI) women are frequently analyzed in aggregate, obscuring subgroup disparities. We evaluated differences in TTS among AAPI subgroups and their impact on overall survival (OS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study of AAPI women with breast cancer in the National Cancer Database was performed categorizing patients as East Asian (EA), Southeast Asian (SEA), South Asian (SA), or Pacific Islander (PI). Delayed TTS was defined as surgery\u2009&gt;\u200960 days from diagnosis. Descriptive statistics, log\u2010rank tests, and multivariable Cox regression assessed TTS and OS.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 72\u2009253 patients (EA 40%, SEA 30%, SA 21%, and PI 8%), SEA women had the highest proportion of TTS\u2009&gt;\u200960 days (29%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). On multivariable analysis, SEA status (HR 0.89; 95% CI 0.88\u22120.91; HR\u2009&gt;\u20091 indicates shorter TTS), Medicaid insurance (HR 0.76; 95% CI 0.74\u22120.78), and West South\u2010Central region care (HR 0.87; 95% CI 0.82\u22120.93;) were associated with longer TTS. Delayed TTS was worse OS among all AAPI groups (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). PI women had the worst overall OS among AAPI subgroups (HR 1.45, 95% CI 1.35\u22121.56).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Disaggregated analyses revealed subgroup disparities, with SEA women experiencing the longest TTS and PI women worse OS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.70368","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T18:46:32Z","timestamp":1786387592000},"page":"879-887","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Assessing Time to Surgery in Asian Women With Breast Cancer: A National Cancer Database Analysis"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9101-7144","authenticated-orcid":false,"given":"Kshitij S.","family":"Gaur","sequence":"first","affiliation":[{"name":"Medical College of Wisconsin Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6531-6020","authenticated-orcid":false,"given":"Meghan M.","family":"Conroy","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa E.","family":"Rein","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8129-0614","authenticated-orcid":false,"given":"Aniko","family":"Szabo","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1585-1065","authenticated-orcid":false,"given":"Jasmine","family":"Walker","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrienne","family":"Cobb","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4750-5028","authenticated-orcid":false,"given":"Chandler S.","family":"Cortina","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda L.","family":"Kong","sequence":"additional","affiliation":[{"name":"Medical College of Wisconsin Milwaukee Wisconsin USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,10]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Breast Cancer Facts & Figures [Internet] accessed February 22 2026 https:\/\/www.cancer.org\/research\/cancer-facts-statistics\/breast-cancer-facts-figures.html."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21583"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21763"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnma.2023.02.001"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.54.2.78"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.17323"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP.22.00001"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.176651"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(99)02143-1"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2015.4508"},{"key":"e_1_2_7_12_1","unstructured":"ACS [Internet]. 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