Tag Archives: disparities

Lack of Insurance Impacts Survival in CRC Patients Under 65.

Not having insurance reduces the chance that someone with colorectal cancer will live a year after their diagnosis.  Even when patients from 18 to 64 have other illnesses, their insurance status makes a difference in survival. Risk of dying during that first year was 50 to 90 percent higher among the uninsured.  They were more likely to diagnosed at an advanced stage and live in poor neighborhoods. Other illness (comorbidities) was lowest in privately insured patients and highest in patients under 65 on Medicare, who were likely to have Medicare because of a disability.

Colorectal Cancer Racial Differences Disappear After Looking Beyond Race Alone

African Americans have a much worse chance of surviving colorectal cancer that whites.  However, there appear to be reasons beyond race for these differences After looking at factors including poverty, stage at diagnosis, and treatment received, researchers in Detroit found the differences between races disappeared.

Poverty, Lack of Insurance Barriers to Reducing Colon Cancer

Although new diagnoses of colon and rectal cancer are decreasing in the United States, the benefit does not reach everyone. No matter where they lived, incidence of colorectal cancer dropped significantly between 1995 and 2004 for white Americans aged 65 and over, most of whom have Medicare that covers colonoscopy screening.  However, colorectal cancer rates for whites from 50 to 64 did not fall if they lived in rural areas or counties where there was poverty, lack of insurance, or few primary care providers. African Americans only benefited from reduced incidence if they were over 64 and living in an affluent community.

Colorectal Cancer News in Brief: June 19

In studies reported this week  fewer specialists managing colorectal cancer were found in US counties with large African American populations, older adults with cancer had significantly worse physical and mental health, and palliative sedation at the end of life did not hasten death. In other headlines, colorectal cancer screening for the uninsured will begin on July 1 in Minnesota, and if screening reveals cancer, treatment will be covered under the Minnesota Medical Assistance program.  The FDA warned consumers not to use Zicam nasal gel or swabs to avoid loss of smell, and doctors advised patients on long-term Xeloda therapy to carry a letter from their oncologist explaining possible loss of

Colorectal Cancer News in Brief: May 15

Despite more resources in large cities, patients were more often diagnosed with cancer at a late stage in cities in Illinois compared to rural areas. Phone calls and personalized diet and exercise plans helped long-term cancer survivors lose weight and gain strength, and scientists have found changes in the blood of family caregivers that promote inflammation and may lead to illness. In other headlines, both patients and doctors liked virtual, computer videoconferencing visits, and the FDA reports that shortages of fentanyl patches have been resolved.

Gap Continues in African American Deaths from Colorectal Cancer

Although both new cancer cases and cancer death rates are declining for both whites and African Americans, incidence and death rates continue to remain higher for blacks in the United States than for whites.  African American men are one-third more likely to die of cancer than whites, black women 16 percent more likely. While five-year survival for white Americans with colon or rectal cancer is 65 percent, it is only 56 percent for blacks.  Blacks have poorer survival chances at every stage of colorectal cancer, including the earliest stages where cancer has not begun to spread. Compared to lung, prostate,and breast cancer where the disparity gaps in death rates are

African Americans Diagnosed Later and with Worse Colorectal Cancer Survival

Update from the 2009 Gastrointestinal Cancer Symposium African Americans in both a large national database of colorectal cancer patients and in records of a Philadelphia hospital were more likely to be diagnosed at an advanced stage and have poorer survival at every stage than white patients. Researchers at Thomas Jefferson University in Philadephia studied information from nearly 245,000 colon and rectal cancer patients from the National Cancer Institute’s Surveillance, Epidemiology and End Results (SEER) database. They compared that information to 20 years worth of data in the Jefferson University Hospital tumor registry for 2,500 patients treated from 1988 through 2007.

Colorectal Cancer Survival Gap Between Whites and African Americans

Although colorectal cancer death rates are falling for both whites and blacks in the United States, the decline is steeper for whites and the gap between races is growing. A new  report from the American Cancer Society, Colorectal Cancer: Facts and Figures 2008-2010, finds that African American men and women are more likely than the rest of the U.S. population to get colon or rectal cancer and much more likely to die of it.  In 2005, the death rate for African Americans was 48 percent higher than that for whites. Officials at the ACS attribute the difference to lower colorectal cancer screening rates, poorer insurance coverage, and fewer African Americans

Rates for New Cancers Go Down for the First Time

Led by dropping rates of lung, breast, and colorectal cancer, the incidence rate of all new cancers in the United States is falling for the first time.  While overall cancer death rates have been decreasing since the early 1990′s, this is the first time that rates of new cancer diagnoses are also declining. In the Annual Report to the Nation, the rate of newly diagnosed cancer fell 1.7 percent per year between 2001 and 2005.  Death rates for all cancers combined fell 1.8 percent annually during the same time period. Both incidence of new colorectal cancers and colorectal cancer death rates continued to decline with the new report.  Between 1998

Negative Media Messages Discourage CRC Screening in Blacks

When African Americans hear a positive message that emphasizes progress being made for blacks with colon cancer, they are much more likely to want to be screened.  On the other hand, negative messages that talk about their poorer outcomes make them less willing to have screening tests. Health communications researchers at St. Louis University asked 300 African-Americans to read one of four mock news articles about colorectal cancer, chosen randomly.  Three messages were negative, emphasizing differences from whites. One focused on the progress that blacks were making surviving colorectal cancer. Participants who read the positive article had more positive emotional reactions and more often said they wanted to be screened. 

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