ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2013
Examining potential colorectal cancer care disparities in the Veterans Affairs health care system.
Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
What it found
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Who cites it
24 citing papers in PubMed, 33 citations in OpenAlex.
- Median Income and Clinical Outcomes of Hospitalized Persons With COVID-19 at an Urban Veterans Affairs Medical Center.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026Article
- Quality of Care in Veterans Affairs Health Care System In-Person and National TeleOncology Service-Delivered Care.JCO oncology practice · 2025Article
- Impact of Race and Ethnicity on Clinical Outcomes of CollagenaseThe Permanente journal · 2025Article
- Racial Disparities in Receipt of Guideline-Concordant Care in Older Adults With Early Breast Cancer.JAMA network open · 2024Article
- Racial comparisons in treatment of rectal adenocarcinoma and survival in the military health system.JNCI cancer spectrum · 2024Article
- Summary of Veterans Health Administration Cancer Data Sources.Journal of registry management · 2024Article
- Diagnosis and treatment patterns of Peyronie's disease among different racial, ethnic, and regional groups in the Veterans Affairs healthcare system.International journal of impotence research · 2023Article
- Colorectal cancer adjuvant chemotherapy trends among a nonelderly veteran cohort at a southern veterans health administration.Cancer reports (Hoboken, N.J.) · 2022Article
- Socioeconomic Disparities in Pancreas Cancer Resection and Survival in the Veterans Health Administration.Annals of surgical oncology · 2022Article
- Uptake of KRAS Testing and Anti-EGFR Antibody Use for Colorectal Cancer in the VA.JCO precision oncology · 2021Article
- Outcomes Among Minority Patients With Metastatic Colorectal Cancer in a Safety-net Health Care System.Clinical colorectal cancer · 2020Article
- Veterans Affairs Insurance Disparities for Metastatic Lung Cancer in the Hawaiian Islands.JTO clinical and research reports · 2020Article
- Cancer Among Women Treated in the Veterans Affairs Healthcare System.Journal of women's health (2002) · 2019Article
- Evaluating the urban-rural paradox: The complicated relationship between distance and the receipt of guideline-concordant care among cervical cancer patients.Gynecologic oncology · 2019Article
- Reply to Colon cancer survival in the US Department of Veterans Affairs by race and stage: 2001 through 2009.Cancer · 2018Article
- Changes in the Delivery of Veterans Affairs Cancer Care: Ensuring Delivery of Coordinated, Quality Cancer Care in a Time of Uncertainty.Journal of oncology practice · 2017Article
- A comparison of 12-gene colon cancer assay gene expression in African American and Caucasian patients with stage II colon cancer.BMC cancer · 2016Article
- Availability of Healthcare Resources and Colorectal Cancer Outcomes Among Non-Hispanic White and Non-Hispanic Black Adults.Journal of community health · 2016Article
- Advanced Imaging and Receipt of Guideline Concordant Care in Women with Early Stage Breast Cancer.International journal of breast cancer · 2016Article
- Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
purposeRacial disparities in cancer treatment and outcomes are a national problem. The nationwide Veterans Affairs (VA) health system seeks to provide equal access to quality care. However, the relationship between race and care quality for veterans with colorectal cancer (CRC) treated within the VA is poorly understood. We examined the association between race and receipt of National Comprehensive Cancer Network guideline-concordant CRC care. PATIENTS AND
methodsThis was an observational, retrospective medical record abstraction of patients with CRC treated in the VA. Two thousand twenty-two patients (white, n = 1,712; African American, n = 310) diagnosed with incident CRC between October 1, 2003, and March 31, 2006, from 128 VA medical centers, were included. We used multivariable logistic regression to examine associations between race and receipt of guideline-concordant care (computed tomography scan, preoperative carcinoembryonic antigen, clear surgical margins, medical oncology referral for stages II and III, fluorouracil-based adjuvant chemotherapy for stage III, and surveillance colonoscopy for stages I to III). Explanatory variables included demographic and disease characteristics.
resultsThere were no significant racial differences for receipt of guideline-concordant CRC care. Older age at diagnosis was associated with reduced odds of medical oncology referral and surveillance colonoscopy. Presence of cardiovascular comorbid conditions was associated with reduced odds of medical oncology referral (odds ratio, 0.65; 95% CI, 0.50 to 0.89).
conclusionIn these data, we observed no evidence of racial disparities in CRC care quality. Future studies could examine causal pathways for the VA's equal, quality care and ways to translate the VA's success into other hospital systems.
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