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Cosmos Study

Hispanic Women Are Diagnosed with Breast Cancer More Than Seven Years Younger Than White Women, on Average

August 14, 2023
Dual-Team Study
Team A:Kersten Bartelt, RNJakayla Maher, RNJoe Deckert, PhD
Team B:Steve Allen, MDBrendan Joyce

Key Findings

  • The average age at breast cancer diagnosis in 2023 is 63.2 years old, and the average age at diagnosis has remained fairly steady since 2018.
  • Hispanic or Latino patients have the youngest average age at breast cancer diagnosis at 57.2 years old in 2023, while White patients are diagnosed at the oldest average age at 64.5 years old.
  • Despite being diagnosed at the youngest age on average, Hispanic or Latino patients are the least likely to have had a recent breast cancer screening prior to their breast cancer diagnosis, with 38.3% having a recent screening.

In May 2023, the United States Preventive Services Task Force (USPSTF) released draft recommendations that women ages 40 to 74 years old be screened for breast cancer every other year.1 As screening recommendations propose to include younger women, we sought to understand how the typical age at breast cancer diagnosis has changed over time.

We evaluated 484,177 breast cancer diagnoses between 2018 and 2023 to determine the average age at diagnosis. The average age at breast cancer diagnosis, which shows a slight seasonal trend, remained steady across the five years assessed, as shown in Figure 1.

Figure 1
Average Age at Breast Cancer Diagnosis
Average Age at Breast Cancer Diagnosis
Figure 1. Average age at breast cancer diagnosis by month from January 2018 to May 2023.

However, the average age at diagnosis varies greatly by race and ethnicity. Hispanic or Latino women are diagnosed at an average age of 57.2 years, which is more than seven years younger than White women, who have an average diagnosis age of 64.5 years. We found that Asian and Native Hawaiian and Other Pacific Islander women are diagnosed at a younger average age than both White and Black women. Similar to previous studies, we also found that Black women are diagnosed at a younger average age than White women.2 These differences in age remained across race and ethnicity even when controlling for social vulnerability.

Figure 2
Average Age at Breast Cancer Diagnosis by Race and Ethnicity
Average Age at Breast Cancer Diagnosis by Race and Ethnicity
Figure 2. Average age at breast cancer diagnosis in 2023 by race and ethnicity.

We found that Hispanic and Latino patients were least likely to have had a recent documented screening, with fewer than two in five patients diagnosed having a screening within one year prior to their breast cancer diagnosis. This may suggest that patients are seeking care based on experiencing symptoms rather than through screening. However, screenings may be undercounted in our data as screenings performed outside of the organization where the initial breast cancer diagnosis was made may not be reported.

Figure 3
Percentage of Breast Cancer Diagnoses with Recent Screening by Race and Ethnicity
Percentage of Breast Cancer Diagnoses with Recent Screening by Race and Ethnicity
Figure 3. Percentage of breast cancer diagnoses with a documented breast cancer screening encounter within one year prior to diagnosis by race and ethnicity.

These data come from Cosmos, a HIPAA-defined Limited Data Set of more than 196 million patients from 208 Epic organizations including 1,123 hospitals and more than 22,500 clinics, serving patients in all 50 states and Lebanon. This study was completed by two teams that worked independently, each composed of a clinician and research scientists. The two teams came to similar conclusions.

References

  1. U.S. Preventive Services Task Force. Draft Recommendation Statement: Breast Cancer: Screening. May 9, 2023. Draft Recommendation: Breast Cancer: Screening | United States Preventive Services Taskforce (uspreventiveservicestaskforce.org). Accessed July 10, 2023.
  2. Wilkerson AD, Obi M, Ortega C, et al. Young Black Women May be More Likely to Have First Mammogram Cancers: A New Perspective in Breast Cancer Disparities [published correction appears in Ann Surg Oncol. 2023 Apr;30(4):2175]. Ann Surg Oncol. 2023;30(5):2856-2869. doi:10.1245/s10434-022-12995-y