Navigation Links
High-Risk Blacks Less Likely to Get Colonoscopies
Date:3/25/2008

Those with family history are referred less often than whites, study finds

TUESDAY, March 25 (HealthDay News) -- Even when there is a family history of colon cancer, blacks are much less likely to get colonoscopies than their white counterparts are, a new study finds.

While blacks who have an increased chance of developing colon cancer continue to lag behind their white counterparts in colonoscopy rates, the lack of a doctor referral stood out as the primary reason why high-risk patients of either race had not been screened.

For people who have close relatives that have been diagnosed with colon cancer, the recommended screening is a colonoscopy every five years after the age of 40.

"People with a family history of colon cancer have a two to four times increased risk of developing the disease compared with people who don't have such a history," explained lead researcher Dr. Harvey J. Murff, an assistant professor of medicine at Vanderbilt University in Nashville, Tenn.

"When you look at people who have more than one close relative diagnosed with colon cancer, African-Americans were about half as likely to have reported undergoing the appropriately recommended screening as compared to whites," Murff said.

The reasons for this disparity aren't clear, Murff said. It could be that doctors don't perceive blacks as having an increased risk for colon cancer, he speculated. It may also be that doctors are remiss in collecting a complete family medical history, he said.

"If providers aren't aware of family history, they may be less likely to recommend the test," Murff said. "There is a problem collecting family history and using it to risk-assess patients."

Other conditions that limit access to care, such as not having health insurance or a usual care provider, may also play a role, Murff said.

The report was published in the March 24 issue of the Archives of Internal Medicine.

In the study, Murff's group collected data on 41,830 people aged 40 to 79. Among these, 32,265 were black and 9,565 were white. The researchers specifically looked at how these patients were screened for colon cancer.

There were 538 blacks who reported having close relatives diagnosed with colon cancer, compared with 255 whites. Among blacks, 27.3 percent reported having a colonoscopy within the past five years, compared with 43.1 percent of whites.

The main reason for not having a colonoscopy among both blacks and whites was that their doctor had not recommended one. Among blacks, 59.3 percent said their doctor had not recommended a colonoscopy, compared with 51 percent of whites.

Doctors need to be sure that they get a complete family medical history, Murff said. "In addition, it is important for patients to know what your family history is, and if you have questions related to your family history or if you are concerned that it might impact your risk of disease, it is important to talk to your physician about it," he said.

More information

For more on disparities in cancer care visit the U.S. National Cancer Institute.



SOURCES: Harvey J. Murff, M.D., M.P.H., assistant professor, medicine, Vanderbilt University, Nashville, Tenn.; March 24, 2008, Archives of Internal Medicine


'/>"/>
Copyright©2008 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Ovary Removal Protects Some High-Risk Women
2. New IDSA Clinical Practice Guidelines Recommend NOXAFIL(R) (Posaconazole) for Antifungal Prophylaxis in Certain High-Risk Patients
3. NightHawk Radiology exclusive radiology provider for high-risk plaque research initiative
4. Vitamin D May Curb Falls in High-Risk Older Women
5. Molecules might identify high-risk acute-leukemia patients
6. Study finds outcomes of high-risk cancer operations in 80-year-olds worse than reported
7. Heavy drinking, conduct disorder linked to high-risk sexual behavior
8. AST Emergence to Convergence Highlights the Latest High-Risk Organ Donor and Recipient Issues
9. State of Arkansas Department of Human Services, Division of Medical Services Selects U.S. Care Management for High-Risk Obstetrics Health Management Program
10. Study finds strong demand for HIV meds after high-risk sex
11. Generic prostate drug helps find high-risk cancers early
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
High-Risk Blacks Less Likely to Get Colonoscopies
(Date:5/26/2017)... ... , ... Amir Qureshi, MD is the first physician in Arkansas to implant ... The Nuvectra™ Algovita SCS System has been FDA approved as a treatment option for ... to introduce the most powerful SCS system and the only stretchable lead on the ...
(Date:5/26/2017)... ... May 26, 2017 , ... A new analysis of community health data ... are located in the Midwest. With the average cost of healthcare rising and the ... with both the quality and affordability of where they live. An annual 2017 report ...
(Date:5/26/2017)... ... May 26, 2017 , ... via seating is proud to ... task chair specifically designed for clinical areas. Genie Copper Mesh is a crossover ... Cupron® to provide customers with a game changing chair that is affordably priced,” ...
(Date:5/26/2017)... ... ... After raising nearly $30,000 on Kickstarter , about three-times its original campaign ... crowdfunding price on Indiegogo . , “Along with creating an anti-stress gadget to ... fidget toy to the market that was made of superior quality and wouldn’t break ...
(Date:5/26/2017)... (PRWEB) , ... May 26, 2017 , ... Silver Birch ... community, which is located on more than four acres of land at 5620 Sohl ... , The 103,000 square-foot building includes 125 studio and one-bedroom apartments. Each of ...
Breaking Medicine News(10 mins):
(Date:5/6/2017)... , May 5, 2017   Provista , a proven ... than 200,000 customers, today announced Jim Cunniff as ... of executive and business experience to Provista, including most recently ... in California . He assumed his new ... is a great fit for Provista," says Jody Hatcher ...
(Date:5/4/2017)... Tenn. , May 4, 2017  A ... Infection Control, Ultraviolet-C light as a ... Tru-D SmartUVC,s ability to reduce bioburden on anesthesia ... bioburden reduction on high-touch, complex medical equipment surfaces ... surgical infections. "This study further validates ...
(Date:5/4/2017)... May 4, 2017  A new tight-tolerance microextrusion ... other highly-engineered materials, is being launched by Natvar, ... been developed in recent years to service a ... surgical applications. More expensive materials such as glass ... tubing due to their ability to consistently hold ...
Breaking Medicine Technology: