Navigation Links
Blacks not receiving chemotherapy for rectal cancer, despite seeing cancer specialists
Date:5/13/2008

ANN ARBOR, Mich. Black patients and white patients are seeing rectal cancer specialists at similar rates, but blacks are still less likely to receive chemotherapy or radiation therapy, according to a new study from the University of Michigan Comprehensive Cancer Center.

The study found blacks were 23 percent less likely to receive chemotherapy for rectal cancer and 12 percent less likely to receive radiation therapy than whites.

Although there wasnt a discrepancy between African Americans and whites in the rates of consultation with an oncologist, we found a large discrepancy in the receipt of chemotherapy. This is very important. We knew that African Americans were not receiving chemotherapy for rectal cancer at the same rates as white Americans and it was contributing to their increased mortality. Now we have a better idea of where the problem lies: somewhere between the visit with the oncologist and the actual initiation of chemotherapy, says study author Arden Morris, M.D., M.P.H., assistant professor of surgery at the U-M Medical School and chief of general surgery at the VA Ann Arbor Healthcare System.

The study appears online May 13 in the Journal of the National Cancer Institute.

The researchers found that 73 percent of blacks and 75 percent of whites saw a medical oncologist after being diagnosed with rectal cancer. But only 54 percent of blacks went on to receive chemotherapy, while 70 percent of whites did. Similarly, rates of referral to a radiation oncologist did not differ significantly, but only 74 percent of blacks, compared to 83 percent of whites, received radiation.

The data came from the Surveillance, Epidemiology and End Results Registrys Medicare-linked database. SEER is maintained by the National Cancer Institute and collects information about cancer incidence, treatment and mortality. The study looked at 2,582 whites and 134 blacks aged 66 and older who had been diagnosed with rectal cancer.

Long-term survival after rectal cancer surgery is up to 20 percent worse for blacks than for whites. At the same time, the addition of chemotherapy and radiation is known to improve survival in all rectal cancer patients by as much as 20 percent. Researcher suspect the lack of treatment in blacks is largely driving the decreased survival.

We now know that the initial visit with an oncologist is not the barrier to treatment. Our next step is to better understand what are the human factors that contribute to this discrepancy. Were interested in hearing what individual people have to say, Morris says.

Her next study will include focus groups of people who have been treated for colorectal cancer to understand how they reached the decision to have chemotherapy or whether they feel they made a decision at all. The researchers suspect treatment discrepancies may be due in part to social differences and priorities among populations, such as patient preferences or access to resources including transportation or family care.

Choice is important. If theres a choice, this maybe isnt a disparity but a preference. But if its not a choice, then we need to understand the barriers and find solutions, Morris says.


'/>"/>

Contact: Nicole Fawcett
nfawcett@umich.edu
734-764-2220
University of Michigan Health System
Source:Eurekalert

Related medicine news :

1. Older blacks and Latinos still lag whites in controlling diabetes
2. Older Blacks, Latinos Struggle With Diabetes Control
3. Do Blacks Have Genetic Weakness to Asthma?
4. Whites take supplemental breast cancer therapy more often than blacks
5. Prostate cancer more likely to return in blacks than whites, but the disease is not more aggressive
6. Poorer Blood Pressure Control in Blacks With Heart Failure
7. Blacks in Poor Areas Less Likely to Be On Kidney Transplant Lists
8. Blacks, Hispanics Live Longer With Alzheimers
9. Blacks, Hispanics less likely to get strong pain drugs in emergency rooms
10. Cultural Beliefs May Keep Blacks From Hospice Care
11. Blacks More Likely to Die of Severe Sepsis
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... Lewisville, TX (PRWEB) , ... June 25, 2016 , ... ... in the United States, named Dr. Sesan Ogunleye, as the Medical Director of its ... be the facility Medical Director of our new Mesquite location,” said Dr. James M. ...
(Date:6/25/2016)... Canada (PRWEB) , ... June 25, 2016 , ... Conventional ... pursuit of success. In terms of the latter, setting the bar too high can ... risk more than just slow progress toward their goal. , Research from ...
(Date:6/24/2016)... ... ... Marcy was in a crisis. Her son James, eight, was out of control. Prone to ... , “When something upset him, he couldn’t control his emotions,” remembers Marcy. “If there ... my other children and say he was going to kill them. If we were ...
(Date:6/24/2016)... ... June 24, 2016 , ... Comfort Keepers® of San ... Society and the Road To Recovery® program to drive cancer patients to and from ... adults to ensure the highest quality of life and ongoing independence. Getting to ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... is proud to recognize Dr. Barry M. Weintraub as a prominent plastic surgeon ... beautiful women in the world, and the most handsome men, look naturally attractive. ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... PARK RIDGE, Ill. and INDIANAPOLIS ... caliber of students receiving a Lilly Diabetes Tomorrow,s Leaders ... hands. The 2016 scholarship winners, announced today online at ... refused to let type 1 diabetes stand in the ... Lilly Diabetes has supported the Foundation,s scholarship program since ...
(Date:6/23/2016)... 23, 2016 Revolutionary technology includes ... Oticon , industry leaders in advanced audiology and hearing ... Oticon Opn ™, the world,s first internet connected hearing ... IoT devices.      (Photo: http://photos.prnewswire.com/prnh/20160622/382240 ... number of ,world firsts,: , TwinLink™ - ...
(Date:6/23/2016)... June 23, 2016 The vast majority of ... dialysis facility.  Treatments are usually 3 times a week, ... visit, including travel time, equipment preparation and wait time. ... especially grueling for patients who are elderly and frail.  ... nursing and rehabilitation centers for some duration of time. ...
Breaking Medicine Technology: