Colorectal cancer disparities: Issues, controversies and solutions

被引：60
作者：
Tammana, Venkata S. [1 ]
Laiyemo, Adeyinka O. [1 ]
机构：
[1] Howard Univ, Coll Med, Dept Med, Div Gastroenterol, Washington, DC 20060 USA
来源：
WORLD JOURNAL OF GASTROENTEROLOGY | 2014年 / 20卷 / 04期
关键词：
Colorectal cancer disparities; Adenomatous polyps; Colon cancer; Colonoscopy; Screening; BLACK-WHITE DIFFERENCES; COLON-CANCER; RACIAL DISPARITIES; AFRICAN-AMERICANS; STAGE; SURVIVAL; MORTALITY; CARE; RISK; CHEMOTHERAPY;
D O I：
10.3748/wjg.v20.i4.869
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Colorectal cancer (CRC) is the second leading cause of cancer related deaths in the United States. There are significant differences in CRC incidence and mortality by race with the highest burden occurring among blacks. The underlying factors contributing to CRC disparities are multiple and complex. Studies have suggested that a higher prevalence of putative risk factors for CRC, limited access to healthcare services, lower utilization of healthcare resources and increased biological susceptibilities contribute to this disparity by race. This article reviews the factors associated with the disproportionally higher burden of CRC among blacks; addresses the controversies regarding the age to begin CRC screening and the screening modality to use for blacks; and proffers solutions to eliminate CRC disparity by race. (C) 2014 Baishideng Publishing Group Co., Limited. All rights reserved.
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收藏
页码：869 / 876
页数：8
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