Exploring the complexity and spectrum of racial/ethnic disparities in colon cancer management

Colorectal cancer is a leading cause of morbidity and mortality across U.S. racial/ethnic groups. Existing studies often focus on a particular race/ethnicity or single domain within the care continuum. Granular exploration of disparities among different racial/ethnic groups across the entire colon c...

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Veröffentlicht in:International journal for equity in health 2023-04, Vol.22 (1), p.68-68, Article 68
Hauptverfasser: Greenberg, Anya L, Brand, Nathan R, Zambeli-Ljepović, Alan, Barnes, Katherine E, Chiou, Sy Han, Rhoads, Kim F, Adam, Mohamed A, Sarin, Ankit
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Sprache:eng
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Zusammenfassung:Colorectal cancer is a leading cause of morbidity and mortality across U.S. racial/ethnic groups. Existing studies often focus on a particular race/ethnicity or single domain within the care continuum. Granular exploration of disparities among different racial/ethnic groups across the entire colon cancer care continuum is needed. We aimed to characterize differences in colon cancer outcomes by race/ethnicity across each stage of the care continuum. We used the 2010-2017 National Cancer Database to examine differences in outcomes by race/ethnicity across six domains: clinical stage at presentation; timing of surgery; access to minimally invasive surgery; post-operative outcomes; utilization of chemotherapy; and cumulative incidence of death. Analysis was via multivariable logistic or median regression, with select demographics, hospital factors, and treatment details as covariates. 326,003 patients (49.6% female, 24.0% non-White, including 12.7% Black, 6.1% Hispanic/Spanish, 1.3% East Asian, 0.9% Southeast Asian, 0.4% South Asian, 0.3% AIAE, and 0.2% NHOPI) met inclusion criteria. Relative to non-Hispanic White patients: Southeast Asian (OR 1.39, p 
ISSN:1475-9276
1475-9276
DOI:10.1186/s12939-023-01883-w