{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T18:41:38Z","timestamp":1770144098640,"version":"3.49.0"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"vor","delay-in-days":32,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":["The Breast Journal"],"published-print":{"date-parts":[[2026,1]]},"abstract":"\n Introduction<\/jats:title>\n Radiation therapy after breast\u2010conserving surgery reduces local recurrence and improves survival. The new standard set forth by the Commission on Cancer (CoC) requires that radiation be initiated in less than or equal to 60\u2009days of definitive surgery for patients receiving breast\u2010conserving surgery for Stages I\u2013III breast cancer who do not undergo adjuvant chemo or immunotherapy. Timely access to radiation is critical, and yet there still exists a modest number of patients who experience delays in the initiation of radiation. We aim to highlight this disparity at our institution and identify the socioeconomic factors that contribute to it.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Using the Breast Cancer Registry, we conducted a retrospective analysis of women diagnosed with Stages I\u2013III breast cancer, who underwent breast\u2010conserving surgery between 2011 and 2021. Women who received chemotherapy were excluded. We stratified patients based on socioeconomic and other factors and examined which factors attributed to an increased interval from surgery to initiation of radiation greater than the current standard of 60\u2009days.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n A cohort of 427 women meeting the inclusion criteria was identified. Most patients received adjuvant radiation within the new standard of 60\u2009days from definitive surgery (72.4%). However, patients of White race were significantly more likely to receive adjuvant radiation within 60\u2009days of final surgery (74.7%) compared to patients of Black race (55.6%). In addition, patients with private insurance or Medicare were more likely to receive adjuvant radiation within the current set standard (74.9% and 74.5%, respectively) in comparison to patients with Medicaid (50.0%).<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This analysis identifies disparities in breast cancer treatment among minority populations at our institution. It also suggests that insurance status can affect the receipt of treatment in a recommended time frame. There is research that shows a delay in radiation impairs survival. These results indicate that improving access to timely adjuvant radiation may be leveraged to lessen disparities experienced by minority races regardless of insurance status.<\/jats:p>\n <\/jats:sec>","DOI":"10.1155\/tbj\/9942451","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T06:54:34Z","timestamp":1770101674000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Identifying Disparities in Timely Receipt of Radiation After Breast\u2010Conserving Surgery"],"prefix":"10.1155","volume":"2026","author":[{"given":"Nicole","family":"Reyes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camila","family":"Ortega","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1445-0558","authenticated-orcid":false,"given":"Amanda","family":"Mendiola","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1110-9936","authenticated-orcid":false,"given":"Mary","family":"Murray","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Fenton","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adina","family":"Brett-Morris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Mangira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,2]]},"reference":[{"key":"e_1_2_10_1_2","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1001\/jama.1991.03460030097037","article-title":"Treatment of Early-Stage Breast Cancer","volume":"265","author":"NIH Consensus Conference","year":"1991","journal-title":"JAMA"},{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2012.45.2615"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67887-7"},{"key":"e_1_2_10_4_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-021-10512-1"},{"key":"e_1_2_10_5_2","volume-title":"Optimal Resources for Cancer Care: 2020 Standards, Updated February 2024","author":"American College of Surgeons","year":"2024"},{"key":"e_1_2_10_6_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-018-6615-2"},{"key":"e_1_2_10_7_2","volume-title":"NCI\u2019s Patient Navigator Research Program","author":"National Cancer Institute"},{"key":"e_1_2_10_8_2","doi-asserted-by":"publisher","DOI":"10.3109\/07357907.2012.658937"},{"key":"e_1_2_10_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2015.1102"},{"key":"e_1_2_10_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.24741"},{"key":"e_1_2_10_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amasurg.2015.04.023"}],"container-title":["The Breast Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/tbj\/9942451","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/tbj\/9942451","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/tbj\/9942451","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T06:54:37Z","timestamp":1770101677000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/tbj\/9942451"}},"subtitle":[],"editor":[{"given":"Karuna","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/tbj\/9942451"],"URL":"https:\/\/doi.org\/10.1155\/tbj\/9942451","archive":["Portico"],"relation":{},"ISSN":["1075-122X","1524-4741"],"issn-type":[{"value":"1075-122X","type":"print"},{"value":"1524-4741","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2024-07-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"9942451"}}