Literature DB >> 20724684

Racial disparities in stage-specific colorectal cancer mortality: 1960-2005.

Samir Soneji1, Shally Shalini Iyer, Katrina Armstrong, David A Asch.   

Abstract

OBJECTIVES: We examined whether racial disparities in stage-specific colorectal cancer survival changed between 1960 and 2005.
METHODS: We used US Mortality Multiple-Cause-of-Death Data Files and intercensal estimates to calculate standardized mortality rates by gender and race from 1960 to 2005. We used Surveillance, Epidemiology, and End Results (SEER) data to estimate stage-specific colorectal cancer survival. To account for SEER sampling uncertainty, we used a bootstrap resampling procedure and fit a Cox proportional hazards model.
RESULTS: Between 1960-2005, patterns of decline in mortality rate as a result of colorectal cancer differed greatly by gender and race: 54% reduction for White women, 14% reduction for Black women, 39% reduction for White men, and 28% increase for Black men. Blacks consistently experienced worse rates of stage-specific survival and life expectancy than did Whites for both genders, across all age groups, and for localized, regional, and distant stages of the disease.
CONCLUSIONS: The rates of stage-specific colorectal cancer survival differed among Blacks when compared with Whites during the 4-decade study period. Differences in stage-specific life expectancy were the result of differences in access to care or quality of care. More attention should be given to racial disparities in colorectal cancer management.

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Mesh:

Year:  2010        PMID: 20724684      PMCID: PMC2936993          DOI: 10.2105/AJPH.2009.184192

Source DB:  PubMed          Journal:  Am J Public Health        ISSN: 0090-0036            Impact factor:   9.308


  30 in total

Review 1.  NIH consensus conference. Adjuvant therapy for patients with colon and rectal cancer.

Authors: 
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3.  Social sources of racial disparities in health.

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Journal:  Med Clin North Am       Date:  2005-07       Impact factor: 5.456

5.  Aggressiveness of colon carcinoma in blacks and whites. National Cancer Institute Black/White Cancer Survival Study Group.

Authors:  V W Chen; C M Fenoglio-Preiser; X C Wu; R J Coates; P Reynolds; D L Wickerham; P Andrews; C Hunter; G Stemmermann; J S Jackson; B K Edwards
Journal:  Cancer Epidemiol Biomarkers Prev       Date:  1997-12       Impact factor: 4.254

6.  The late-stage diagnosis of colorectal cancer: demographic and socioeconomic factors.

Authors:  J Mandelblatt; H Andrews; R Kao; R Wallace; J Kerner
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7.  Determinants of black/white differences in colon cancer survival.

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Journal:  J Natl Cancer Inst       Date:  1995-11-15       Impact factor: 13.506

8.  Anatomic site distribution of colon cancer by race and other colon cancer risk factors.

Authors:  R J Coates; R S Greenberg; M T Liu; P Correa; L C Harlan; P Reynolds; C M Fenoglio-Preiser; M A Haynes; B F Hankey; C P Hunter
Journal:  Dis Colon Rectum       Date:  1995-01       Impact factor: 4.585

9.  Temporal patterns in colorectal cancer incidence, survival, and mortality from 1950 through 1990.

Authors:  K C Chu; R E Tarone; W H Chow; B F Hankey; L A Ries
Journal:  J Natl Cancer Inst       Date:  1994-07-06       Impact factor: 13.506

10.  Accuracy of cancer death certificates and its effect on cancer mortality statistics.

Authors:  C Percy; E Stanek; L Gloeckler
Journal:  Am J Public Health       Date:  1981-03       Impact factor: 9.308

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  53 in total

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3.  Outcomes Among Minority Patients With Metastatic Colorectal Cancer in a Safety-net Health Care System.

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4.  Occult tumor burden contributes to racial disparities in stage-specific colorectal cancer outcomes.

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5.  Racial/Ethnic Disparities in Colorectal Cancer Screening Across Healthcare Systems.

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Review 6.  Guanylyl cyclase C as a biomarker in colorectal cancer.

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7.  Race and Prevalence of Large Bowel Polyps Among the Low-Income and Uninsured in South Carolina.

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8.  The association of age and race and the risk of large bowel polyps.

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9.  The Contribution of Health Care and Other Interventions to Black-White Disparities in Life Expectancy, 1980-2007.

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10.  Prior experiences of racial discrimination and racial differences in health care system distrust.

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