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African-American
patients with colorectal cancer have a poorer prognosis than white
patients that is not entirely explained by socioeconomic factors
and lack of access to health care, according to University of
Arkansas researchers.
To analyze
the causes of the disparity in survival, the researchers analyzed
the overall survival of African-American and white patients treated
at their institution, taking into account stage of the cancer
at presentation, treatment received, and socioeconomic factors.
The overall
survival of the African-American patients was significantly worse
compared with the white patients, both due to all causes and cancer-related
deaths, the researchers reported in the journal Cancer.
"The
survival difference between African Americans and Caucasians was
not influenced by income, poverty level, and education,"
the researchers reported.
But the researchers
said the African Americans were treated less frequently with chemotherapy
and radiation therapy compared with their white counterparts,
and speculated that these might be key factors in the difference
in outcomes.
"These
factors should be identified and dealt with to improve the health
care of African American patients with various malignant disorders,"
the researchers concluded.
Other
Sources: Cancer
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