A Review of Research on Disparities in the Care of Black and White Patients With Cancer in Detroit
Racial disparities in cancer incidence and outcomes are well-documented in the US, with Black people having higher incidence rates and worse outcomes than White people. In this review, we present a summary of almost 30 years of research conducted by investigators at the Karmanos Cancer Institute’s (...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2021-07-01
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| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2021.690390/full |
| _version_ | 1819153278694326272 |
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| author | Michael S. Simon Michael S. Simon Sreejata Raychaudhuri Lauren M. Hamel Lauren M. Hamel Louis A. Penner Louis A. Penner Kendra L. Schwartz Kendra L. Schwartz Felicity W. K. Harper Felicity W. K. Harper Hayley S. Thompson Hayley S. Thompson Jason C. Booza Jason C. Booza Michele Cote Michele Cote Ann G. Schwartz Ann G. Schwartz Susan Eggly Susan Eggly |
| author_facet | Michael S. Simon Michael S. Simon Sreejata Raychaudhuri Lauren M. Hamel Lauren M. Hamel Louis A. Penner Louis A. Penner Kendra L. Schwartz Kendra L. Schwartz Felicity W. K. Harper Felicity W. K. Harper Hayley S. Thompson Hayley S. Thompson Jason C. Booza Jason C. Booza Michele Cote Michele Cote Ann G. Schwartz Ann G. Schwartz Susan Eggly Susan Eggly |
| author_sort | Michael S. Simon |
| collection | DOAJ |
| description | Racial disparities in cancer incidence and outcomes are well-documented in the US, with Black people having higher incidence rates and worse outcomes than White people. In this review, we present a summary of almost 30 years of research conducted by investigators at the Karmanos Cancer Institute’s (KCI’s) Population Studies and Disparities Research (PSDR) Program focusing on Black-White disparities in cancer incidence, care, and outcomes. The studies in the review focus on individuals diagnosed with cancer from the Detroit Metropolitan area, but also includes individuals included in national databases. Using an organizational framework of three generations of studies on racial disparities, this review describes racial disparities by primary cancer site, disparities associated with the presence or absence of comorbid medical conditions, disparities in treatment, and disparities in physician-patient communication, all of which contribute to poorer outcomes for Black cancer patients. While socio-demographic and clinical differences account for some of the noted disparities, further work is needed to unravel the influence of systemic effects of racism against Black people, which is argued to be the major contributor to disparate outcomes between Black and White patients with cancer. This review highlights evidence-based strategies that have the potential to help mitigate disparities, improve care for vulnerable populations, and build an equitable healthcare system. Lessons learned can also inform a more equitable response to other health conditions and crises. |
| first_indexed | 2024-12-22T15:02:39Z |
| format | Article |
| id | doaj.art-4e38f450b7654c48817c7b17df0a6c1c |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-12-22T15:02:39Z |
| publishDate | 2021-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-4e38f450b7654c48817c7b17df0a6c1c2022-12-21T18:22:04ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2021-07-011110.3389/fonc.2021.690390690390A Review of Research on Disparities in the Care of Black and White Patients With Cancer in DetroitMichael S. Simon0Michael S. Simon1Sreejata Raychaudhuri2Lauren M. Hamel3Lauren M. Hamel4Louis A. Penner5Louis A. Penner6Kendra L. Schwartz7Kendra L. Schwartz8Felicity W. K. Harper9Felicity W. K. Harper10Hayley S. Thompson11Hayley S. Thompson12Jason C. Booza13Jason C. Booza14Michele Cote15Michele Cote16Ann G. Schwartz17Ann G. Schwartz18Susan Eggly19Susan Eggly20Department of Oncology, Wayne State University, Detroit, MI, United StatesPopulation Studies and Disparities Research Program, Karmanos Cancer Institute, Detroit, MI, United StatesDepartment of Hematology/Oncology, Ascension Providence Hospital/Michigan State University College of Human Medicine (MSUCHM), Southfield, MI, United StatesDepartment of Oncology, Wayne State University, Detroit, MI, United StatesPopulation Studies and Disparities Research Program, Karmanos Cancer Institute, Detroit, MI, United StatesDepartment of Oncology, Wayne State University, Detroit, MI, United StatesPopulation Studies and Disparities Research Program, Karmanos Cancer Institute, Detroit, MI, United StatesPopulation Studies and Disparities Research Program, Karmanos Cancer Institute, Detroit, MI, United StatesDepartment of Family Medicine and Public Health Sciences, Wayne State University, Detroit, MI, United StatesDepartment of Oncology, Wayne State University, Detroit, MI, United StatesPopulation Studies and Disparities Research Program, Karmanos Cancer Institute, Detroit, MI, United StatesDepartment of Oncology, Wayne State University, Detroit, MI, United StatesPopulation Studies and Disparities Research Program, Karmanos Cancer Institute, Detroit, MI, United StatesDepartment of Family Medicine and Public Health Sciences, Wayne State University, Detroit, MI, United StatesDepartment of Academic and Student Programs, Wayne State University, Detroit, MI, United StatesDepartment of Oncology, Wayne State University, Detroit, MI, United StatesPopulation Studies and Disparities Research Program, Karmanos Cancer Institute, Detroit, MI, United StatesDepartment of Oncology, Wayne State University, Detroit, MI, United StatesPopulation Studies and Disparities Research Program, Karmanos Cancer Institute, Detroit, MI, United StatesDepartment of Oncology, Wayne State University, Detroit, MI, United StatesPopulation Studies and Disparities Research Program, Karmanos Cancer Institute, Detroit, MI, United StatesRacial disparities in cancer incidence and outcomes are well-documented in the US, with Black people having higher incidence rates and worse outcomes than White people. In this review, we present a summary of almost 30 years of research conducted by investigators at the Karmanos Cancer Institute’s (KCI’s) Population Studies and Disparities Research (PSDR) Program focusing on Black-White disparities in cancer incidence, care, and outcomes. The studies in the review focus on individuals diagnosed with cancer from the Detroit Metropolitan area, but also includes individuals included in national databases. Using an organizational framework of three generations of studies on racial disparities, this review describes racial disparities by primary cancer site, disparities associated with the presence or absence of comorbid medical conditions, disparities in treatment, and disparities in physician-patient communication, all of which contribute to poorer outcomes for Black cancer patients. While socio-demographic and clinical differences account for some of the noted disparities, further work is needed to unravel the influence of systemic effects of racism against Black people, which is argued to be the major contributor to disparate outcomes between Black and White patients with cancer. This review highlights evidence-based strategies that have the potential to help mitigate disparities, improve care for vulnerable populations, and build an equitable healthcare system. Lessons learned can also inform a more equitable response to other health conditions and crises.https://www.frontiersin.org/articles/10.3389/fonc.2021.690390/fulldisparitiesco-morbiditiescancer treatmentphysician-patient communicationsocio-economic |
| spellingShingle | Michael S. Simon Michael S. Simon Sreejata Raychaudhuri Lauren M. Hamel Lauren M. Hamel Louis A. Penner Louis A. Penner Kendra L. Schwartz Kendra L. Schwartz Felicity W. K. Harper Felicity W. K. Harper Hayley S. Thompson Hayley S. Thompson Jason C. Booza Jason C. Booza Michele Cote Michele Cote Ann G. Schwartz Ann G. Schwartz Susan Eggly Susan Eggly A Review of Research on Disparities in the Care of Black and White Patients With Cancer in Detroit Frontiers in Oncology disparities co-morbidities cancer treatment physician-patient communication socio-economic |
| title | A Review of Research on Disparities in the Care of Black and White Patients With Cancer in Detroit |
| title_full | A Review of Research on Disparities in the Care of Black and White Patients With Cancer in Detroit |
| title_fullStr | A Review of Research on Disparities in the Care of Black and White Patients With Cancer in Detroit |
| title_full_unstemmed | A Review of Research on Disparities in the Care of Black and White Patients With Cancer in Detroit |
| title_short | A Review of Research on Disparities in the Care of Black and White Patients With Cancer in Detroit |
| title_sort | review of research on disparities in the care of black and white patients with cancer in detroit |
| topic | disparities co-morbidities cancer treatment physician-patient communication socio-economic |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2021.690390/full |
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