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

his population.

Hispanics are more likely to be diagnosed with advanced stage colorectal cancer than non‐Hispanic whites and have a lower probability of survival after diagnosis after accounting for differences in age and stage, according to the American Cancer Society. Factors that may contribute to survival disparities include less access to and lower use of colorectal cancer screening tests and less access to timely and high‐quality treatment. Hispanics have lower colorectal cancer screening rates than any other minority group in the United States, according to "Cancer Facts and Figures for Hispanics/Latinos 2009‐2011."

A second study, "Racial Disparities in Diagnosis and Treatment Options," suggested that age at colorectal cancer diagnosis, location of tumor within the colon and survival from colorectal cancer varies significantly among race. Performed using tumor registries at Elmhurst Hospital Center, Elmhurst, New York, this retrospective review over eight years (2000‐2008) of 425 patients with colorectal cancer concluded that the likelihood of having colorectal cancer diagnosis before or after age 50 was significantly related to race.

According to the study, Asians were about twice as likely then non‐Asians to have colorectal cancer before age 50. Of 137 Asians with CRC, 36 (26.3 percent) were under the age 50, while of 288 non‐Asians with CRC, only 40 (13.9 percent) were under age 50. Whites were about one‐eighth less likely compared to non‐whites to have CRC before age 50. Of 91 whites with CRC, only three (3.3 percent) were under age 50, while among 334 non‐whites with CRC 73 (21.9 percent) were under age 50.

The study also found that the overall presence of right‐sided CRC vs. left‐sided CRC was significantly related to race. Hispanics were more likely than non‐Hispanics to have right‐sided CRC. Of 163 Hispanics with CRC, 52 (31.9 percent) had right‐si
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Contact: Jacqueline Gaulin
mediaonly@acg.gi.org
202-255-5541
American College of Gastroenterology
Source:Eurekalert

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