ArticleAdvances in radiation oncology
The pervasive crisis of diminishing radiation therapy access for vulnerable populations in the United States, part 1: African-American patients.
Article in Advances in radiation oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 63 citations in OpenAlex.
- A contemporary nationwide analysis of neoadjuvant regimens for esophageal adenocarcinoma.JTCVS open · 2026Article
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- Underserved communities in the radiation therapy land of plenty - Physicists' perspective.Journal of applied clinical medical physics · 2024Article
- A Medicare Claims Analysis of Racial and Ethnic Disparities in the Access to Radiation Therapy Services.Journal of racial and ethnic health disparities · 2023Article
- Spine Patient Optimal Radiosurgery Treatment for Symptomatic Metastatic Neoplasms (SPORTSMEN): a randomized phase II study protocol.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2023Article
- Racial differences in prevention decision making among U.S. women at high risk of breast cancer: A qualitative study.PloS one · 2023Article
- Navigator utilization among African-American breast cancer patients at a Comprehensive Cancer Center.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2023Article
- Factors Associated With Travel Distance in the Receipt of Proton Breast Radiation Therapy.International journal of particle therapy · 2023Article
- Mediators of Racial Disparities in Heart Dose Among Whole Breast Radiotherapy Patients.Journal of the National Cancer Institute · 2022Article
- Impact of socio-economic factors on radiation treatment after resection of metastatic brain tumors: trends from a private insurance database.Journal of neuro-oncology · 2022Article
- Racial and Ethnic Disparities in Laryngeal Cancer Care.Journal of racial and ethnic health disparities · 2022Review
- Association of Race With Receipt of Proton Beam Therapy for Patients With Newly Diagnosed Cancer in the US, 2004-2018.JAMA network open · 2022Article
- Navigator-assisted hypofractionation (NAVAH) to address radiation therapy access disparities facing African-Americans with breast cancer.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2022Article
- A narrative review of socioeconomic disparities in the treatment of esophageal cancer.Journal of thoracic disease · 2021Review
- Socioeconomic inequality and omission of adjuvant radiation therapy in high-risk, early-stage endometrial cancer.Gynecologic oncology · 2021Article
- Disparities in the use of stereotactic radiosurgery for the treatment of lung cancer brain metastases: a SEER-Medicare study.Clinical & experimental metastasis · 2020Article
- The Relative Importance of Race Compared to Health Care and Social Factors in Predicting Prostate Cancer Mortality: A Random Forest Approach.The Journal of urology · 2019Article
- Racial and Socioeconomic Disparities in Bladder Cancer Survival: Analysis of the California Cancer Registry.Clinical genitourinary cancer · 2019Article
- Primary management of atypical meningioma: treatment patterns and survival outcomes by patient age.Journal of cancer research and clinical oncology · 2018Article
- Disparities in the Utilization of Radiation Therapy for Prostate Cancer in the United States: A Comprehensive Review.Advances in radiation oncologyReview
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionAfrican Americans experience the highest burden of cancer incidence and mortality in the United States and have been persistently less likely to receive interventional care, even when such care has been proven superior to conservative management by randomized controlled trials. The presence of disparities in access to radiation therapy (RT) for African American cancer patients has rarely been examined in an expansive fashion. METHODS AND MATERIALS: An extensive literature search was performed using the PubMed database to examine studies investigating disparities in RT access for African Americans.
resultsA total of 55 studies were found, spanning 11 organ systems. Disparities in access to RT for African Americans were most prominently study in cancers of the breast (23 studies), prostate (7 studies), gynecologic system (5 studies), and hematologic system (5 studies). Disparities in RT access for African Americans were prevalent regardless of organ system studied and often occurred independently of socioeconomic status. Fifty of 55 studies (91%) involved analysis of a population-based database such as Surveillance, Epidemiology and End Result (SEER; 26 studies), SEER-Medicare (5 studies), National Cancer Database (3 studies), or a state tumor registry (13 studies).
conclusionsAfrican Americans in the United States have diminished access to RT compared with Caucasian patients, independent of but often in concert with low socioeconomic status. These findings underscore the importance of finding systemic and systematic solutions to address these inequalities to reduce the barriers that patient race provides in receipt of optimal cancer care.
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Registered trials
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