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

ded CRC while of 262 non‐Hispanics with CRC, only 60 (22.9 percent) had right‐sided CRC. The overall unadjusted five‐year survival rate for Hispanics was better than non‐Hispanics (51.9 percent vs. 42.7 percent).

"These findings if validated by a larger study, can potentially affect medical guidelines regarding screening and treatment of colorectal cancer," said researcher Chinar Mehta, M.D.

Recent guidelines have debated routine screening for colorectal cancer in the elderly older than 75 years of age. Since minorities and women are often under‐represented in population‐based studies, a third CRC study unveiled today, "Gender Differences in the Colonoscopy Outcomes in Elderly African Americans," found that elderly African American females undergo colonoscopy more often than males and have a higher right‐sided incidence of advanced adenomas.

According to the findings, advanced adenoma was detected in 12 percent of the women and 17.4 percent of the men, while advanced adenoma was present on the right side in 71.3 percent of women and 70.5 percent of men. Colorectal cancer was found in 4.2 percent of women of which 51.5 percent were on the right side while 4.3 percent of men had colorectal cancer of which 47.1 percent were on the right side.

"The study found that African American women have a right‐sided preponderance for colorectal cancer in comparison to men," said researcher Manpreet Singh. M.D. "Also, a higher proportion of right‐sided lesions suggest that colonoscopy should be the preferred test for colorectal cancer screening in elderly African American women."


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Contact: Jacqueline Gaulin
mediaonly@acg.gi.org
202-255-5541
American College of Gastroenterology
Source:Eurekalert

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