Racial differences in colorectal cancer survival in the Detroit Metropolitan Area.

Abstract:

BACKGROUND:Colorectal carcinoma is the second most common cause of cancer death with African Americans having lower survival compared with White Americans. The purpose of this study was to investigate the effect of demographics, clinical factors, and socioeconomic status (SES) on racial disparities in colorectal cancer survival in the Detroit Metropolitan Area. METHODS:The study population included 9078 individuals with primary invasive colorectal cancer identified between 1988 and 1992 through the Surveillance, Epidemiology, and End Results (SEER) program. Demographics, clinical information, and survival were obtained through SEER. SES was categorized using occupation, educational level, and poverty status at the census tract level. Kaplan-Meier survival curves and Cox proportional hazards regression were used to compare overall survival by race. RESULTS:African Americans were more likely to be diagnosed with stage IV disease (P < .001), and to reside within poor census tracts (P < .001) compared with White Americans. Unadjusted analysis showed that African Americans had a significantly higher risk of death compared with their White American counterparts (hazards ratio [HR], 1.13; 95% confidence interval [CI], 1.07-1.20). After adjusting for age, marital status, sex, SES group, TNM stage, and treatment, race was no longer significantly associated with overall survival (HR, 1.00; 95% CI, 0.92-1.09). Similar results were seen with colorectal cancer-specific survival. CONCLUSIONS:Racial disparities in colorectal cancer survival dissipate after adjusting for other demographic and clinical factors. These results can potentially affect medical guidelines regarding screening and treatment, and possibly influence public health policies that can have a positive impact on equalizing racial differences in access to care.

journal_name

Cancer

journal_title

Cancer

authors

Yan B,Noone AM,Yee C,Banerjee M,Schwartz K,Simon MS

doi

10.1002/cncr.24408

subject

Has Abstract

pub_date

2009-08-15 00:00:00

pages

3791-800

issue

16

eissn

0008-543X

issn

1097-0142

journal_volume

115

pub_type

杂志文章

相关文献

CANCER文献大全
  • Cerebral metastases pathology after radiosurgery: a multicenter study.

    abstract:BACKGROUND:To the authors' knowledge, comprehensive human pathologic investigations that explore fundamental radiosurgical effects on metastatic brain tumors are sparse in the literature. The objective of this study was to analyze histopathologic findings in a set of clinically recurrent cerebral metastases after patie...

    journal_title:Cancer

    pub_type: 杂志文章,多中心研究

    doi:10.1002/cncr.21946

    authors: Szeifert GT,Atteberry DS,Kondziolka D,Levivier M,Lunsford LD

    更新日期:2006-06-15 00:00:00

  • Transition of Ki-67 index of uterine cervical tumors during radiation therapy. Immunohistochemical study.

    abstract::Histopathologic and Ki-67-staining features of cancer cells were investigated in biopsy specimens before and during radiation therapy in 29 patients with cervical squamous cell carcinoma. No morphologic changes were observed up to doses of 540 cGy. A few intact cancer cells remained up to doses of 2700 cGy. Moderate c...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19910801)68:3<517::aid-cncr28206

    authors: Nakano T,Oka K

    更新日期:1991-08-01 00:00:00

  • Castleman's disease in POEMS syndrome with elevated interleukin-6.

    abstract::POEMS syndrome is a rare multisystem affliction known for its signs, from which it also takes its acronym name "peripheral neuropathy, organomegaly, endocrinopathy, monoclonal (M) protein, and skin lesions." Our study chronicles the course of this syndrome in a young woman with Castleman's disease (angiofollicular lym...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19920601)69:11<2697::aid-cncr282

    authors: Mandler RN,Kerrigan DP,Smart J,Kuis W,Villiger P,Lotz M

    更新日期:1992-06-01 00:00:00

  • Prostatic cancer after prostatectomy for benign disease.

    abstract::Twenty of 391 newly diagnosed cases of prostatic cancer (5%) had a prior prostatectomy for benign disease. Digital rectal examination in 16 of 19 patients (84%) revealed a significant prostatic abnormality. Continued serial digital rectal examination should be performed routinely after prostatectomy for benign disease...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19860815)58:4<994::aid-cncr28205

    authors: Schwartz I,Wein AJ,Malloy TR,Glick JH

    更新日期:1986-08-15 00:00:00

  • Low cancer incidence and mortality in Utah.

    abstract::Utah cancer mortality for the years 1950-1969 and morbidity for the years 1966-1970 are reported. Utah had 18% fewer cases of cancer than expected based on the Third National Cancer Survey, and 24% fewer cancer deaths than expected based on national mortality data. Cancer sites associated with cigarette smoking and al...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197706)39:6<2608::aid-cncr282039

    authors: Lyon JL,Gardner JW,Klauber MR,Smart CR

    更新日期:1977-06-01 00:00:00

  • Use of concurrent chemotherapy, accelerated fractionation radiation, and surgery for patients with esophageal carcinoma.

    abstract:BACKGROUND:The results of a Phase II study of concurrent chemotherapy and accelerated fractionation radiation therapy followed by surgical resection for patients with both adenocarcinoma and squamous cell carcinoma of the esophagus are presented. Pretreatment and postinduction staging were correlated with pathologic fi...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:

    authors: Adelstein DJ,Rice TW,Becker M,Larto MA,Kirby TJ,Koka A,Tefft M,Zuccaro G

    更新日期:1997-09-15 00:00:00

  • The treatment of mycosis fungoides: adjuvant topical mechlorethamine after electron beam therapy.

    abstract::The feasibility of employing adjuvant topical mechlorethamine after electron beam therapy in the treatment of patients with mycosis fungoides is demonstrated. Patients treated with a planned adjuvant topical mechlorethamine schedule had a median disease-free interval of 25 months compared to 17 months for the group tr...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/1097-0142(197712)40:6<2851::aid-cncr282040

    authors: Price NM,Hoppe RT,Constantine VS,Fuks ZY,Farber EM

    更新日期:1977-12-01 00:00:00

  • Lung cancer in patients younger than 40 years of age.

    abstract::The records of 52 patients younger than 40 years of age who had bronchogenic carcinoma diagnosed between 1965 and 1985 were reviewed. The preponderance of adenocarcinoma (54%), the lower male-female ratio in this age group compared with patients age 40 or older (2:1), the importance of cigarette smoking as a causative...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19910301)67:5<1436::aid-cncr2820

    authors: Jubelirer SJ,Wilson RA

    更新日期:1991-03-01 00:00:00

  • Spleen deflation and beyond: the pros and cons of Janus kinase 2 inhibitor therapy for patients with myeloproliferative neoplasms.

    abstract::The myeloproliferative neoplasms (MPNs) essential thrombocythemia (ET), polycythemia vera (PV), and primary myelofibrosis (MF) are malignancies that frequently harbor the recurrent somatic point mutation JAK2(V617F). The discovery of this mutation has fueled the development of Janus kinase 2 (JAK2) inhibitors. Availab...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.26359

    authors: Quintás-Cardama A,Verstovsek S

    更新日期:2012-02-15 00:00:00

  • The dynamics of prostate specific antigen during watchful waiting of prostate carcinoma: a study of 94 Japanese men.

    abstract:BACKGROUND:For the moment, there is uncertainty about the usefulness of early treatment of localized prostate carcinoma, uncertainty about whether some patients with early cancer can be managed expectantly, and uncertainty about how such patients might be recognized. METHODS:The authors studied serial values of prosta...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.10443

    authors: Vollmer RT,Egawa S,Kuwao S,Baba S

    更新日期:2002-03-15 00:00:00

  • Neutropenic enterocolitis. Clinical diagnosis and treatment.

    abstract::Review of the consultation records of the Gastrointestinal Surgical Oncology service at Roswell Park Memorial Institute from 1982 to 1987 revealed 22 patients with a clinical diagnosis of neutropenic enterocolitis. Ninety-one percent of the patients had hematologic malignancies, and 95% were receiving cytotoxic chemot...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19920101)69:1<17::aid-cncr282069

    authors: Wade DS,Nava HR,Douglass HO Jr

    更新日期:1992-01-01 00:00:00

  • Quantitative imaging of cancer in the postgenomic era: Radio(geno)mics, deep learning, and habitats.

    abstract::Although cancer often is referred to as "a disease of the genes," it is indisputable that the (epi)genetic properties of individual cancer cells are highly variable, even within the same tumor. Hence, preexisting resistant clones will emerge and proliferate after therapeutic selection that targets sensitive clones. He...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/cncr.31630

    authors: Napel S,Mu W,Jardim-Perassi BV,Aerts HJWL,Gillies RJ

    更新日期:2018-12-15 00:00:00

  • Electron microscopy in the diagnosis of malignant schwannoma.

    abstract::Fifteen malignant schwannomas were examined by light and electron microscopy. Five tumors arose in patients with neurofibromatosis and five were contiguous with a peripheral nerve (Group I). Five tumors met neither of these generally accepted diagnostic criteria but were light microscopically seen as compatible with m...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19810915)48:6<1381::aid-cncr2820

    authors: Taxy JB,Battifora H,Trujillo Y,Dorfman HD

    更新日期:1981-09-15 00:00:00

  • Estrogen and progesterone receptors in the prediction of response of breast cancer to endocrine therapy.

    abstract::This review presents our experience with the use of estrogen receptors (ER) and progesterone receptors (PgR) in the prediction of response to endocrine therapy in stage IV breast cancer. Presence of ER (> 3 fmol/mg cytosol protein) significantly predicted response to the antiestrogen tamoxifen and to hypophysectomy. E...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19801215)46:12+<2838::aid-cncr28

    authors: Manni A,Arafah B,Pearson OH

    更新日期:1980-12-15 00:00:00

  • Activation of Src kinase in primary colorectal carcinoma: an indicator of poor clinical prognosis.

    abstract:BACKGROUND:The specific activity of the non-receptor protein tyrosine kinase, Src, is increased in the majority of colon and rectal adenocarcinomas compared to normal mucosa. However, the prognostic significance of this difference is unknown. The objective of the current study was to determine if Src activity is a mark...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.10221

    authors: Aligayer H,Boyd DD,Heiss MM,Abdalla EK,Curley SA,Gallick GE

    更新日期:2002-01-15 00:00:00

  • Anticancer effects of arterial administration of the anticancer agent SMANCS with lipiodol on metastatic lymph nodes.

    abstract::A new method of arterially administering an oily anticancer agent was successfully established for the selective targeting of metastatic lymph nodes. A high molecular weight anticancer agent, a conjugate of copolymer (styrene maleic acid) to neocarzinostatin (SMANCS) was prepared in our laboratory and dissolved in a l...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19870501)59:9<1560::aid-cncr2820

    authors: Ohtsuka N,Konno T,Miyauchi Y,Maeda H

    更新日期:1987-05-01 00:00:00

  • A unique pattern of proto-oncogene abnormalities in ovarian adenocarcinomas.

    abstract::Twelve cases of ovarian adenocarcinoma were studied for alterations in proto-oncogenes, and a unique pattern of altered ras proto-oncogenes was observed. Amplification of ras-Ki was found in three of seven ovarian tumors and amplification of ras-Ha in one of 12. In contrast, ras-Ha amplification was not found in any o...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19881015)62:8<1573::aid-cncr2820

    authors: Zhou DJ,Gonzalez-Cadavid N,Ahuja H,Battifora H,Moore GE,Cline MJ

    更新日期:1988-10-15 00:00:00

  • A prospective evaluation of the durability of palliative interventions for patients with metastatic breast cancer.

    abstract:BACKGROUND:Although systemic therapy for metastatic breast cancer (MBC) continues to evolve, there are scant data to guide physicians and patients when symptoms develop. In this article, the authors report the frequency and durability of palliative procedures performed in the setting of MBC. METHODS:From July 2002 to ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.25034

    authors: Morrogh M,Miner TJ,Park A,Jenckes A,Gonen M,Seidman A,Morrow M,Jaques DP,King TA

    更新日期:2010-07-15 00:00:00

  • The United States experience with oral controlled-release morphine (MS Contin tablets). Parts I and II. Review of nine dose titration studies and clinical pharmacology of 15-mg, 30-mg, 60-mg, and 100-mg tablet strengths in normal subjects.

    abstract::The results of nine US multicenter, sequential crossover, dose titration studies of controlled-release oral morphine (MS Contin 30 mg tablets [MSC], Purdue Frederick, Norwalk, CT) are reviewed in Part I. The studies demonstrated the prolonged analgesic efficacy of the preparation in the treatment of patients with mode...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19890601)63:11<2348::aid-cncr282

    authors: Kaiko RF,Grandy RP,Oshlack B,Pav J,Horodniak J,Thomas G,Ingber E,Goldenheim PD

    更新日期:1989-06-01 00:00:00

  • Loss of efficacy and cost-effectiveness when screening colonoscopy is performed by nongastroenterologists.

    abstract:BACKGROUND:Specialty of the endoscopist has been related to the postcolonoscopy interval risk of colorectal cancer (CRC). However, the impact of such a difference on the long-term CRC prevention rate by screening colonoscopy is largely unknown. METHODS:A Markov model was constructed to simulate the efficacy and cost o...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.27664

    authors: Hassan C,Rex DK,Zullo A,Cooper GS

    更新日期:2012-09-15 00:00:00

  • Tobacco-induced changes in oral leukoplakic epithelium.

    abstract::A study of 112 biopsy specimens from Danish oral leukoplakia patients and 145 biopsy specimens from Indian leukoplakia patients revealed a chevron-like keratinization of the epithelium in a number of cases. Clinically, this type of keratinization was often characterized by a pumice-like appearance. The clinical and hi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19800501)45:9<2330::aid-cncr2820

    authors: Pindborg JJ,Reibel J,Roed-Peterson B,Mehta FS

    更新日期:1980-05-01 00:00:00

  • Production of extracellular matrix-degrading proteinases by primary cultures of human epithelial ovarian carcinoma cells.

    abstract:BACKGROUND:The authors analyzed the secretion of extracellular matrix-degrading proteinases, including urinary-type plasminogen activator (u-PA), matrix metalloproteinase-2 (MMP-2, gelatinase A), and MMP-9 (gelatinase B), by short term primary cultures of epithelial ovarian carcinoma cells derived from primary ovarian ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19971015)80:8<1457::aid-cn

    authors: Fishman DA,Bafetti LM,Banionis S,Kearns AS,Chilukuri K,Stack MS

    更新日期:1997-10-15 00:00:00

  • Combined BCG and irradiation treatment of skin metastases originating from malignant melanoma.

    abstract::Treatment with BCG (Bacillus Calmette-Guérin) followed by irradiation was attempted to improve response to therapy by cutaneous metastases from malignant skin melanomas. Both agents were applied in low doses, known to cause minimal side effects. Nineteen patients, divided into three groups, entered the clinical trial....

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19820915)50:6<1100::aid-cncr2820

    authors: Plesnicar S,Rudolf Z

    更新日期:1982-09-15 00:00:00

  • Comparison of estrogen receptor determinations by a biochemical ligand-binding assay and immunohistochemical staining with monoclonal antibody ER1D5 in females with lymph node positive breast carcinoma entered on two prospective clinical trials.

    abstract:BACKGROUND:The measurement of estrogen receptors (ER) in breast cancer specimens has traditionally been assessed with a dextran-coated charcoal assay (DCCA). More recently the immunohistochemical staining (IHC) method has gained increasing popularity because of its ability to use fixed tissue, assess needle biopsies, a...

    journal_title:Cancer

    pub_type: 杂志文章,多中心研究

    doi:10.1002/(SICI)1097-0142(19960815)78:4<764::AID-CNC

    authors: Alberts SR,Ingle JN,Roche PR,Cha SS,Wold LE,Farr GH Jr,Krook JE,Wieand HS

    更新日期:1996-08-15 00:00:00

  • Radiology and endoscopy in the pretreatment diagnostic management of colorectal cancer.

    abstract::This paper discusses the imaging methods available for the detection and diagnosis of colon cancer, concentrating on endoscopy and barium radiology. Effective utilization of these two methods may be facilitated by using flexible sigmoidoscopy to direct further investigation. There is a need for educational efforts to ...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19930615)71:12+<4198::aid-cncr28

    authors: Stevenson GW

    更新日期:1993-06-15 00:00:00

  • Factors associated with axillary lymph node metastasis from breast carcinoma: descriptive and predictive analyses.

    abstract:BACKGROUND:Although axillary lymph node metastasis is one of the most important prognostic determinants of breast carcinoma prognoses, the reasons why tumors vary in their capability to produce for axillary metastases remain unclear. METHODS:The authors used data from the nationwide Patient Care Evaluation (PCE) surve...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19991015)86:8<1511::aid-cn

    authors: Gann PH,Colilla SA,Gapstur SM,Winchester DJ,Winchester DP

    更新日期:1999-10-15 00:00:00

  • Molecular mechanisms of osteolytic bone metastases.

    abstract:BACKGROUND:Breast carcinoma commonly metastasizes to the skeleton in patients with advanced disease to cause bone destruction and the associated pain, hypercalcemia, fracture, and nerve-compression syndromes. In this scenario, the bone destruction is mediated by the osteoclast. Tumor-produced parathyroid hormone-relate...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(20000615)88:12+<2892::aid-cncr2>

    authors: Guise TA

    更新日期:2000-06-15 00:00:00

  • Multiple cycles of high dose chemotherapy supported by hematopoietic progenitor cells as treatment for patients with advanced malignancies.

    abstract:BACKGROUND:Retrospective studies suggest that dose intensity is an important determinant of outcome in the treatment of patients with a variety of malignant diseases such as breast cancer, ovarian cancer, and lymphoma. Unfortunately, these results have not been clearly substantiated in prospective randomized trials. On...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19950901)76:5<860::aid-cncr28207

    authors: Long GD,Negrin RS,Hoyle CF,Kusnierz-Glaz CR,Schriber JR,Blume KG,Chao NJ

    更新日期:1995-09-01 00:00:00

  • Nucleolar organizer regions in precancerous and cancerous lesions of the bronchus.

    abstract::Using a silver staining technique, nucleolar organizer region-associated proteins (Ag-NOR) were studied in paraffin sections of five specimens of normal bronchial epithelium, eight of atypical squamous metaplasia, five of carcinoma in situ, and seven of microinvasive squamous cell carcinoma. The mean number of Ag-NOR ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19910115)67:2<472::aid-cncr28206

    authors: Abe S,Ogura S,Kunikane H,Suko N,Watanabe N,Nakajima I,Kawakami Y,Inoue K

    更新日期:1991-01-15 00:00:00

  • Dietary strategies for cancer prevention.

    abstract:BACKGROUND:Two-thirds of cancer cases are associated with two lifestyle practices: 35% with the typical American diet, and 30% with tobacco use. In contrast to the field of tobacco control, research and resources dedicated to the field of nutrition have been limited, in part because dietary change has been considered c...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19930801)72:3+<1005::aid-cncr282

    authors: Bal DG,Foerster SB

    更新日期:1993-08-01 00:00:00