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Contribution of screening and survival differences to racial disparities in colorectal cancer rates.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Lansdorp-Vogelaar, Iris Kuntz, Karen M. Knudsen, Amy B. Van Ballegooijen, Marjolein Zauber, Ann G. Jemal, Ahmedin
Description	Country affiliation: Netherlands Author Affiliation: Lansdorp-Vogelaar I ( Department of Public Health, Erasmus MC, Rotterdam, The Netherlands. i.vogelaar@erasmusmc.nl)
Abstract	BACKGROUND: Considerable disparities exist in colorectal cancer (CRC) incidence and mortality rates between blacks and whites in the United States. We estimated how much of these disparities could be explained by differences in CRC screening and stage-specific relative CRC survival. METHODS: We used the MISCAN-Colon microsimulation model to estimate CRC incidence and mortality rates in blacks, aged 50 years and older, from 1975 to 2007 assuming they had: (i) the same trends in screening rates as whites instead of observed screening rates (incidence and mortality); (ii) the same trends in stage-specific relative CRC survival rates as whites instead of observed (mortality only); and (iii) a combination of both. The racial disparities in CRC incidence and mortality rates attributable to differences in screening and/or stage-specific relative CRC survival were then calculated by comparing rates from these scenarios to the observed black rates. RESULTS: Differences in screening accounted for 42% of disparity in CRC incidence and 19% of disparity in CRC mortality between blacks and whites. Thirty-six percent of the disparity in CRC mortality could be attributed to differences in stage-specific relative CRC survival. Together screening and survival explained a little more than 50% of the disparity in CRC mortality between blacks and whites. CONCLUSION: Differences in screening and relative CRC survival are responsible for a considerable proportion of the observed disparities in CRC incidence and mortality rates between blacks and whites. IMPACT: Enabling blacks to achieve equal access to care as whites could substantially reduce the racial disparities in CRC burden.
File Format	HTM / HTML
ISSN	10559965
e-ISSN	15387755
DOI	10.1158/1055-9965.EPI-12-0023
Journal	Cancer Epidemiology Biomarkers & Prevention
Issue Number	5
Volume Number	21
Language	English
Publisher	American Association for Cancer Research
Publisher Date	2012-05-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Cancer epidemiology African Continental Ancestry Group Statistics & Numerical Data Colorectal Neoplasms Ethnology Epidemiology European Continental Ancestry Group Health Status Disparities Mortality Early Detection Of Cancer Mass Screening Survival Rate Research Support, N.i.h., Extramural
Content Type	Text
Resource Type	Article
Subject	Epidemiology Oncology

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