Navigation Links
Why are blacks more likely to die from cancer diagnosis?
Date:7/1/2010

ANN ARBOR, Mich. Black people with cancer are up to twice as likely as other races to die from their disease. While disparities exist for nearly every common cancer type, the largest differences occur among cancers that benefit most from treatment -- suggesting that black patients are not getting needed lifesaving treatments, according to a review from researchers at the University of Michigan Comprehensive Cancer Center.

Five-year survival rates varied by 10 percent between blacks and whites with colorectal cancer and by 25 percent among uterine cancer patients. These cancers can be cured with appropriate surgery and medical treatments and tend to be fatal without these treatments.

In the review, published in the July issue of the Journal of the American College of Surgeons, researchers attributed these disparities to three factors:

  • Patients: Blacks are often diagnosed with more advanced cancer and are more likely to have other underlying health problems
  • Underuse of care: Black patients are less likely to be advised about cancer screenings and less likely to receive surgery or chemotherapy
  • Hospital systems: Hospitals that treat primarily black patients tend to have fewer resources and offer lower quality care

"Black cancer patients don't fare as well as whites. Their cancers are diagnosed at a later stage, the care they receive is often not as good or they get no care at all. Black patients may trust their doctor less, they may be unable to pay and the hospitals that serve more black patients tend to have fewer resources," says study author Arden Morris, M.D., M.P.H., associate professor of surgery at the U-M Medical School and chief of general surgery at the VA Ann Arbor Healthcare System.

"This is a complex problem and it won't be easy to solve," she adds.

Researchers recommend several policy changes, including expanding public insurance systems to make cancer care more affordable, particularly to people of lower socioeconomic status, which often disproportionately includes minorities.

Patients also face barriers in navigating the health care system, the researchers point out. They suggest developing more tools to help patients overcome these obstacles and get to the care they need. In addition, researchers challenge so-called "pay-for-performance" programs in which hospitals that meet certain benchmark performance measures get financial bonuses, while low-performing hospitals often have funds withheld.

"Programs that reward better quality with more money need to take into account what that does to hospitals that already have far fewer resources. Perhaps pay-for-performance could take into account where a hospital is starting from and could be considered as 'pay-for-improvement,'" Morris says.


'/>"/>

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

Related medicine news :

1. Blacks Seem More Vulnerable to Deadly Blood Infection
2. Stroke Incidence Down, But Not for Blacks
3. Blacks Hit Hardest by Lung Cancer
4. Blacks Less Likely to Get Follow-Up Colon Screening
5. Blacks have highest cancer rates of all racial ethnicities, yet feel less at risk, study finds
6. Blacks, Hispanics With Heart Failure Less Likely to Use Hospice
7. Blacks Less Likely to Abuse Alcohol
8. Blacks less likely to know they have heart condition or to use treatment for it, says Mayo Clinic
9. Genetic Mutation Linked to Prostate Cancer in Blacks
10. Information Gap Could Delay Lung Cancer Therapy in Blacks
11. Blacks in Nursing Homes Vaccinated Less Than Whites
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/26/2016)... ... 26, 2016 , ... PawPaws brand pet supplements owned by Whole ... enhance the health of felines. The formula is all-natural and is made from Chinese ... PawPaws Cat Kidney Support Supplement Soft Chews are Astragalus Root Extract and ...
(Date:6/25/2016)... FL (PRWEB) , ... June 25, 2016 , ... The temporary closing of Bruton Memorial ... Plant City Observer , brings up a new, often overlooked aspect of head lice: the ... closing for fumigation is not a common occurrence, but a necessary one in the event ...
(Date:6/25/2016)... ... June 25, 2016 , ... On Friday, June 10, Van Mitchell, Secretary ... Work award to iHire in recognition of their exemplary accomplishments in worksite health promotion. ... Maryland Workplace Health & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire ...
(Date:6/24/2016)... ... June 24, 2016 , ... Marcy was in a crisis. Her son James, eight, was ... his family verbally and physically. , “When something upset him, he couldn’t control his emotions,” ... He would throw rocks at my other children and say he was going to kill ...
(Date:6/24/2016)... ... ... of Topricin and MyPainAway Pain Relief Products, join The ‘Business for a Fair Minimum Wage’ ... 2020 and then adjusting it yearly to increase at the same rate as the median ... floor does not erode again, and make future increases more predictable. , The company is ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016  Collagen Matrix, ... design, development and manufacturing of collagen and mineral ... announced today that Bill Messer has ... Marketing to further leverage the growing portfolio of ... devices. Bill joins the Collagen Matrix ...
(Date:6/24/2016)... , June 24, 2016 ... Markets has announced the addition of the " ... offering. This ... and provides an updated review, including its applications in ... the total market, which includes three main industries: pharmaceutical ...
(Date:6/24/2016)... BEIJING , June 24, 2016 Dehaier ... or the "Company"), which develops, markets and sells medical ... China , signed a strategic cooperation agreement with ... as "Hongyuan Supply Chain") on June 20, 2016, to ... Under the strategic cooperation agreement, Dehaier will leverage Hongyuan ...
Breaking Medicine Technology: