Effect of an equal‐access military health system on racial disparities in colorectal cancer screening

Changoor, Navin R.; Pak, Linda M.; Nguyen, Louis L.; Bleday, Ronald; Trinh, Quoc‐Dien; Koehlmoos, Tracey Pérez; Learn, Peter A.; Haider, Adil H.; Goldberg, Joel

doi:10.1002/cncr.31637

Cited by 18 publications

(11 citation statements)

References 38 publications

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“…Racial disparities and access to medical care have been increasingly recognized as having a direct impact on disease presentation [20][21][22]. Furthermore, patients undergoing colorectal surgery requiring an ostomy typically use more health care resources and have the potential for more postoperative complications [23,24].…”

Section: Discussionmentioning

confidence: 99%

Racial disparities after stoma construction in colorectal surgery

et al. 2020

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Aim Racial disparities are under‐recognized among patients undergoing colorectal surgery. The purpose of this study was to determine the complication rates and surgical outcomes stratified by race and ethnicity among patients undergoing colorectal surgery with intestinal stoma creation. Method The ACS NSQIP database from 2013 to 2016 was used. Colon, rectum and small bowel cases requiring intestinal stoma creation were selected. Both African‐American and other groups of minority patients were compared with Caucasian patients using a complex multivariable analysis model. Primary outcomes of interest were complication rates, mortality and extended hospital length of stay. Results The study included 38 088 admissions. After multivariable analysis, African‐American patients still had a prolonged length of hospital stay and higher complication rates. Other minorities also had a prolonged length of hospital stay and higher complication rates. Conclusions Both African‐American and other groups of minority patients requiring an ostomy suffer significantly higher postoperative complication rates and a prolonged hospital length of stay, even after comorbidity adjustment. Access to care, socioeconomic status and comorbid disease management are all important factors for minority patients who undergo colorectal surgery requiring intestinal stoma construction.

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Section: Discussionmentioning

confidence: 99%

Racial disparities after stoma construction in colorectal surgery

et al. 2020

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“…Healthcare coverage does not equate to equitable delivery of care, and thus disparities in care delivery may be present within the MHS and contribute to both racial and SES/social class disparities in CKD. Prior research in the MHS has shown some care delivery disparities are present for some 6,31,32 but not other 33,34 care pathways in the MHS.…”

Section: Discussionmentioning

confidence: 95%

“…4,5 Universal healthcare coverage appears to mitigate racial and socioeconomic disparities across numerous health conditions. 6,7 Racial disparities in CKD often persist despite universal access to care, 7,8 and have been attributed to Black-white differences in the presence of high risk APOL1 variants. 8 However, socioeconomic disparities in CKD-which cannot be explained by genetic differences-are also apparent in settings with universal healthcare coverage, including the United Kingdom, Denmark and Australia.…”

Section: Introductionmentioning

confidence: 99%

Racial and Socioeconomic Disparities in CKD in the Context of Universal Health Care Provided by the Military Health System

et al. 2022

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“… 29 However, differences in demographic, social, and contextual factors between the UK primary care population and the MHS population must be acknowledged. The high rates of CKD coding in Black MHS beneficiaries is perhaps unsurprising, given that many Black-White health care disparities that persist in the United States are absent in the MHS, 30 , 31 , 32 , 33 perhaps due to the universal health care coverage provided through the MHS, the high rate of employment for MHS beneficiaries (or their sponsors), and/or differences in clinical cultures and practices.…”

Section: Discussionmentioning

confidence: 99%