Evidence map›Paper›PMID 40474584›Full record

ArticleThe Permanente journal2025

Mitigation of Racial and Ethnic Disparities in Surgical Treatment and Outcomes of Metastatic Colorectal Cancer in a Closed Health Care Delivery System.

Claire J Yang, Harry Kim, Michael Tam, Vikram Attaluri, Anna Leung

Abstract read
In one paragraph

Article in The Permanente journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Claire J YangKaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA.ORCID 0009-0003-9268-7195
Harry KimKaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA.
Michael TamKaiser Permanente Riverside Medical Center, Riverside, CA, USA.
Vikram AttaluriKaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA.
Anna LeungKaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies have demonstrated racial and ethnic disparities in the treatment and outcomes of patients with colorectal cancer. However, none of these studies has examined whether these disparities exist in a closed health care delivery system. The aim of this study was to identify racial and ethnic disparities in rates of diagnosis, treatment, and outcomes for patients with colorectal cancer with liver metastasis (CRLM) within the Kaiser Permanente Southern California system.

methodsThe authors performed a retrospective review of 110 adult patients with CRLM who underwent surgery on both sites with curative intent at any Kaiser Permanente Southern California facility between 2010 and 2020. The authors stratified patients by race and ethnicity as Asian/Asian American, Black, Hispanic, or White individuals.

resultsThere was a statistically significant difference in race and ethnicity breakdown between all Kaiser Permanente members and the patients diagnosed with CRLM (

conclusionWithin a closed health care delivery system, racial and ethnic disparities in treatment and outcomes were not observed for surgical patients with CRLM. However, disparities in diagnosis for the Hispanic population persist and should be addressed.

Indexed as

Colorectal NeoplasmsEthnicityHealthcare DisparitiesLiver NeoplasmsRacial GroupsAdultAgedCaliforniaDelivery of Health CareFemaleHispanic or LatinoHumansMaleMiddle AgedRetrospective StudiesTreatment Outcome

Identifiers

PMID40474584
PMCPMC12485250

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LicenceCC BY-NC-ND
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Registered trials

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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.