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Bladder Cancer Has Worse Outcomes In Blacks

. In this study, 24 percent of the black patients died of bladder cancer while 15 percent of the white patients did. Even when the researchers compared only the patients with early stage disease, blacks had lower survival rates than whites.

The degree to which the tumor has spread affects treatment options as well as survival. The researchers found fewer black patients had been treated with minimally invasive surgery and more underwent open surgery to remove their bladder. Black patients were also more likely to receive radiation therapy along with surgery.

In addition, the researchers found black patients tended to have more aggressive tumors. Most notably, the majority of black women had aggressive tumors. From 1992-1999, black women were 15 percent more likely than white men and women and 11 percent more likely than black men to have an aggressive type of bladder cancer.

"Survival outcomes in white patients who underwent surgery were significantly better than that in black patients who underwent surgery for similar types of early stage cancer. This continued disparity suggests that factors other than tumor grade, stage or treatment type are influencing bladder cancer survival," Lee says.

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