Racial disparities in colorectal cancer recurrence and mortality: equitable care, inequitable outcomes?
Menée aux Etats-Unis à partir de données portant sur 8 176 patients atteints d'un cancer colorectal de stade locorégional et ayant reçu un traitement chirurgical entre 2006 et 2007, cette étude analyse les disparités ethniques dans le risque de récidive et dans la survie globale (durée de suivi : 5 ans)
Racial disparities in cancer survival have persisted over decades and colorectal cancer is no exception.[1] Colorectal cancer occurs in 46 per 100,000 Black Americans compared to 39 per 100,000 non-Hispanic White Americans, with a more pronounced disparity in colorectal cancer deaths at 19 per 100,000 Black Americans vs 14 per 100,000 White Americans.[2] Racial disparities in cancer outcomes can occur as the result of differences in social determinants of health, comorbid conditions, severity of disease presentation, treatment and biological factors. Disentangling the relative contributions of each of these features is critically important because it prioritizes strategies for eliminating disparities.
Journal of the National Cancer Institute , éditorial, 2019