Explaining black-white differences in receipt of recommended colon cancer treatment

Laura Mae Baldwin, Sharon A. Dobie, Kevin Billingsley, Yong Cai, George E. Wright, Jason A. Dominitz, William Barlow, Joan L. Warren, Stephen H. Taplin

    Research output: Contribution to journalArticle

    136 Citations (Scopus)

    Abstract

    Background: Black-white disparities exist in receipt of recommended medical care, including colorectal cancer treatment. This retrospective cohort study examines the degree to which health systems (e.g., physician, hospital) factors explain black-white disparities in colon cancer care. Methods: Data from the Surveillance, Epidemiology, and End Results program; Medicare claims; the American Medical Association Masterfile; and hospital surveys were linked to examine chemotherapy receipt after stage III colon cancer resection among 5294 elderly (≥66 years of age) black and white Medicare-insured patients. Logistic regression analysis was used to identify factors associated with black-white differences in chemotherapy use. All statistical tests were two-sided. Results: Black and white patients were equally likely to consult with a medical oncologist, but among patients who had such a consultation, black patients were less likely than white patients (59.3% versus 70.4%, difference = 10.9%, 95% confidence interval [CI] = 5.1% to 16.4%, P

    Original languageEnglish (US)
    Pages (from-to)1211-1220
    Number of pages10
    JournalJournal of the National Cancer Institute
    Volume97
    Issue number16
    DOIs
    StatePublished - Aug 2005

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    Colonic Neoplasms
    Medicare
    SEER Program
    Therapeutics
    Drug Therapy
    American Medical Association
    Colorectal Neoplasms
    Cohort Studies
    Referral and Consultation
    Retrospective Studies
    Logistic Models
    Regression Analysis
    hydroquinone
    Confidence Intervals
    Physicians
    Health

    ASJC Scopus subject areas

    • Cancer Research
    • Oncology

    Cite this

    Baldwin, L. M., Dobie, S. A., Billingsley, K., Cai, Y., Wright, G. E., Dominitz, J. A., ... Taplin, S. H. (2005). Explaining black-white differences in receipt of recommended colon cancer treatment. Journal of the National Cancer Institute, 97(16), 1211-1220. https://doi.org/10.1093/jnci/dji241

    Explaining black-white differences in receipt of recommended colon cancer treatment. / Baldwin, Laura Mae; Dobie, Sharon A.; Billingsley, Kevin; Cai, Yong; Wright, George E.; Dominitz, Jason A.; Barlow, William; Warren, Joan L.; Taplin, Stephen H.

    In: Journal of the National Cancer Institute, Vol. 97, No. 16, 08.2005, p. 1211-1220.

    Research output: Contribution to journalArticle

    Baldwin, LM, Dobie, SA, Billingsley, K, Cai, Y, Wright, GE, Dominitz, JA, Barlow, W, Warren, JL & Taplin, SH 2005, 'Explaining black-white differences in receipt of recommended colon cancer treatment', Journal of the National Cancer Institute, vol. 97, no. 16, pp. 1211-1220. https://doi.org/10.1093/jnci/dji241
    Baldwin, Laura Mae ; Dobie, Sharon A. ; Billingsley, Kevin ; Cai, Yong ; Wright, George E. ; Dominitz, Jason A. ; Barlow, William ; Warren, Joan L. ; Taplin, Stephen H. / Explaining black-white differences in receipt of recommended colon cancer treatment. In: Journal of the National Cancer Institute. 2005 ; Vol. 97, No. 16. pp. 1211-1220.
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    abstract = "Background: Black-white disparities exist in receipt of recommended medical care, including colorectal cancer treatment. This retrospective cohort study examines the degree to which health systems (e.g., physician, hospital) factors explain black-white disparities in colon cancer care. Methods: Data from the Surveillance, Epidemiology, and End Results program; Medicare claims; the American Medical Association Masterfile; and hospital surveys were linked to examine chemotherapy receipt after stage III colon cancer resection among 5294 elderly (≥66 years of age) black and white Medicare-insured patients. Logistic regression analysis was used to identify factors associated with black-white differences in chemotherapy use. All statistical tests were two-sided. Results: Black and white patients were equally likely to consult with a medical oncologist, but among patients who had such a consultation, black patients were less likely than white patients (59.3{\%} versus 70.4{\%}, difference = 10.9{\%}, 95{\%} confidence interval [CI] = 5.1{\%} to 16.4{\%}, P",
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