Cancer in Black Americans

Garfinkel, Lawrence; Poindexter, E B A Cyril; Silverberg, B S Edwin

doi:10.3322/canjclin.30.1.39

Cited by 14 publications

(3 citation statements)

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“…However, after adjustment for stage, treatment, comorbidity, and pathologic and sociodemographic factors, the morbidity for African American women in that study was reduced to 1.3 times that for whites (95% confidence interval [CI], 1.0‐1.8), and not statistically significant. Garfinkel et al found that African American women diagnosed with breast carcinoma had lower 1‐year and 5‐year relative survival rates than white women at any age and stage category at the time of diagnosis 8…”

mentioning

confidence: 99%

Breast carcinoma survival analysis for african american and white women in an equal-access health care system

Wójcik

Spinks

Optenberg

1998

Cancer

141

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In our study, the 5-year risk of death, from any cause, was 1.37 for African American women with breast carcinoma; in other words, the mortality rate for African AmeriThe authors are grateful to Ruth Byers, Staff can women was 24.77% compared with 18.08% for white women. In the latest Officer, U.S. Army Medical Command, for providing many reports and substantial guidance SEER data, the 5-year relative risk of death for African American women compared in the use and management of the Department with white women is 1.86. The mortality rate in SEER is 34.2% for African American of Defense (DoD) Central Tumor Registry women and 18.4% for white women. The survival rate for white DoD beneficiaries (ACTUR).is comparable to that for white women in SEER.CONCLUSIONS. These observations suggest that ready access to medical facilities

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mentioning

confidence: 99%

Breast carcinoma survival analysis for african american and white women in an equal-access health care system

Wójcik

Spinks

Optenberg

1998

Cancer

141

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“…Oddly, the incidence of bladder cancer, which is also a smoking‐related disease, is low33. Black Americans also have a high incidence of pancreatic cancer34, 35, but a large case–control study concluded that their high level of tobacco smoking did not fully explain this increased risk36. The addition of a Western diet rich in animal fat35, nutritional imbalances, high‐risk occupations, limited access to medical care and other socioeconomic factors associated with poverty37 may be responsible.…”

Section: Sporadic Pancreatic Ductal Adenocarcinomamentioning

confidence: 99%

Genetic susceptibility in pancreatic ductal adenocarcinoma

Lochan

Daly

Reeves

et al. 2007

British Journal of Surgery

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“…It disproportionately strikes low-income, elderly, Latina, and African American women. [3][4][5][6][7][8][9][10][11][12] The success of cervical cancer control programs depends on regular screening with the Pap smear test, particularly among high-risk groups. However, a comprehensive cervical cancer screening program by itself is not sufficient in reducing cervical cancer incidence and mortality.…”

Section: Introduction D Uring the Last Three Decades The Unitedmentioning

confidence: 99%

Improving Follow-Up after an Abnormal Pap Smear: Results from a Quasi-Experimental Intervention Study

Kaplan

Bastani

Belin

et al. 2000

Journal of Women's Health & Gender-Based Medicine

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The success of cervical cancer control programs depends on regular screening with the Pap smear test and prompt and appropriate treatment of early neoplastic lesions. Recognizing the potentially grave consequences of lack of follow-up for abnormal Pap smears, numerous intervention studies have tested the impact of a variety of strategies to increase return for follow-up. The majority of these studies were evaluated under controlled experimental conditions. Despite the encouraging findings of these trials, the next step in the research continuum requires that the effectiveness of these interventions be demonstrated in real world settings before full implementation is initiated. We report the results of an evaluation study assessing the combined effectiveness of three intervention modalities found effective in prior randomized studies: a tracking follow-up protocol, transportation incentives, and financial incentives. This study used a before-after, nonequivalent control group design to assess the impact of a multifaceted intervention that included a computerized tracking protocol with transportation and financial incentives. The study was implemented at two major hospitals, two comprehensive health centers (CHC), and nine public health centers (PHC) under the jurisdiction of the Los Angeles County Department of Health Services. One hospital, one CHC, and the four PHC located in the catchment area of the CHC were selected as experimental sites. The control sites - one hospital, one CHC, and five PHC - provided usual care. All women with an abnormal Pap smear at the intervention and control sites were included in the study. The study consisted of a 1-year period of baseline data collection (September 1989-August 1990), followed by a 2(1/2)-year intervention period (September 1990-February 1993). During the intervention period, the intervention protocol was implemented at the experimental sites, and the control sites provided usual care. Overall, we found that the rates of receipt of follow-up care were consistent with those found in similar studies. In contrast to results obtained in these prior randomized trials, we did not find strong and consistent evidence for intervention effects. Significant findings emerged only at the CHC and hospital levels and only for selected years. Results underscore the importance of testing interventions in real world conditions before large-scale implementation is initiated. In addition, this study highlights the challenge of detecting intervention effects in large-scale studies because of the greater measurement difficulties in field studies as compared with controlled experiments.

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Cancer in Black Americans

Cited by 14 publications

References 0 publications

Breast carcinoma survival analysis for african american and white women in an equal-access health care system

Breast carcinoma survival analysis for african american and white women in an equal-access health care system

Genetic susceptibility in pancreatic ductal adenocarcinoma

Improving Follow-Up after an Abnormal Pap Smear: Results from a Quasi-Experimental Intervention Study

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