ArticleAmerican journal of public health2014
Racial disparities in cancer care in the Veterans Affairs health care system and the role of site of care.
Article in American journal of public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 3 of them syntheses that pooled it.
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Who cites it
39 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Equity and Cancer Survival Among Veterans Health Administration Patients: A Systematic Review and Meta-Analysis.JAMA network open · 2026Pooled it
- Comparing Specialty and Primary Palliative Care Interventions: Analysis of a Systematic Review.Journal of palliative medicine · 2020Pooled it
- Utilization of Prostate Cancer Quality Metrics for Research and Quality Improvement: A Structured Review.Joint Commission journal on quality and patient safety · 2019Pooled it
- Effect of an Antiracism Intervention on Racial Disparities in Time to Lung Cancer Surgery.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2022Trial
- Does Race Influence Risk Assessment and Recommendations for Lung Resection? A Randomized Trial.The Annals of thoracic surgery · 2018Trial
- Prognostic consistency of oncotype DX® molecular assay across racial groups in early-stage hormone receptor-positive breast cancer.NPJ breast cancer · 2026Article
- Higher Composite Social Determinants of Health Scores Are Associated With Worse Survival in Patients With Small Bowel Neuroendocrine Tumors.Journal of surgical oncology · 2026Article
- Racialized economic segregation and inequities in treatment initiation and survival among patients with metastatic breast cancer.Breast cancer research and treatment · 2024Article
- Racial and Ethnic Inequities at the Practice and Physician Levels in Timely Next-Generation Sequencing for Patients With Advanced Non-Small-Cell Lung Cancer Treated in the US Community Setting.JCO oncology practice · 2024Article
- Sociodemographic associations with uptake of novel therapies for acute myeloid leukemia.Blood cancer journal · 2023Article
- Health Equity in Patients Receiving Durvalumab for Unresectable Stage III Non-Small Cell Lung Cancer in the US Veterans Health Administration.The oncologist · 2023Article
- Assessing an electronic self-report method for improving quality of ethnicity and race data in the Veterans Health Administration.JAMIA open · 2023Article
- Association between low-income subsidies and inequities in orally administered antimyeloma therapy use.The American journal of managed care · 2023Article
- Mediators of Racial Disparities in Heart Dose Among Whole Breast Radiotherapy Patients.Journal of the National Cancer Institute · 2022Article
- Racial Disparities in the Surgical Treatment of Clinical Stage I Non-Small Cell Lung Cancer Among Veterans.Chest · 2022Article
- Socioeconomic Disparities in Pancreas Cancer Resection and Survival in the Veterans Health Administration.Annals of surgical oncology · 2022Article
- Evaluating the Contribution of Patient-Provider Communication and Cancer Diagnosis to Racial Disparities in End-of-Life Care Among Medicare Beneficiaries.Journal of general internal medicine · 2021Article
- Article
- Differences by Victim Race and Ethnicity in Race- and Ethnicity-Motivated Violent Bias Crimes: A National Study.Journal of interpersonal violence · 2021Article
- Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe assessed cancer care disparities within the Veterans Affairs (VA) health care system and whether between-hospital differences explained disparities.
methodsWe linked VA cancer registry data with VA and Medicare administrative data and examined 20 cancer-related quality measures among Black and White veterans diagnosed with colorectal (n = 12,897), lung (n = 25,608), or prostate (n = 38,202) cancer from 2001 to 2004. We used logistic regression to assess racial disparities for each measure and hospital fixed-effects models to determine whether disparities were attributable to between- or within-hospital differences.
resultsCompared with Whites, Blacks had lower rates of early-stage colon cancer diagnosis (adjusted odds ratio [AOR] = 0.80; 95% confidence interval [CI] = 0.72, 0.90), curative surgery for stage I, II, or III rectal cancer (AOR = 0.57; 95% CI = 0.41, 0.78), 3-year survival for colon cancer (AOR = 0.75; 95% CI = 0.62, 0.89) and rectal cancer (AOR = 0.61; 95% CI = 0.42, 0.87), curative surgery for early-stage lung cancer (AOR = 0.50; 95% CI = 0.41, 0.60), 3-dimensional conformal or intensity-modulated radiation (3-D CRT/IMRT; AOR = 0.53; 95% CI = 0.47, 0.59), and potent antiemetics for highly emetogenic chemotherapy (AOR = 0.87; 95% CI = 0.78, 0.98). Adjustment for hospital fixed-effects minimally influenced racial gaps except for 3-D CRT/IMRT (AOR = 0.75; 95% CI = 0.65, 0.87) and potent antiemetics (AOR = 0.95; 95% CI = 0.82, 1.10).
conclusionsDisparities in VA cancer care were observed for 7 of 20 measures and were primarily attributable to within-hospital differences.
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