» Articles » PMID: 24574761

Colorectal Cancer Disparities: Issues, Controversies and Solutions

Overview
Specialty Gastroenterology
Date 2014 Feb 28
PMID 24574761
Citations 38
Authors
Affiliations
Soon will be listed here.
Abstract

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.

Citing Articles

Association Between Racial and Socioeconomic Disparities and Hospital Performance in Treatment and Outcomes for Patients with Colon Cancer.

Buchheit J, Silver C, Huang R, Hu Y, Bentrem D, Odell D Ann Surg Oncol. 2023; 31(2):1075-1086.

PMID: 38062293 DOI: 10.1245/s10434-023-14607-9.


Factors Affecting the Rate of Colonoscopy Among African Americans Aged Over 45 Years.

Ajufo A, Adigun A, Mohammad M, Dike J, Akinrinmade A, Adebile T Cureus. 2023; 15(10):e46525.

PMID: 37927674 PMC: 10625396. DOI: 10.7759/cureus.46525.


To the Editor: Assessing Outcomes of Diversity Curricula in Graduate Medical Education Is Necessary to Decrease Health Care Disparities.

Borum M, Onumah C J Grad Med Educ. 2023; 15(5):610-611.

PMID: 37781432 PMC: 10539150. DOI: 10.4300/JGME-D-23-00576.1.


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

Greenberg A, Brand N, Zambeli-Ljepovic A, Barnes K, Chiou S, Rhoads K Int J Equity Health. 2023; 22(1):68.

PMID: 37060065 PMC: 10105474. DOI: 10.1186/s12939-023-01883-w.


Examining colorectal cancer screening uptake and health provider recommendations among underserved middle aged and older African Americans.

Cobb S, Ekwegh T, Adinkrah E, Ameli H, Dillard A, Kibe L Health Promot Perspect. 2023; 12(4):399-409.

PMID: 36852204 PMC: 9958235. DOI: 10.34172/hpp.2022.52.


References
1.
Seeff L, Nadel M, Klabunde C, Thompson T, Shapiro J, Vernon S . Patterns and predictors of colorectal cancer test use in the adult U.S. population. Cancer. 2004; 100(10):2093-103. DOI: 10.1002/cncr.20276. View

2.
White A, Vernon S, Franzini L, Du X . Racial and ethnic disparities in colorectal cancer screening persisted despite expansion of Medicare's screening reimbursement. Cancer Epidemiol Biomarkers Prev. 2011; 20(5):811-7. PMC: 6114094. DOI: 10.1158/1055-9965.EPI-09-0963. View

3.
Bolen J, Rhodes L, Bland S, HOLTZMAN D . State-specific prevalence of selected health behaviors, by race and ethnicity--Behavioral Risk Factor Surveillance System, 1997. MMWR CDC Surveill Summ. 2000; 49(2):1-60. View

4.
Ball J, Elixhauser A . Treatment differences between blacks and whites with colorectal cancer. Med Care. 1996; 34(9):970-84. DOI: 10.1097/00005650-199609000-00008. View

5.
Schroy 3rd P, Glick J, Robinson P, Lydotes M, Evans S, Emmons K . Has the surge in media attention increased public awareness about colorectal cancer and screening?. J Community Health. 2007; 33(1):1-9. DOI: 10.1007/s10900-007-9065-5. View