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Surgery for colorectal cancer: Race-related differences in rates and survival among Medicare beneficiaries.

Surgery for colorectal cancer: Race-related differences in rates and survival among Medicare... Surgery for colorectal cancer: Race-related differences in rates and survival among Medicare beneficiaries. G S Cooper , Z Yuan , C S Landefeld and A A Rimm Division of Gastroenterology, University Hospitals of Cleveland, Cleveland, OH 44106, USA. This study examined surgery for colorectal cancer among Medicare beneficiaries 65 years of age or older with an initial diagnosis in 1987 (n = 81 579). Black patients were less likely than White to undergo surgical resection (68% vs 78%), even after age, comorbidity, and location and extent of tumor were controlled for. Among those who underwent resection, Black patients were more likely to die (a 2-year mortality rate of 40.0% vs 33.5% in White patients); this disparity also remained after confounders had been controlled. The disparities were similar in teaching and nonteaching hospitals and in private and public hospitals. These data may indicate racially based differences among Medicare beneficiaries in access to and quality of care for colorectal cancer. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Public Health American Public Health Association

Surgery for colorectal cancer: Race-related differences in rates and survival among Medicare beneficiaries.

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References (9)

Publisher
American Public Health Association
Copyright
Copyright © 1996 by the American Public Health Association
ISSN
0090-0036
eISSN
1541-0048
DOI
10.2105/AJPH.86.4.582
Publisher site
See Article on Publisher Site

Abstract

Surgery for colorectal cancer: Race-related differences in rates and survival among Medicare beneficiaries. G S Cooper , Z Yuan , C S Landefeld and A A Rimm Division of Gastroenterology, University Hospitals of Cleveland, Cleveland, OH 44106, USA. This study examined surgery for colorectal cancer among Medicare beneficiaries 65 years of age or older with an initial diagnosis in 1987 (n = 81 579). Black patients were less likely than White to undergo surgical resection (68% vs 78%), even after age, comorbidity, and location and extent of tumor were controlled for. Among those who underwent resection, Black patients were more likely to die (a 2-year mortality rate of 40.0% vs 33.5% in White patients); this disparity also remained after confounders had been controlled. The disparities were similar in teaching and nonteaching hospitals and in private and public hospitals. These data may indicate racially based differences among Medicare beneficiaries in access to and quality of care for colorectal cancer.

Journal

American Journal of Public HealthAmerican Public Health Association

Published: Apr 1, 1996

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