Racial and ethnic disparities in gastric cancer outcomes: More important than surgical technique?

被引:26
作者
Merchant, Shaila J. [1 ]
Li, Lily [1 ]
Kim, Joseph [1 ]
机构
[1] City Hope Natl Med Ctr, Dept Surg, Div Surg Oncol, Duarte, CA 91010 USA
关键词
Race; Ethnicity; Disparities; Gastric cancer; Gastric adenocarcinoma; LYMPH-NODE DISSECTION; HELICOBACTER-PYLORI INFECTION; RANDOMIZED CONTROLLED-TRIAL; STAGE MIGRATION; HEPATOCELLULAR-CARCINOMA; SOCIOECONOMIC-STATUS; CADHERIN EXPRESSION; AMERICAN PATIENTS; D-2; RESECTIONS; VACA GENOTYPES;
D O I
10.3748/wjg.v20.i33.11546
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Racial and ethnic disparities in cancer care are major public health concerns and their identification is necessary to develop interventions to eliminate these disparities. We and others have previously observed marked disparities in gastric cancer outcomes between Eastern and Western patients. These disparities have long been attributed to surgical technique and extent of lymphadenectomy. However, more recent evidence suggests that other factors such as tumor biology, environmental factors such as Helicobacter pylori infection and stage migration may also significantly contribute to these observed disparities. We review the literature surrounding disparities in gastric cancer and provide data pertaining to potential contributing factors. (C) 2014 Baishideng Publishing Group Inc. All rights reserved.
引用
收藏
页码:11546 / 11551
页数:6
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