Colorectal cancer disparities: Issues, controversies and solutions

Colorectal cancer(CRC)is the second leading cause of cancer related deaths in the United States.There are significant differences in CRC incidence and mortality by race with the highest burden occurring among blacks.The underlying factors contributing to CRC disparities are multiple and complex.Stud...

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Veröffentlicht in:World journal of gastroenterology : WJG 2014-01, Vol.20 (4), p.869-876
Hauptverfasser: Tammana, Venkata S, Laiyemo, Adeyinka O
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container_title World journal of gastroenterology : WJG
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creator Tammana, Venkata S
Laiyemo, Adeyinka O
description Colorectal cancer(CRC)is the second leading cause of cancer related deaths in the United States.There are significant differences in CRC incidence and mortality by race with the highest burden occurring among blacks.The underlying factors contributing to CRC disparities are multiple and complex.Studies have suggested that a higher prevalence of putative risk factors for CRC,limited access to healthcare services,lower utilization of healthcare resources and increased biological susceptibilities contribute to this disparity by race.This article reviews the factors associated with the disproportionally higher burden of CRC among blacks;addresses the controversies regarding the age to begin CRC screening and the screening modality to use for blacks;and proffers solutions to eliminate CRC disparity by race.
doi_str_mv 10.3748/wjg.v20.i4.869
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subjects Adenomatous
African Americans
cancer
Colorectal
Colorectal Neoplasms - ethnology
Colorectal Neoplasms - mortality
Colorectal Neoplasms - pathology
Colorectal Neoplasms - therapy
Comorbidity
disparities
Early Detection of Cancer
Health Services Accessibility
Health Status Disparities
Healthcare Disparities - ethnology
Humans
Incidence
polyps
Prevalence
Prognosis
Risk Assessment
Risk Factors
Topic Highlight
United States - epidemiology
title Colorectal cancer disparities: Issues, controversies and solutions
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