Racial and regional disparities in lung cancer incidence

Abstract

(SEER) were used for this study; representing 100% of the US population. Age-adjusted incidence rates and 95% confidence intervals for demographic (age, sex, race, ethnicity, and US Census region), and tumor (stage, grade, and histology) characteristics were calculated. RESULTS: During 2004 to 2006, 623,388 people (overall rate of 68.9 per 100,000) were diagnosed with lung cancer in the US. Lung cancer incidence rates were highest among men (86.2), Blacks (73.0), persons aged 70 to 79 years (431.1), and those living in the South (74.7). Among Whites, the highest lung cancer incidence rate was in the South (75.6); the highest rates among Blacks (88.9) and American Indians/ Alaska Natives (65.4) in the Midwest, Asians/Pacific Islanders in the West (40.0), and Hispanics in the Northeast (40.3). CONCLUSIONS: Our findings of racial, ethnic, and regional disparities in lung cancer incidence suggest a need for the development and implementation of more effective culturally specific preventive and treatment strategies that will ultimately reduce the disproportionate burden of lung cancer in the US.

Cultural Factors Associated with Racial Disparities in Lung Cancer Care

“…Asians were classified as nonminority because their results did not differ significantly from those of whites. Patients were grouped according to the tumor, node, metastasis staging criteria on the basis of reviews of medical records (11). Comorbidity information (chronic obstructive pulmonary disease, asthma, heart disease, diabetes, renal disease, liver disease, and depression) was collected by self-report and chart review.…”

“…Provider-related factors such as limited cultural sensitivity, stereotyping, and worse patient-physician communication may also be involved, but supporting evidence regarding these aspects of care is limited (10). Even after controlling for these factors (4,11,12), however, treatment disparities persist, suggesting that patient-level factors, which might be culturally related, may also contribute to lung cancer differences.…”

Surgical Treatment of Extrapulmonary Oligometastatic Non-small Cell Lung Cancer

“…Lung cancer is one of the most common causes of cancerrelated death and is a malignancy with high incidence worldwide [1]. Approximately 80 % of all lung cancers are diagnosed histologically as non-small cell lung cancer (NSCLC), and at the time of diagnosis, a high proportion of patients already suffer from metastatic disease.…”

Racial Differences in Tobacco Cessation and Treatment Usage After Lung Screening: An Examination of the National Lung Screening Trial

“…Previous studies have reported racial disparities in the incidence and mortality of lung cancer in the United States [10][11][12][13]. Black patients with lung cancer are diagnosed at a younger age and with more advanced disease and experience greater mortality than white patients with lung cancer [12][13][14].…”