Tag Archives: disparities

Treatment for Severe Cancer Pain: Women Versus Men

Are men and women with severe cancer pain treated in the same way? Although both sexes reported the same level of worst pain in a past week, men were more likely to have a prescription for high-potency pain medicine and receive higher doses of morphine. Women being first evaluated at a cancer pain clinic reported more pain “right now” and higher average pain during the past week.  However, a review of their medical charts showed they were getting  less morphine and had higher average pain scores than men.  They were more likely to say that their pain was poorly controlled.

Large Polyps Found More Often in Blacks

Both black men and black women are more likely to have large polyps found during screening colonoscopies than whites.  Results of a large study that collected information from 67 gastrointestinal practices over two years found 6.2 percent of whites and 7.7 percent of blacks had colorectal polyps (adenomas) were larger than 9 millimeters.  These advanced adenomas have the most risk of developing into colon or rectal cancer.

Hair Stylists Promote CRC Screening Via "Shop Talk"

Hair stylists and barbers in South Carolina are delivering a life-saving message to the folks sitting in their chairs — see your doctor about being screened for colorectal cancer.  More than 40 hair care professionals have already been trained in how to help their clients avoid colon and rectal cancer by following screening recommendations.  The goal is to reach at least 100 stylists, each promising to talk to 100 clients.

High Rates of Colorectal Cancer in Alaskan and Northern Plains Native Americans

Although overall colorectal cancer rates are lower Native Americans than in whites, there are significant regional differences that show a marked increase in colorectal cancer in Alaskan Natives and Native Americans who live in the Northwest Plains. Alaskan Natives and Alaskan Indians were twice as likely to have colorectal cancer as non-Hispanic whites, and five times as likely as Native Americans living in the Southwest.  Native Americans in the Northern Plains were diagnosed with colon or rectal cancer about 40 percent more often than whites. Alaska natives also were diagnosed with advanced colorectal cancer almost twice as often as white Americans.

Black Rectal Cancer Patients Less Likely to Receive Recommended Treatment

Despite being referred to specialists at the same rate as whites, African Americans with rectal cancer receive chemotherapy and radiation treatment after surgery less often. Studying SEER (Surveillance, Epidemiology, and End Results) and Medicare data from 1992 through 1999, researchers found no significant difference in the percentage of patients who were referred to either medical or radiation oncologists.  There were fewer referred to both specialists — 49 percent of blacks saw both a radiation and medical oncologist compared to 59 percent of whites.

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