Racial Disparities in Rectal Cancer Treatment: A Population-Based Analysis

Arden M. Morris, Kevin Billingsley, Nancy N. Baxter, Laura Mae Baldwin, Michael J. Stamos

Research output: Contribution to journalArticle

97 Citations (Scopus)

Abstract

Hypothesis: We hypothesized that there are significant racial disparities in delivery of care to rectal cancer patients. We examined differential surgical and radiation treatment for these patients and determined whether blacks were less likely than whites to undergo sphincter-sparing procedures, which are associated with a higher quality of life than sphincter-ablating procedures. Design: Cross-sectional cohort study. Patients and Setting: The Surveillance Epidemiology and End Results database provided population-based data for rectal cancer patients who were diagnosed between 1988 and 1999, were older than 35 years, and had no prior colorectal or other pelvic cancer. Main Outcome Measures: Using logistic regression, we compared receipt and type of surgical therapy and radiation therapy, controlling for age, sex, year, geography, stage, and anatomic location. Results: Among 52864 patients, 3851 were black and 44010 were white. Blacks were younger than whites and had more advanced disease (P

Original languageEnglish (US)
Pages (from-to)151-156
Number of pages6
JournalArchives of Surgery
Volume139
Issue number2
DOIs
StatePublished - Feb 2004
Externally publishedYes

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Rectal Neoplasms
Population
Pelvic Neoplasms
Therapeutics
Geography
Epidemiology
Cohort Studies
Radiotherapy
Cross-Sectional Studies
Logistic Models
Quality of Life
Outcome Assessment (Health Care)
Databases
Radiation

ASJC Scopus subject areas

  • Surgery

Cite this

Racial Disparities in Rectal Cancer Treatment : A Population-Based Analysis. / Morris, Arden M.; Billingsley, Kevin; Baxter, Nancy N.; Baldwin, Laura Mae; Stamos, Michael J.

In: Archives of Surgery, Vol. 139, No. 2, 02.2004, p. 151-156.

Research output: Contribution to journalArticle

Morris, Arden M. ; Billingsley, Kevin ; Baxter, Nancy N. ; Baldwin, Laura Mae ; Stamos, Michael J. / Racial Disparities in Rectal Cancer Treatment : A Population-Based Analysis. In: Archives of Surgery. 2004 ; Vol. 139, No. 2. pp. 151-156.
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