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Notable racial disparities in diagnosis, treatment and outcomes of colorectal cancer
Date:10/18/2010

San Antonio, Texas (October 18, 2010) The latest colorectal cancer research presented at the American College of Gastroenterology's (ACG) 75th Annual Scientific meeting in San Antonio this week strengthens the growing body of evidence that suggests significant disparity in colorectal cancer (CRC) demographics and outcomes between various races.

In the first in a series of studies investigating colorectal cancer disparities that exist between various races, researchers conducted a retrospective analysis of colonoscopies performed in young patients from July 2003 to December 2009, excluding those with a family history of colorectal cancer or a known history of inflammatory bowel disease. The study, "Yield of Colonoscopy in the Young: Should Screening for Hispanic Population Begin at an Earlier Age as in African Americans?," reviewed the reasons these young patients (18‐45) underwent colonoscopy and the results of their procedures and compared the findings between different ethnic groups.

"Significant pathology was found in 7.4 percent of young patients (cancer 3.3 percent and adenomatous polyps 4.1 percent)," said researcher Arya Karki, M.D. "In African American and Hispanic patients, cancer was found in 5.1 percent and 3.3 percent respectively. Though retrospective and with a relatively small sample size, our data suggest comparable rates of cancer between young African American and Hispanic patients," said Dr. Karki. He added that a large prospective study is needed to confirm these results before recommending earlier screening in the Hispanic population, as currently advocated for African Americans.

According to the American College of Gastroenterology's colorectal cancer screening guideline, African‐Americans should start colorectal cancer screening at age 45, rather than age 50 because of the higher incidence and mortality of colorectal cancer as well as a greater prevalence of proximal or right‐sided polyps and cancer in t
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Contact: Jacqueline Gaulin
mediaonly@acg.gi.org
202-255-5541
American College of Gastroenterology
Source:Eurekalert

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