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National Day of Action in the Mission

by Garrett McAuliffe

Edith Corral sostiene una pancarta pidiendo derechos completos para todos los inmigrantes.: (photo by Marvin J. Ramirez)Edith Corral hold a placard asking for full rights for all immigrants. (photo by Marvin J. Ramirez)

The Mission’s modest zócalo, surrounding the descent to BART at 24th and Mission, brimmed with determination and solidarity as representatives from local and national organizations, political candidates and others gathered to support immigrants’ rights as part of the National Day of Action.

The rally, held in the early afternoon on Oct. 12, brought more than a dozen groups together to unite around this common cause, with the specific message to stop raids and deportations, while also providing a platform to promote related political and social justice issues.

Voices and music rose out into the Sunday afternoon din, as close to 200 supporters and onlookers congregated for the event.

A number of speakers addressed the buzzing crowd, in Spanish and English, drawing attention to the perceived injustice faced by immigrants in our country as well as workers throughout the world. The rally included a strong socialist presence, with at least four leftist organizations setting up booths to spread their message of worker support and solidarity.

Thirty cities across our hemisphere participated in the event, celebrating “El Día del Immigrante” and calling for a moratorium on raids.

With the large number of socialist organizations involved, much of the crowd chatter revolved around the current fi nancial crisis and the belief that relief to the system would come from the backs of working class people. Correspondingly, a number of speakers expanded upon the theme of improved rights for immigrants to call for solidarity among workers throughout the country and around the world.

Unity remained a common theme throughout, with the need to rally together, rather than become blinkered by more narrowly-focused issues, on the tip of many tongues.

But there seemed to be little dialogue between the groups present – most speakers seemed intent on rousing the crowd with the issue of the day, then returning to their specific focus or political pitch.

However, a meeting to discuss immigrant rights among many of the organizations involved was scheduled for the following evening.

Other than a speech from one of the former El Balazo workers currently under threat of deportation after a raid earlier in the summer on a number of the restaurant’s local branches, there was a noted lack in numbers from the community under discussion.

“There aren’t many immigrants here – are they afraid they’re going to get raided?” quipped Cindy Sheehan, one of a handful of politicians in attendance locally seeking office during the November election.

S.F. Credit Union on Mission held its official grand opening

by Felicia Mello

Salvador DuranSalvador Duran

As the national economic crisis continued to affect banks everywhere, a San Francisco credit union celebrated the grand opening of its new Mission Street location Friday, offering an alternative source of low-cost loans and financial services for the area’s working class and immigrant residents.

City Treasurer José Cisneros and other community leaders turned out to honor the 2,000-member Mission SF Federal Credit Union, the only non-profit, community-owned financial institution in a neighborhood where half of residents have no bank account or credit history.

“In troubled times, people need a strong partner in managing their money and making their households more successful,” said Cisneros. “Credit unions are owned by their members and they can offer smaller loans at much smaller rates.”

At Mission SF, customers receive personal attention in their native language, said credit union CEO Salvador Durán. Unlike at traditional banks, any money invested in the credit union stays in the community.

“When someone applies for a loan here, it’s not a computer program that decides,” said Durán. “I read every application, and I talk to each person and try to help them.”

Leidy Sanabria (left) and Jessica Lozoya, members of the personnel at Mission SF Federal Credit Union.: (Photo by Marvin Ramírez)Leidy Sanabria (left) and Jessica Lozoya, members of the personnel at Mission SF Federal Credit Union. (Photo by Marvin Ramírez)

Durán gave the example of a 65-year-old Nicaraguan woman who survived on SocialSecurity and needed a small loan to pay expenses. While a mainstream bank might have turned her down, Durán talked to her and discovered that her sons in Miami sent her regular money orders. Based on that information, he was able to approve the loan.

Since 1971, the credit union made its home in a small third-story office that was not visible from the street. The new location at 3269 Mission Street, made possible by a grant from partner Patelco Credit Union, has attracted more customers. Since its doors opened in February, the number of new members joining each month has doubled.

Roberto Alfaro, a service provider at the Mission Community Response Network, brought one of his clients to the credit union Friday to open his first bank account.

“I bank here because it’s in the Mission District, it’s homegrown,” said Alfaro. “I’m trying to reinvest in the community.”

The credit union’s small size means it cannot offer some services provided by larger banks, like online banking. But it provides something equally valuable, said Cisneros: an alternative to the predatory payday lenders that proliferate on Mission Street.

“A lot of folks think that if they need $300 fast, they have no other option than to go to a payday lender, where they might have to pay 300 percent interest,” said Cisneros.

Such lenders cost the community an estimated $2 million in fees each year. While a $300 loan from a payday lender could end up costing close to $800 with fees, the same loan from the credit union would not cost more than $400, according to credit union staff.

MissionSF also offers free financial counseling through its affiliated non-profit, MissionSF Community Financial Center. Kids under 18 can join their own separate youth credit union, run entirely by teenage volunteers.

Sabrina Rabaneh, 11, joined the youth credit union when she was 4 and has already saved $1000 for college. She is now the credit union’s youngest volunteer, working to recruit other youth members.

“I think it’s really good for young people who have to earn money for important stuff like college,” she said. “My family thought it was weird when I started to work here but now they see it’s good for my future.”

 

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Police in Managua search Chamorro’s Communication Center camera

by the El Reportero’s news services

Carlos Fernando ChamorroCarlos Fernando Chamorro

Carlos Fernando Chamorro, son of Nicaragua’s former president Violeta Barrios de Chamorro (1990-97) and former editor in chief of Sandinista newspaper Barricada, was served a search warrant to search the Communication Research Center, Cinco’s facilities in Managua, that he rans, Saturday, Oct. 11, 2008.

According to Associated Press, Chamorro, says that all charges against him and Cinco are part of persecution toward those who criticize the government of Nicaragua’s current President Daniel Ortega. He said the charges against him were not specified.

Energy reforms in Mexico Senate agenda

An energy reform about to be discussed at the Senate is causing great expectation in Mexican political circles.

According to legislative sources, in the next few days seven laws should be voted to transform the state Petroleros Mexicanos, after consensus was reached in the high chamber of the House of Representatives.

This Saturday, 11 of 19 senators that, indistinctively, make up the commissions of legislative studies and energy in the Senate met with the goal of advancing to make a fi nal decision on the topic.

However, the outlook seems tense because of the silence that has prevailed in the talks held in the Senate.

“It’s very grave to negotiate giving our backs to the Mexican people in something that is decisive for our future,” said former senator Manuel Bartlett.

For the member of the Revolutionary Institutional Party (PRI) there is an interest to approve the bill in a very fast manner which will mean the privatization of the industry.

PT edges municipal elections; Serra and PMDB boost presidential hopes

President Lula da Silva’s popularity helped candidates from his Partido dos Trabalhadores (PT) to win six state capitals, as well as many small and medium-sized cities, in the first round of municipal elections on Oct. 5. But Lula’s support was not enough to earn the PT an outright victory in Brazil’s largest – and richest – city of São Paulo, where state governor José Serra, of the opposition Partido da Social Democracia Brasileira (PSDB), is likely to see an allied mayor win the second round vote at the end of the month – boosting his chances of winning Brazil’s presidency in 2010.

Latin American markets buck global trend

Latin America’s two biggest stockmarkets, Brazil and Mexico, fell by much less than US markets on Oct. 9. International investors may have finished their selling in the most liquid Latin American markets. Brazil, especially, looks well placed to profi t if the world economy performs in 2009 in line with the forecasts in the IMF’s World Economic Outlook rather than collapsing, as stockmarkets around the world are suggesting.

Bolivia pulls back from the brink

The tensions resulting from the Aug. 10 recall vote which saw both President Evo Morales and the opposition prefects confi rmed in power [RA-09-08] exploded last month with some of the worst violence to afflict Bolivia in recent years, culminating in a massacre in Pando which left at least 18 dead. Precipitating an emergency summit of the Union of South American Nations (Unasur) which saw an overwhelming show of support for Morales, the shocking events forced the opposition prefects to attend talks regarding the issues behind the dispute – the new constitution, autonomy and the redistribution of gas (IDH) revenues. However, negotiations refused to yield any positive result.

(Latin News, Associated Press, and Prensa Latina contributed to this report).

McCain on amnesty: In Spanish Sí, English No.

by José de la Isla

WASHINGTON, D.C.— At a key moment during her Oct. 2 vice presidential debate with Sen.Joe Biden, Alaska Gov. Sarah Palin looked straight into the TV camera and said, “Well, the nice thing about running with John McCain is I can assure you he doesn’t tell one thing to one group and then turns around and tells something else to another group.” She was referring to the financial “bail-out plan’’ which had failed in the House of Representatives.

The Senate passed a proposal the afternoon of the debate and the House later approved the measure.

But the bailout bill was not the one where the truth has been stretched like a rubber band.

McCain championed an immigration reform bill in the Senate with Edward Kennedy (D-Mass.) in 2006 that went down in flames.

This January he told CNN he would not support his own bill if he became president.

Then he told Tim Russert later the same month on “Meet the Press” he would sign it.

Now we know he can contradict himself in English. But does McCain currently have one position in Spanish and another in English when it comes to immigration?

Consistently, studies show from 60 to 75 percent of the population want some kind of reform. About a quarter don’t want a resolution by way of “amnesty,” which includes a path to legalization.

The Republican platform doesn’t give McCain much wiggle room to bring the majority view into the fold. He has a problem in the critically important New Mexico, Colorado, Nevada and Florida, swing states where pro-immigration-reform Latino voters will determine the outcome.

In a TV interview last month with Univisión anchor Jorge Ramos (conducted in English, but aired using Spanish voice-overs for that network’s audience) McCain said he favored a step-by-step process to “apply and achieve citizenship.” He stated he favors a “path to citizenship” for about 10 million people who should pay a fine and wait their turn in line after other immigrants. He prefaced, “My position is very clear.”

“Amnesty,” the GOP convention platform scornfully labels it, in very clear English.

Referring to his original Senate proposal on Univisión, McCain interjected, “By the way, Senator Obama tried to kill it.” He was referring to proposed amendments to eliminate a guest worker program from the bill.

That was the message to a Spanish-language audience in late September. Just days later, by Oct. 1, the McCain Palin campaign was promoting a new Spanish TV ad accusing Obama “and his allies in Congress” of fi ghting for “poison pill amendments to kill the immigration reform compromise.” The ad was for airing in Colorado, Nevada and New Mexico, all swing states.

Back in 2006, McCain was thanking fellow senators Brownback, Lieberman, Graham, Salazar, Martinez, Obama and DeWine for working to move his comprehensive immigration bill “successfully intact through the legislative process.”

His new Spanish campaign ad, entitled “Fraudulent,” clearly paints McCain as the reformer and Obama as a deceiver. “They’ve said no to us long enough,” the ad closes. “This election, let’s tell them no.”

In North Carolina, where the campaign to “get tough with illegal immigrants” showcases a grand total of 112 students spread through the state’s 58 community colleges, McCain’s campaign issued a statement opposing the amnesty or benefi ts for undocumented immigrants.

Campaigning there, Barack Obama said he favored undocumented students’ ­rights to attend, a position consistent with his stand on immigration reform.

So did McCain mean what Jorge Ramos’ audience heard him say in Spanish?

Or is the Straight Talk Express delivering the real John McCain in English?

And, oh yes, did Sarah Palin fact-check what she believes before looking into the camera and proving John M.

Boxing

October 18 (Saturday), 2008 At The O2 Arena, London, England

(HBO) David Haye (21-1) vs. TBA.

October 24 (Friday), 2008 At TBA, Montreal, Canada

NEW Lucian Bute (22-0) vs. Librado Andrade (27-1) (The Ring Magazine #3 Super Middleweight vs. #4) (IBF Super Middleweight belt).

November 22 (Saturday), 2008 At The Stadthalle, Westerburg, Germany

Roman Aramian (25-7) vs. TBA Mario Stein (19-4) vs. TBA Yakup Saglam (14-0) vs. TBA

December 6 (Saturday), 2008 At TBA, Las Vegas, NV

(PPV) Oscar De La Hoya (39-5) vs. TBA (The Ring Magazine #3 Jr. Middleweight vs.)

30 graphic artists honored for their work Art of Democracy

by Randall Goffin

Nada Abou FarhatNada Abou Farhat

Seventeen artists form Puerto Rico and 13 from the Bay Area produce and exchange artwork as part of a national coalition of political art. This poster exchange project is presented by Mission Gráfica, whose mission has helped bridge artists in Latin America and the East Bay for thirty years.

The Mission Culture Center for Latino Arts is holding true to their original mission by promoting and developing Latino cultural arts that reflect the living tradition and experiences of the Chicano, Mexican, Central and South American, and the Caribbean people. The complete works of the ‘Art of Democracy’ total more than 50 displayed collections of political graphics that will appear in galleries, universities and libraries, inspiring awareness until the election. The opening reception for our area was scheduled at the Mission Culture Center for Latino Arts, on Friday Oct. 3rd. For more information or to get a complete list of exhibit locations, please visit www.artofdemocracy.org or call 415-821-1155.

City Hall celebrates Hero’s of Latino Heritage month 2008

The Latino Community Foundation and the San Francisco Latino Heritage Committee invite you to celebrate Latino Heritage Month with Mayor Gavin Newsome at San Francisco’s City Hall. The ceremony will honor commendable Latino citizens and organizations including president of the Dolores Huerta Foundation, the United Farm Workers, the Latina Breast Cancer Foundation, QueLaCo, Univision Community Relations, Incubator Kitchen for low-income entrepreneurs and artist Carolina Echeverria to name a few.

The celebration will take place at The Rotunda, San Francisco City Hall, 1 Dr. Carlton B. Goodlett Place in San Francisco on Thursday Oct. 9 at 5:30 p.m. To RSVP please call 415-554-6622.

Performance Art by Guillermo Gómez-Peña and La Poncha Nostra

SF Camerawork hosts a two-part series of participatory performance art events led by artist Guillermo Gómez-Peña and La Pocha Nostra. The exhibition is titled ‘I feel I am free but I know I am not’. The event incorporates an edgy mix of ‘radical performance karaoke’, elaborate costuming, photographers, political imagery, religious iconography, pop culture, and even plans to incorporate audience members including, but not limited to, Bay area officials and politicians. The cover is $5 at the door, $2 for seniors and free for SF Camerawork’s members. This two part event will take place on Saturday, Oct. 11th from 3:00 – 5:00 p.m. and again on Tuesday, Oct. 21 from 5:00 – 8:00 p.m. Both parts take place at SF Camerawork, 657 Mission St., 2nd fl oor. For more information about being part of this event please visit www.sfcamerawork.org or call 415-512-2020.

The Immigrant Experience with MamacoAtl, Paul Flores, and Los Nadies

This unique collection of spoken word and hip hop artists, rock and Afro-Cuban rhythms is what has come to be expected from La Peña’s Immigration Series. The artists are some of newest and hottest on the Latin music scene. The musical series is collaboration with several groups including The National Network for Immigrant and Refugee Rights, working to provide an artistic platform for the immigrant experience. The cover charge is $10 in advance or $12 at the door on Saturday Oct. 11th at La Peña Cultural Center, 3105 Shattuck Ave., Berkeley. For more information visit www.lapena.org or call call 510-849-2568.

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Here go the top Latin Grammy nominees

by Antonio Mejías-Rentas

CAfé TacvbaCAfé Tacvba

TOP NOMINEES: Mexican alternative rock group Café Tacvba leads the fi eld of Latin Grammy contenders thanks to a critically acclaimed album from 2007.

Sino and its singles Volver a comenzar and Esta vez earned the Mexico City nominations in six categories, including Album, Record and Song of the Year.

Colombian singer-song writer Juanes’ fi ve nominations, earned for the album La vida es… un ratico and the single Me enamora, tie him with Argentinean musician Gustavo San- taolalla, a top Latin music producer. In fact, four of Santaolalla’s nominations are for his work on both the Café Tacvba and Juanes albums. The two-time Oscar winner also competes as a member of the group Bajofondo, nominated in a video category.

Nominations for the ninth annual Latin Grammy awards were announced last week in Los Angeles. Singer-songwriters did particularly well among nominees this year and three of themÑ Argentina’s Andrés Calamaro, Mexico’s Julieta Venegas and Puerto Rico’s Kany GarcíaÑtook four nominations each.

All contenders for Song of the Year, a songwriter’s award, include artists who perform their own work.

JuanesJuanes

Besides Café Tacvba por Esta vez and Juanes for Me enamora; the category includes García for Hoy ya me voy, Venegas for El presente and Peruvian singersongwriter Gian Marco for Todavía (co-written with Aureo Baqueiro).

Album of the year contenders are Café Tacvba, Juanes, García (Cualquier día), Buika (Niña de fuego) and Vicente Fernandez (Para siempre). It’s the fi rst time the top category includes an album from a Mexican Regional genre.

Nominations were announced in 49 categories by the Latin Recording Academy for music recorded in Spanish or Portuguese.

No recordings in the latter language appear among top nominees. Winners are to be announced Nov. 13 at a ceremony in Houston to be broadcast live by Univision.

INTERNATIONAL ‘PERSONS’: Top U.S. and Mexican television producers are joining forces in a new drama series to be shot in English south of the border.

Fox T’V Studios and Televisa are producing Persons Unknown, a drama about seven strangers who wake up in a deserted town with no recollection of how they got there, and realize they are observed by cameras. The fi rst 13 episodes begin shooting Oct. 27. The drama is expected to be sold for broadcast to a U.S. network. Televisa will air a dubbed Spanishlanguage version in Mexico and producers are reportedly negotiating with an Italian broadcaster.

Persons Unknown is the second project from Fox TV Studios produced with a foreign partner. Mental, a medical drama starring Chris Vance and Annabella Sciorra, is filming in Bogota, Colombia. Hispanic Link.

Early voting begins for presidential election to help avoid lines

by Garrett McAuliffe

Barbara LeeBarbara Lee

Voters in California may begin casting ballots for the Nov. 4 Presidential General Election, as Early Voting Centers opened on Monday, Oct. 6. In San Francisco, registered voters may cast an early ballot at City Hall in room 48 on the ground fl oor. Oct. 6 also marked the first day the Elections Office could begin mailing the official Vote by Mail ballots.

Registered voters wishing to vote by mail can complete an application at the Department of Elections website for the city of San Francisco. Vote by Mail ballots may be returned in the mail, or at any Early Voting Center. On Election Day, they can also be dropped off at any polling station.

Congresswoman Lee votes in Support of bailout plan

After voting against the initial financial bailout package on Monday, Congress woman Barbara Lee (CA-09) voted in support of the revised Senate plan, which passed on Friday, Oct. 3.

“The bill before us today is a better bill,” Lee said regarding her decision, specifically mentioning the revision to extend Unemployment Insurance.

After speaking with the California State Treasurer, Lee said she realized the risk of inaction was too great.

“I’m really confident that this is the right vote,” Lee wrote in a statement released the day the bill passed, “but I know it’s not the popular vote.”

District 11 candidate criticizes San Francisco Chronicle for omission

A candidate running for District 11 Supervisor objected to her omission from an article in the SF Chronicle detailing the race last week.

In a letter to the newspaper, Myrna Lim expressed her disappointment, claiming the reporter had deliberately excluded her from the story, and dismissed claims that she had not garnered enough in contributions and endorsements to be considered for the article.

Lim, the only candidate to have grown up in District 11, said she believed the Chronicle was manipulating public perception in featuring four men, all City Hall political insiders.

Running against incumbent Gerardo Sandoval in 2004, Lim received 42 percent of the votes, and says she has raised more than $50,000 for her current campaign.

City grants property devaluation to some homeowners

Almost half of the San Francisco homeowners requesting reassessment of their property value from the city have received a temporary devaluation, according to the Assessor’s office, which conducted the reviews. Out of 1,673 requests, 810 residential properties have been granted a reduction, saving an average of $1,594 per reduction.

Due to the reassessment in value, the city’s overall property roll value has decreased by nearly $96 million, which translates into a $1.1 million decrease in property taxes paid to the city.

Due to restrictions, homeowners who purchased their homes prior to 2005 have little chance to qualify for reassessment because in most cases the property tax value is still well below the actual market value.

City celebrates walk to school day

Students from over 20 San Francisco schools celebrated Walk to School Day, an annual global event, on Wednesday, Oct. 8. To promote health, safety and concern for the environment, students joined the San Francisco Municipal Transportation Agency and the Department of Public Health, sponsors of the event.

Walk to School Day activities will continue throughout the month of October. To learn more, visit www.sfwalktoschool.com.

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Herceptin targets breast cancer stem cells

by the University of Michigan

ANN ARBOR, Michigan.— A gene that is overexpressed in 20 percent of breast cancers increases the number of cancer stem cells, the cells that fuel a tumor’s growth and spread, according to a new study from the University of Michigan Comprehensive Cancer Center.

The gene, HER2, causes cancer stem cells to multiply and spread, explaining why HER2 has been linked to a more aggressive type of breast cancer and to metastatic disease, in which the cancer has spread beyond the breast, the researchers say.

Further, the drug Herceptin, which is used to treat HER2-positive breast cancer, was found to target and destroy the cancer stem cells. Results of the study appear online in the journal Oncogene.

“This work suggests that the reason drugs that target HER2, such as Herceptin and Lapatanib, are so effective in breast cancer is that they target the cancer stem cell population. This finding provides further evidence for the cancer stem cell hypothesis,” says study author Max S. Wicha, M.D., Distinguished Professor of Oncology and director of the U-M Comprehensive Cancer Center.

The cancer stem cell hypothesis says that tumors originate in a small number of cells, called cancer stem cells, and that these cells are responsible for fueling a tumor’s growth. These cells represent fewer than 5 percent of the cells in a tumor.

Wicha’s lab was part of the team that first identified stem cells in human breast cancer in 2003.

In the current study, researchers found that breast cancer cells overexpressing the HER2 gene had four to five times more cancer stem cells, compared to HER2-negative cancers. In addition, the HER2-positive cells caused the cancer stem cells to invade surrounding tissue, suggesting that HER2 is driving the invasiveness and spread of cancer.

The researchers then looked at the drug Herceptin, which is used to treat HER2-positive breast cancer. They found Herceptin reduced the number of cancer stem cells by 80 percent, dropping it to the same levels seen in HER2-negative cell lines.

When HER2 was not overexpressed in the cell cultures, the researchers found, the cancer stem cell population did not increase.

Nor did Herceptin have any effect on the HER2-negative cells, which is consistent with how Herceptin is used in the clinic.

“We are now studying what pathways are activated by HER2 overexpression.

Our hope is that we could develop inhibitors of these pathways that might be effective in targeting cancer stem cells in women whose tumors do not overexpress HER2 or those who are resistant to Herceptin,” says study author Hasan Korkaya, research fellow in internal medicine.

Breast cancer statistics: 184,450 Americans will be diagnosed with breast cancer this year and 40,930 will die from the disease, according to the American Cancer Society. About 20 percent of breast cancers are considered HER2-positive.

Minorities less likely to know about breast cancer treatment options

­Half of patients don’t know how survival differs between surgical options

by the University of Michigan

ANN ARBOR, Mich. — Nearly half of women treated for breast cancer did not know that their odds of being alive after five years are roughly the same whether they undergo mastectomy or breast conserving surgery. Minority women were even less likely to be aware of this important factor of their treatment decision, according to a study from the University of Michigan Comprehensive Cancer Center.

Minority women were also less likely to know about relative survival rates even when researchers considered factors such as the surgeon’s experience, the type of hospital, and whether patients reported talking to their surgeon about treatment options.

“These factors traditionally associated with quality care were not associated with informed decision-making or with our knowledge measures. Surgeon volume or treatment setting did not affect whether women had good knowledge of their treatment options after they had been through the process, nor did it really mediate the racial and ethnic differences we found,” says study author Sarah Hawley, Ph.D., a research investigator at the U-M Comprehensive Cancer Center.

Results of the study appear in the August issue of Health Services Research.

The researchers surveyed 1,132 breast cancer patients and asked them whether the chances of being alive five years after surgery were the same after a mastectomy or after lumpectomy with radiation, and whether the chance of breast cancer coming back after treatment was the same for the two surgeries.

Overall, only 51 percent responded correctly to the survival question, but the numbers varied significantly for minorities: 57 percent of whites answered correctly, 34 percent of African-Americans knew their survival odds, and 37 percent of Latinas did.

The researchers found similar results for the recurrence question. Overall, 48 percent said they did not know the answer to the recurrence question, with African-Americans and Latinas significantly more likely to answer “don’t know.” Research shows that both survival and recurrence are about the same for both surgical options.

Researchers then looked at whether the women were treated by a general surgeon or one who specializes in breast cancer procedures, as well as whether the woman was treated at a National Cancer Institute-designated comprehensive cancer center or in a community hospital setting.

They found that even when factoring these points in, minority women still were less likely to be knowledgeable about survival.

“It’s important for women to be able to do what we call a high-quality decision-making process. That would mean that the decision needs to be well-informed, based on an accurate knowledge of the risks and benefits of the options, and it also needs to be based on their preferences. If women do not make an informed decision, they’re more likely to be dissatisfied down the road with the treatment they received,” Hawley says.

The researchers did find, however, that patients who said their surgeon described both treatment options more often had adequate knowledge. The findings indicate that not all patients are clearly understanding information their surgeons may be telling them.

The researchers urge surgeons to make sure they communicate information about treatment options, including survival and recurrence risks, during the initial visit in a way that is culturally and ethnically appropriate.

­The researchers also urge patients to be aware of their treatment options. “Be sure to ask questions of your surgeon and consider exploring other avenues for getting information,” Hawley says.

Breast cancer statistics: 184,450 Americans will be diagnosed with breast cancer this year and 40,930 will die from the disease, according to the American Cancer Society Methodology: The researchers surveyed 1,132 women recently diagnosed with breast cancer in the Detroit and Los Angeles metropolitan areas. Information was collected from the Surveillance, Epidemiology and End Results Registry, a database maintained by the National Cancer Institute that collects information about cancer incidence, treatment and mortality. Patients were matched to 277 surgeons, who were also surveyed. About 73 percent of the women were white, 18 percent were African-American and 9 percent were Latino or other ethnicity.

Additional authors: Angela Fagerlin, Ph.D., U-M Medical School and VA Ann Arbor Healthcare System; Nancy K. Janz, Ph.D., U-M School of Public Health; Steven J. Katz, M.D., M.P.H., U-M Medical School, U-M School of Public Health and VA Ann Arbor Healthcare System.

Funding:

  • National Cancer Institute.
  • Reference: Health Services Research, Vol. 43, No. 4, pp. 1366-1387.

Resources: