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Research Article
Racial differences in tumor stage and survival for colorectal cancer in an insured population†
Article first published online: 21 DEC 2006
DOI: 10.1002/cncr.22437
Copyright © 2006 American Cancer Society
Additional Information
How to Cite
Doubeni, C. A., Field, T. S., Buist, D. S.M., Korner, E. J., Bigelow, C., Lamerato, L., Herrinton, L., Quinn, V. P., Hart, G., Hornbrook, M. C., Gurwitz, J. H. and Wagner, E. H. (2007), Racial differences in tumor stage and survival for colorectal cancer in an insured population. Cancer, 109: 612–620. doi: 10.1002/cncr.22437
- †
This research was made possible by the cooperation of the participating Cancer Research Network members. We are particularly grateful to Donald J. Bachman, MS; Jennifer Ellis, MSPH; Hassan Fouayzi, MS; Rick Krajenta; Liyan Liu, MSPH; Janis Yao, MS; and Fagen Xie, PhD, whose collective work in building the Cancer Research Network's Virtual Data Warehouse made this research project possible.
Publication History
- Issue published online: 19 JAN 2007
- Article first published online: 21 DEC 2006
- Manuscript Accepted: 9 NOV 2006
- Manuscript Revised: 6 NOV 2006
- Manuscript Received: 24 AUG 2006
Funded by
- Funding from the National Cancer Institute to the Cancer Research Network. Grant Number: U19 CA079689
- National Cancer Institute to the Cancer Research Network. Grant Number: U19 CA079689-06
- American Cancer Society. Grant Number: CRTG-03-024-01-CCE
REFERENCES
- 1American Cancer Society. Cancer Facts and Figures 2006. Atlanta, Ga: American Cancer Society; 2006.
- 2,,,,,. Natural history of untreated colonic polyps. Gastroenterology. 1987; 93: 1009–1013.
- 3,,, et al. Genetic alterations during colorectal-tumor development. N Engl J Med. 1988; 319: 525–532.
- 4,,, et al. Prevention of colorectal cancer by colonoscopic polypectomy.The National Polyp Study Workgroup. N Engl J Med. 1993; 329: 1977–1981.
- 5American Cancer Society. Colorectal Cancer Facts and Figures- Special Edition 2005. Atlanta: American Cancer Society; 2005: 1–24.
- 6,,,. Differences in colorectal carcinoma stage and survival by race and ethnicity. Cancer. 2005; 104: 629–639.Direct Link:
- 7,,,,. Cancer survival among US whites and minorities: a SEER (Surveillance, Epidemiology, and End Results) Program population-based study. Arch Intern Med. 2002; 162: 1985–1993.
- 8,,, et al. Annual report to the nation on the status of cancer, 1975–2001, with a special feature regarding survival. Cancer. 2004; 101: 3–27.Direct Link:
- 9,,,. Racial differences in the outcome of patients with colorectal carcinoma. Cancer. 2003; 97: 493–498.Direct Link:
- 10,,, et al. Determinants of black/white differences in colon cancer survival. J Natl Cancer Inst. 1995; 87: 1686–1693.
- 11,,. Type of health care coverage and the likelihood of being screened for cancer. Med Care. 1998; 36: 636–645.
- 12,,. Colorectal cancer model of health disparities: understanding mortality differences in minority populations. J Clin Oncol. 2006; 24: 2179–2187.
- 13,. Racial and ethnic disparities in the receipt of cancer treatment. J Natl Cancer Inst. 2002; 94: 334–357.
- 14,,,,. Does Managed Care Work for Medicare? An Evaluation of the Medicare Risk Program for HMOs. Princeton, NJ: Mathematica Policy Research; 1993.
- 15,,. Differences in rates of cancer screening by usual source of medical care. Data from the 1987 National Health Interview Survey. Med Care. 1991; 29: 196–209.
- 16,,, et al. Cost and outcomes of Medicare reimbursement for HMO preventive services. Health Care Finance Rev. 1999; 20: 25–43.
- 17,,,. The association between health care coverage and the use of cancer screening tests. Results from the 1992 National Health Interview Survey. Med Care. 1998; 36: 257–270.
- 18,,,. Healthcare system factors and colorectal cancer screening. Am J Prev Med. 2002; 23: 28–35.
- 19,,,. Stage of cancer at diagnosis for Medicare HMO and fee-for-service enrollees. Am J Public Health. 1994; 84: 1598–1604.
- 20,,, et al. Disparities and survival among breast cancer patients. J Natl Cancer Inst Monogr. 2005; 2005: 88–95.
- 21,,, et al. Building a virtual cancer research organization. J Natl Cancer Inst Monogr. 2005; 2005: 12–25.
- 22National Cancer Institute. Introduction to Summary Staging. In: YoungJLJ, RoffersSD, RiesLAG, FritzAG, HurlbutAA, eds. SEER Summary Staging Manual-2000: Codes and Coding Instructions. National Cancer Institute, NIH pub. no. 01–4969. 2006 vol. Bethesda, Md: National Cancer Institute; 2001: 2–15. Available at URL: http://seer.cancer.gov./tools/ssm/ Accessed December 11, 2006.
- 23,,,. Influence of death certificate errors on cancer mortality trends. J Natl Cancer Inst. 1993; 85: 1063–1068.
- 24,,. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992; 45: 613–619.
- 25
- 26,,,,,. Effects of health insurance and race on colorectal cancer treatments and outcomes. Am J Public Health. 2000; 90: 1746–1754.
- 27,,,,. American Cancer Society guidelines for screening and surveillance for early detection of colorectal polyps and cancer: update 1997.American Cancer Society Detection and Treatment Advisory Group on Colorectal Cancer. CA Cancer J Clin. 1997; 47: 154–160.Direct Link:
- 28,. Racial disparities in the use of and indications for colorectal procedures in Medicare beneficiaries. Cancer. 2004; 100: 418–424.Direct Link:
- 29,. Receipt of colorectal testing prior to colorectal carcinoma diagnosis. Cancer. 2005; 103: 696–701.Direct Link:
- 30
- 31,,,,. Are minority children the last to benefit from a new technology? Technology diffusion and inhaled corticosteriods for asthma. Med Care. 2006; 44: 81–86.
- 32,,. Technology diffusion, hospital variation, and racial disparities among elderly Medicare beneficiaries: 1989–2000. Med Care. 2005; 43: 320–329.
- 33,,,. Race, treatment, and survival among colorectal carcinoma patients in an equal-access medical system. Cancer. 1998; 82: 2312–2320.Direct Link:
- 34,,. Survival of colorectal cancer patients hospitalized in the Veterans Affairs Health Care System. Am J Gastroenterol. 2003; 98: 1186–1192.Direct Link:
- 35,,, et al. Outcomes among African-Americans and Caucasians in colon cancer adjuvant therapy trials: findings from the National Surgical Adjuvant Breast and Bowel Project. J Natl Cancer Inst. 1999; 91: 1933–1940.
- 36,,, et al. Prognosis after rectal cancer in blacks and whites participating in adjuvant therapy randomized trials. J Clin Oncol. 2003; 21: 413–420.
- 37,,, et al. Outcomes and toxicity in African-American and Caucasian patients in a randomized adjuvant chemotherapy trial for colon cancer. J Natl Cancer Inst. 2002; 94: 1160–1167.
- 38,,, et al. The effect of Medicare health care delivery systems on survival for patients with breast and colorectal cancer. Cancer Epidemiol Biomarkers Prev. 2006; 15: 769–773.
- 39,,, et al. Survival and treatment for colorectal cancer Medicare patients in two group/staff health maintenance organizations and the fee-for-service setting. Med Care Res Rev. 1999; 56: 177–196.
- 40,,. A population-based study of survival among elderly persons diagnosed with colorectal cancer: does race matter if all are insured? [United States]. Cancer Causes Control. 2004; 15: 193–199.
- 41
- 42,,,,. Race, socioeconomic status and stage at diagnosis for five common malignancies. Cancer Causes Control. 2003; 14: 761–766.
- 43,,,. Patient race/ethnicity and quality of patient-physician communication during medical visits. Am J Public Health. 2004; 94: 2084–2090.
- 44,,,,,. Barriers to colorectal cancer screening: a comparison of reports from primary care physicians and average-risk adults. Med Care. 2005; 43: 939–944.
- 45,,. Factors associated with colon cancer screening: the role of patient factors and physician counseling. Prev Med. 2005; 41: 23–29.
- 46,,, et al. Patients' perceptions of quality of care for colorectal cancer by race, ethnicity, and language. J Clin Oncol. 2005; 23: 6576–6586.
- 47,,. Attitudes about racism, medical mistrust, and satisfaction with care among African American and white cardiac patients. Med Care Res Rev. 2000; 57( suppl 1): 146–161.
- 48. Experience of primary care by racial and ethnic groups in the United States. Med Care. 1999; 37: 1068–1077.
- 49,. Experience of primary care by racial and ethnic groups. Med Care. 2000; 38: 447–448.
- 50,,,. The prognosis of T3N0 colon cancer is dependent on the number of lymph nodes examined. Ann Surg Oncol. 2003; 10: 65–71.

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