ArticleBMC cancer2014
Missed opportunities: racial and neighborhood socioeconomic disparities in emergency colorectal cancer diagnosis and surgery.
Article in BMC cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.
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
32 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- Determinants of emergency presentation in patients with colorectal cancer: a systematic review and meta-analysis.Scientific reports · 2022Pooled it
- Emergency diagnosis of multiple myeloma: a SEER-Medicare study.Cancer causes & control : CCC · 2026Article
- Long-term poverty, rurality, and geographic disparities in colorectal cancer: a spatial analysis in Texas.Cancer causes & control : CCC · 2026Article
- Article
- Colorectal Cancer Screening and Mortality Trends in the United States Over 25 Years: A Story of Success and Inequity.Digestive diseases and sciences · 2026Article
- Long-Term Poverty, Rurality, and Geographic Disparities in Colorectal Cancer: A Spatial Analysis in Texas.Research square · 2026Article
- Emergency cancer diagnosis in older adults: patterns, subgroups, and implications for health-care quality metrics.JNCI cancer spectrum · 2026Article
- Socioeconomic disparities in colorectal cancer oncologic emergencies: a nationwide multilevel analysis in Japan.International journal of clinical oncology · 2025Article
- Health Equity and Emergency Colorectal Surgery in the United States: A Scoping Review.The Journal of surgical research · 2025Article
- Analysis of Risk Factors, Treatment Patterns, and Survival Outcomes After Emergency Presentation With Colorectal Cancer: A Prospective Multicenter Cohort Study in Nigeria.Journal of surgical oncology · 2025Article
- Exploring rural-urban differences in the receipt of nonelective cancer-specific gastrointestinal surgery using a multilevel mixed-effects approach.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2025Article
- Examining the Cost-Effectiveness of Introducing Patient Navigation Services for Colorectal Cancer Screening Among a Low-Income and Uninsured Population.Health services insights · 2025Article
- Interaction of Insurance and Neighborhood Income on Operative Colorectal Cancer Outcomes Within a National Database.The Journal of surgical research · 2024Article
- Predicting the Future by Studying the Past for Patients With Cancer Diagnosed in the Emergency Department.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024Article
- Development and Implementation of a Digital Quality Measure of Emergency Cancer Diagnosis.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024Article
- Emergency department involvement in the diagnosis of cancer among older adults: a SEER-Medicare study.JNCI cancer spectrum · 2024Article
- National analysis of racial disparities in emergent surgery for colorectal cancer.Surgery open science · 2024Article
- Colorectal Cancer Incidence, Inequalities, and Prevention Priorities in Urban Texas: Surveillance Study With the "surveil" Software Package.JMIR public health and surveillance · 2022Article
- Disparities in outcomes among patients diagnosed with cancer in proximity to an emergency department visit.Scientific reports · 2022Observational
- Nationwide cohort study of the impact of education, income and social isolation on survival after acute colorectal cancer surgery.BJS open · 2020Observational
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundDisparities by race and neighborhood socioeconomic status exist for many colorectal cancer (CRC) outcomes, including screening use and mortality. We used population-based data to determine if disparities also exist for emergency CRC diagnosis and surgery.
methodsWe examined two emergency CRC outcomes using 1992-2005 population-based U.S. SEER-Medicare data. Among CRC patients aged ≥66 years, we examined racial (African American vs. white) and neighborhood poverty disparities in two emergency outcomes defined as: 1) newly diagnosed CRC or 2) CRC surgery associated with: obstruction, perforation, or emergency inpatient admission. Multilevel logistic regression (patients nested in census tracts) analyses adjusted for sociodemographic, tumor, and clinical covariates.
resultsOf 83,330 CRC patients, 29.1% were diagnosed emergently. Of 55,046 undergoing surgery, 26.0% had emergency surgery. For both outcomes, race and neighborhood poverty disparities were evident. A significant race by poverty interaction (p < .001) was noted: poverty rate was associated with both outcomes among African Americans, but not whites. Compared to whites in low poverty (<10%) neighborhoods, African Americans in high poverty (≥20%) neighborhoods had increased odds of emergency diagnosis (AOR: 1.50, 95% CI: 1.38-1.63) and surgery (AOR: 1.63, 95% CI: 1.47-1.81).
conclusionsEmergency CRC outcomes are associated with high poverty residence among African Americans in this population-based study, potentially contributing to observed disparities in CRC morbidity and mortality. Targeted efforts to increase CRC screening among African Americans living in high poverty neighborhoods could reduce preventable disparities.
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