Navigation Links
Blacks have less access to cancer specialists, treatment
Date:11/19/2013

Researchers at the University of California, San Diego School of Medicine say metastatic colorectal cancer patients of African-American descent are less likely to be seen by cancer specialists or receive cancer treatments. This difference in treatment explains a large part of the 15 percent higher mortality experienced by African-American patients than non-Hispanic white patients.

The study, published online in the Journal of the National Cancer Institute, noted there was no difference in risk of death when black patients received the same treatments, such as chemotherapy and surgery, as non-Hispanic white patients.

"Other studies have looked at racial disparities in treatment and still others have focused on racial differences in survival rates of cancer patients, but our research attempted to go further by demonstrating the impact of race-based inequalities in cancer treatment on survival rates of black colorectal cancer patients," said James D. Murphy, MD, MS, assistant professor and chief of the Radiation Oncology Gastrointestinal Tumor Service at UC San Diego Moores Cancer Center.

The researchers analyzed data from 11,216 patients over the age of 66 with stage IV colorectal cancer from the Surveillance, Epidemiology, and End Results (SEER)-Medicare database. The analysis compared patient consultation rates with cancer specialists as well as treatment with surgery, chemotherapy and radiation therapy for white and black patients.

Despite screening efforts and improvements in treatment, colorectal cancer is the third leading cause of cancer death in the United States, according to the American Cancer Society, with approximately 50,000 deaths annually. This disease disproportionally affects black patients, with higher incidence rates, more advanced stage at diagnosis and decreased survival rates compared to other ethnic groups.

The study concluded that black patients were 10 percent less likely to have primary tumor surgery, 17 percent less likely to receive chemotherapy and 30 percent less likely to receive radiotherapy. Among patients who received chemotherapy, white patients were more likely to receive more than one chemotherapy agent. The researchers noted that black patients typically received chemotherapy four days later than white patients. Chemotherapy was associated with a 66 percent decreased risk of death.

"Of note, our analysis found that 47 percent of the relative survival difference between black and white patients was attributable to treatment differences and, after accounting for these treatment differences, the race-based survival difference completely disappeared," wrote the study authors.

The study did not ascribe a specific cause for the racial disparities but offered six possible explanations: conscious or unconscious provider biases; patient mistrust; health literacy; patient-physician communication breakdown; healthcare access barriers; and/or race-based differences in disease biology.

"Further studies may answer the important question of why there are racial disparities in consults with cancer specialists and treatment among this population. The answers may lead to areas we can improve upon to close these gaps," said Murphy. "I suspect that this pattern of disparity could be present in other underserved minority groups as well."


'/>"/>

Contact: Yadira Galindo
ygalindo@ucsd.edu
619-543-6163
University of California - San Diego
Source:Eurekalert

Related medicine news :

1. High Blood Pressure May Be Especially Lethal for Blacks
2. Hispanic lung cancer patients tend to live longer than blacks and whites
3. Blacks and Hispanics at higher risk for precancerous colorectal polyps
4. Blacks Less Likely to Get Help on Scene After Cardiac Arrest: Study
5. Eye Changes May Predict Heart Disease in Blacks With Diabetes
6. Blacks, Hispanics Have Higher Colon Polyp Risk Than Previously Thought
7. 9 in 10 Blacks With High Blood Pressure Have Early Heart Disease
8. Marriage has different meanings for blacks and whites
9. Blacks More Prone to Hypertension After Certain Strokes
10. Stress Adds to Salt Load of Some Blacks, Study Says
11. Blacks Less Likely to Stick to High Blood Pressure Diet: Study
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/13/2019)... ... February 13, 2019 , ... Dr. Christie ... Haute Beauty network. , The Haute Beauty Network, well known for their ... leading Aesthetic surgeon and our newest addition to the Haute Living partnership. ...
(Date:2/12/2019)... ... February 12, 2019 , ... ... from FDAnews and Ombu Enterprises**, Feb. 19-20, 2019, Atlanta, GA , https://www.fdanews.com/mdriskmanagement ... for the Winds of Change on Jan. 22 , Risk management is just ...
(Date:2/12/2019)... (PRWEB) , ... February 12, 2019 , ... Attorney ... an international educator on advancing standards in addiction treatment, has pledged to donate $1-million ... A Prescription for Liberating a Nation in Pain, to charities across America in 2019, ...
(Date:2/12/2019)... ... February 12, 2019 , ... ... to increase patient satisfaction, improve patient retention, and reduce patient outmigration for attendees ... 11-14. HIMSS provides Surgical Theater with a great venue to highlight the ...
(Date:2/11/2019)... ... February 11, 2019 , ... Z-Medica, LLC, a ... announced today the appointment of nationally recognized cardiothoracic surgeon and researcher, Vinod Thourani, ... Surgery at Georgetown University School of Medicine and the Chairman of Cardiac Surgery ...
Breaking Medicine News(10 mins):
(Date:2/13/2019)... , ... February 13, 2019 , ... ... with Vision Source ® as the recipients for the ‘Empower Your Care ... awards, which were announced at the 2019 HIMSS Annual Conference and Exhibition ...
(Date:2/13/2019)... Calif. (PRWEB) , ... February 13, 2019 , ... According ... or female) now has a BMI of 26.5, which is considered overweight (the healthy ... the start of the 1980’s into the new millennium, and now news outlets are ...
(Date:2/13/2019)... ... 2019 , ... Abu Dhabi Health Data Services, a new ... Department of Health-Abu Dhabi (DoH) and Injazat Data Systems, a subsidiary of Mubadala ... centralized platform to streamline healthcare connectivity for the Emirate. The system is known ...
Breaking Medicine Technology: