ArticleDiseases of the colon and rectum2014
Colon cancer treatment: are there racial disparities in an equal-access healthcare system?
Article in Diseases of the colon and rectum, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 33 citations in OpenAlex.
- The Coptic American Experience: A Cross-Sectional Survey Study of Racial Identity, Perceived Discrimination, and Health Outcomes.Journal of immigrant and minority health · 2026Article
- Statistical Accuracy of Administratively Recorded Race/Ethnicity in the Military Health System and Race/Ethnicity Ascertained via Questionnaire.Journal of racial and ethnic health disparities · 2026Article
- Racial comparisons in treatment of rectal adenocarcinoma and survival in the military health system.JNCI cancer spectrum · 2024Article
- Social Determinants of Health and the Link to Colorectal Cancer Outcomes.Current treatment options in oncology · 2024Review
- Racial disparities in colorectal cancer outcomes and access to care: a multi-cohort analysis.Frontiers in public health · 2024Article
- Diminishing racial disparities in the treatment of colon adenocarcinoma.Surgery in practice and science · 2023Article
- Disparities in utilization of robotic surgery for colon cancer: an evaluation of the U.S. National Cancer Database.Journal of robotic surgery · 2022Article
- Racial Disparities in Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy: Does Aggressive Surgical Treatment Overcome Cancer Health Inequities?Frontiers in oncology · 2022Article
- Disparities in Surgical Oncology: Management of Advanced Cancer.Annals of surgical oncology · 2021Review
- Racial and Ethnic Disparities in COVID-19 Infection and Hospitalization in the Active Component US Military.American journal of public health · 2021Article
- Propensity Score Matching Analysis of the Effect of Payer Status on the Survival of Colon Cancer Patients.Cureus · 2021Article
- Understanding Racial Disparities in Gastrointestinal Cancer Outcomes: Lack of Surgery Contributes to Lower Survival in African American Patients.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021Article
- Racial Comparisons in Timeliness of Colon Cancer Treatment in an Equal-Access Health System.Journal of the National Cancer Institute · 2020Article
- Secondary Breast, Ovarian, and Uterine Cancers After Colorectal Cancer: A Nationwide Population-Based Cohort Study in Korea.Diseases of the colon and rectum · 2018Article
- Inclusion of special populations in clinical research: important considerations and guidelines.Journal of clinical and translational research · 2018Article
- Interferon-γ and Colorectal Cancer: an up-to date.Journal of Cancer · 2018Review
- Availability of Healthcare Resources and Colorectal Cancer Outcomes Among Non-Hispanic White and Non-Hispanic Black Adults.Journal of community health · 2016Article
- Colorectal cancer survival in Jamaica.Annals of medicine and surgery (2012) · 2016Article
- A Prognostic Model to Predict Mortality among Non-Small-Cell Lung Cancer Patients in the U.S. Military Health System.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2015Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundIn the general US population, blacks and whites have been shown to undergo colon cancer treatment at disproportionate rates. Accessibility to medical care may be the most important factor influencing differences in colon cancer treatment rates among whites and blacks.
objectiveWe assessed whether racial disparities in colon cancer surgery and chemotherapy existed in an equal-access health care system. In addition, we sought to examine whether racial differences varied according to demographic and tumor characteristics. DESIGN AND
settingDatabase research using the Department of Defense Military Health System. PATIENTS: Patients included 2560 non-Hispanic whites (NHW) and non-Hispanic blacks (NHB) with colon cancer diagnosed from 1998 to 2007.
main outcome measuresLogistic regression was used to assess the associations between race and the receipt of colon cancer surgery or chemotherapy while controlling for available potential confounders, both overall and stratified by age at diagnosis, sex, and tumor stage.
resultsAfter multivariate adjustment, the odds of receiving colon cancer surgery or chemotherapy for NHBs versus NHWs were similar (OR, 0.75 [95% CI, 0.37-1.53]; OR, 0.79 [95% CI, 0.59-1.04]). In addition, no effect modifications by age at diagnosis, sex, and tumor stage were observed. LIMITATIONS: Treatment data might not be complete for beneficiaries who also had non-Department of Defense health insurance.
conclusionsWhen access to medical care is equal, racial disparities in the provision of colon cancer surgery and chemotherapy were not apparent. Thus, it is possible that the inequalities in access to care play a major role in the racial disparities seen in colon cancer treatment in the general population.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.