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A black‐white comparison of the quality of stage‐specific colon cancer treatment
Cancer, 2010-02, Vol.116 (3), p.713-722
Berry, Jamillah
Caplan, Lee
Davis, Sharon
Minor, Patrick
Counts‐Spriggs, Margaret
Glover, Roni
Ogunlade, Vickie
Bumpers, Kevin
Kauh, John
Brawley, Otis W.
Flowers, Christopher
2010
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Berry, Jamillah
Caplan, Lee
Davis, Sharon
Minor, Patrick
Counts‐Spriggs, Margaret
Glover, Roni
Ogunlade, Vickie
Bumpers, Kevin
Kauh, John
Brawley, Otis W.
Flowers, Christopher
Titel
A black‐white comparison of the quality of stage‐specific colon cancer treatment
Ist Teil von
Cancer, 2010-02, Vol.116 (3), p.713-722
Ort / Verlag
Hoboken: Wiley Subscription Services, Inc., A Wiley Company
Erscheinungsjahr
2010
Quelle
MEDLINE
Beschreibungen/Notizen
BACKGROUND: Several studies have attributed racial disparities in cancer incidence and mortality to variances in socioeconomic status and health insurance coverage. However, an Institute of Medicine report found that blacks received lower quality care than whites after controlling for health insurance, income, and disease severity. METHODS: To examine the effects of race on colorectal cancer outcomes within a single setting, the authors performed a retrospective cohort study that analyzed the cancer registry, billing, and medical records of 365 university hospital patients (175 blacks and 190 whites) diagnosed with stage II‐IV colon cancer between 2000 and 2005. Racial differences in the quality (effectiveness and timeliness) of stage‐specific colon cancer treatment (colectomy and chemotherapy) were examined after adjusting for socioeconomic status, health insurance coverage, sex, age, and marital status. RESULTS: Blacks and whites had similar sociodemographic characteristics, tumor stage and site, quality of care, and health outcomes. Age and diagnostic stage were predictors of quality of care and mortality. Although few patients (5.8%) were uninsured, they were more likely to present at advanced stages (61.9% at stage IV) and die (76.2%) than privately insured and publicly insured patients (p = .002). CONCLUSIONS: In a population without racial differences in socioeconomic status or insurance coverage, patients receive the same quality of care, regardless of racial distinction, and have similar health outcomes. Age, diagnostic stage, and health insurance coverage remained independently associated with mortality. Future studies of disparities in colon cancer treatment should examine sociocultural barriers to accessing appropriate care in various healthcare settings. Cancer 2010. © 2009 American Cancer Society. The sociodemographic characteristics and stage‐specific quality of care (effectiveness and timeliness) of blacks were similar to those of whites in a retrospective study of billing, medical, and cancer registry records of 365 university hospital patients (175 blacks and 190 whites) diagnosed with stage II‐IV colon cancer between 2000 and 2005. There were no significant racial differences in mortality, although age, diagnostic stage, and health insurance coverage were independently associated.
Sprache
Englisch
Identifikatoren
ISSN: 0008-543X
eISSN: 1097-0142
DOI: 10.1002/cncr.24757
Titel-ID: cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2815235
Format
–
Schlagworte
African Continental Ancestry Group
,
Age Factors
,
Aged
,
Biological and medical sciences
,
blacks
,
colon adenocarcinoma
,
Colonic Neoplasms - ethnology
,
Colonic Neoplasms - mortality
,
Colonic Neoplasms - therapy
,
diagnostic stage
,
disparities
,
European Continental Ancestry Group
,
Female
,
Gastroenterology. Liver. Pancreas. Abdomen
,
Healthcare Disparities
,
Humans
,
Insurance, Health
,
Male
,
Medical sciences
,
Middle Aged
,
Neoplasm Staging
,
Practice Guidelines as Topic
,
quality of care
,
Quality of Health Care
,
Social Class
,
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
,
Time Factors
,
Treatment Outcome
,
Tumors
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