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Differences in Colorectal Cancer Outcomes by Race and Insurance

Bibliographic Data

ID15463753
AuthorsRima Tawk (0000-0001-7256-118X, Florida Agricultural and Mechanical University, corresponding author), Adrian Abner (Residential Services Administrator, Marianna, FL 32448, USA), Alicestine Ashford (Florida Agricultural and Mechanical University), Clyde Brown (Florida Agricultural and Mechanical University)
Year2015
Volume13
Issue1
Pages48-48
Publication date2015-12-22
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph13010048
PMID26703651
OpenAlexW2218690014
LanguageEN
Citations received4
References cited23

Colorectal cancer (CRC) is the second most common cancer among African American women and the third most common cancer for African American men. The mortality rate from CRC is highest among African Americans compared to any other racial or ethnic group. Much of the disparity in mortality is likely due to diagnosis at later stages of the disease, which could result from unequal access to screening. The purpose of this study is to determine the impact of race and insurance status on CRC outcomes among CRC patients. Data were drawn from the Surveillance, Epidemiology, and End Results database. Logistic regressions models were used to examine the odds of receiving treatment after adjusting for insurance, race, and other variables. Cox proportional hazard models were used to measure the risk of CRC death after adjusting for sociodemographic and tumor characteristics when associating race and insurance with CRC-related death. Blacks were diagnosed at more advanced stages of disease than whites and had an increased risk of death from both colon and rectal cancers. Lacking insurance was associated with an increase in CRC related-deaths. Findings from this study could help profile and target patients with the greatest disparities in CRC health outcomes

Cancer · Colorectal cancer · Confidence interval · Disease · Ethnic group · Hazard ratio · Logistic regression · Odds · Odds ratio · Proportional hazards model · Race (biology · Colorectal Cancer Screening and Detection · Demography · Gastric Cancer Management and Outcomes · Genetic factors in colorectal cancer · Medicine · Epidemiology · Gerontology · Internal Medicine

  • Predictors of health-related quality of life and association with survival may identify colorectal cancer patients at high risk of poor prognosis

    Open Access•Monica E Reyes, Yuanqing Ye et al.•Quality of Life Research•2016

  • Patterns of racial/ethnic disparities in baseline health-related quality of life and relationship with overall survival in patients with colorectal cancer

    Open Access•Alem A Belachew, Monica E Reyes et al.•Quality of Life Research•2020

  • Colorectal Cancer Screening in African American Hope VI Public Housing Residents

    Ramona Stone, Jeffrey D Stone et al.•Family & Community Health•2019

  • Association between Race and Cancer-Related Mortality among Patients with Colorectal Cancer in the United States

    Open Access•Sayaf H Alshareef, Nasser A Alsobaie et al.•International Journal of…•2019

  • Racial and Ethnic Disparities in the Receipt of Cancer Treatment

    Vickie L Shavers•CancerSpectrum Knowledge…•2002

  • The late-stage diagnosis of colorectal cancer

    Jeanne S Mandelblatt, J Mandelblatt et al.•American Journal of Public Health•1996

Citations per year0.4
Citation span2016 - 2020 (5)
Highly citedNo

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