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:5/6/2016)... ... , ... US Sports Camps has collaborated with State Rugby Organization (SRO), Rugby ... summer. Employing world-class rugby figures, including former Team USA players and college coaches, this ... fundamentals, match play, fitness and more. , “US Sports Camps is honored to be ...
(Date:5/6/2016)... ... 06, 2016 , ... Logically, spring weather, with its moderate humidity and temperatures, ... cold, dry or hot, water on the eye surface can evaporate, creating uncomfortable dry ... air. There’s only one problem, according to radio show and water advocate Sharon Kleyne: ...
(Date:5/6/2016)... York, NY (PRWEB) , ... May 06, 2016 , ... ... Hotel & Resort on the north end of the island close to the town ... July 17th- August 10th 2016. , “We continue to have an amazing experience ...
(Date:5/6/2016)... ... May 06, 2016 , ... ... of career-focused education and corporate training, and the National Military Family Association, a ... Maritza Aquino as the second full-tuition scholarship recipient of 2016. , “Being ...
(Date:5/5/2016)... (PRWEB) , ... May 05, 2016 , ... TransWipe Volume ... Cut Pro X. Drag and drop a TransWipe preset between two video clips to ... smooth corner wipes to colored panels with customizable color and orientation options. TransWipe Volume ...
Breaking Medicine News(10 mins):
(Date:5/3/2016)... 3, 2016 BioNovus Innovations LLC and ... Advancing Medical Innovation (IAMI) today announced a new ... and medical devices. An agreement between ... to license, develop and commercialize medical innovations advanced ... "This partnership represents a significant advance in our ...
(Date:5/3/2016)...  As a teenager, an active and athletic ... his heart. He continued enjoying sports and recreation throughout ... heart was giving out and he was a few ... the Mesa, Arizona resident received ... heart transplant, the SynCardia TAH-t is the only approved ...
(Date:5/3/2016)... ORANGE COUNTY, Calif. , May 3, 2016  While you may be familiar with watching ... 4K resolution , also known as ultra-high-definition or 8MP in the Medical Industry.  Ampronix  is ... class manufacturer of innovative technology. Photo - http://photos.prnewswire.com/prnh/20160502/362730 ... ... ...
Breaking Medicine Technology: