scholarly journals Survival of African American and non‐Hispanic white men with prostate cancer in an equal‐access health care system

Cancer ◽  
2020 ◽  
Vol 126 (8) ◽  
pp. 1683-1690 ◽  
Author(s):  
Paul Riviere ◽  
Elaine Luterstein ◽  
Abhishek Kumar ◽  
Lucas K. Vitzthum ◽  
Rishi Deka ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Health Care ◽  
African American ◽  
Health Care System ◽  
White Men ◽  
Equal Access ◽  
Hispanic White ◽  
Care System

scholarly journals Outcome Disparities in African American Compared with European American Women with ER +HER 2- Tumors Treated within an Equal-Access Health Care System

2016 ◽  
Vol 26 (3) ◽  
pp. 407 ◽  
Author(s):  
Nicholas S. Costantino ◽  
Benjamin Freeman ◽  
Craig D. Shriver ◽  
Rachel E. Ellsworth
Keyword(s):  
Gene Expression ◽  
Health Care ◽  
African American ◽  
Health Care System ◽  
Mortality Rates ◽  
Equal Access ◽  
European American ◽  
American Women ◽  
Pathological Characteristics ◽  
Care System

<p><strong>Purpose: </strong>Breast cancer mortality rates are higher for African American women (AAW) than for any other ethnic group in the United States. Recent reports suggest that outcome disparities between AAW and European American women (EAW) are present in the ER+HER2- subtype. To improve our understanding, pathological characteristics, mortality and molecular profiles from women treated within an equal-access health care system were evaluated. <strong></strong></p><p><strong>Procedures: </strong>All AAW (n=90) and EAW (n=308) with ER+HER2- tumors were identified. Gene expression profiles were generated from primary breast tumors from 57 AAW and 181 EAW. Pathological characteristics, survival and gene expression analysis were evaluated using chi-square analysis, log-rank tests and ANOVA. </p><p><strong>Results: </strong>Tumors from AAW were significantly more likely to be PR-, Ki67+ and of higher grade. Tumor stage, size and lymph node status did not differ significantly, nor did mortality rates (P=.879). At the molecular level, genes PSPHL and CRYBB2P1 were expressed at significantly higher levels in tumor tissues as well as normal stroma and blood from AAW. Polymorphisms controlling expression of each gene were identified with minor allele frequencies differing significantly between populations but not between cases and controls within each population. <strong></strong></p><p><strong>Conclusions: </strong>Survival disparities were not detected in patients with ER+HER2- tumors treated within an equal-access health care system and molecular differences in tumors were not causal. Thus, outcome disparities in AAW with ER+HER2- tumors are largely attributable to socioeconomic factors affecting access to screening and treatment, rather than reflecting underlying biological differences. <em>Ethn Dis. </em>2016;26(3):407-416; doi:10.18865/ed.26.3.407 </p>

RACE SPECIFIC DIFFERENCES IN HISTOPATHOLOGY OF PROSTATE CANCER IN AN EQUAL ACCESS HEALTH CARE SYSTEM

1999 ◽  
pp. 238
Author(s):  
Ronald Ford ◽  
Henry Huffman ◽  
Shahrokh Shariat ◽  
Ralph Fritzsch ◽  
Thomas Rogers ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
Health Care ◽  
Health Care System ◽  
Equal Access ◽  
Care System

Active surveillance for intermediate‐risk prostate cancer in African American and non‐Hispanic White men

Cancer ◽  
2021 ◽  
Author(s):  
P. Travis Courtney ◽  
Rishi Deka ◽  
Nikhil V. Kotha ◽  
Daniel R. Cherry ◽  
Mia A. Salans ◽  
...  
Keyword(s):  
Prostate Cancer ◽  
African American ◽  
Active Surveillance ◽  
White Men ◽  
Intermediate Risk ◽  
Risk Prostate Cancer ◽  
Hispanic White

scholarly journals Engaging African American Veterans with Health Care Access Challenges in a Community Partnered Care Coordination Initiative: A Qualitative Needs Assessment

2018 ◽  
Vol 28 (Supp) ◽  
pp. 475-484
Author(s):  
Adriana Izquierdo ◽  
Michael Ong ◽  
Felica Jones ◽  
Loretta Jones ◽  
David Ganz ◽  
...  
Keyword(s):  
Health Care ◽  
African American ◽  
Los Angeles ◽  
Health Care System ◽  
Health Care Access ◽  
Veterans Health ◽  
Health Administration ◽  
Health Care Environment ◽  
Care Access ◽  
Care System

Background: Little has been written about engaging potentially eligible members of a health care system who are not accessing the care to which they are entitled. Know­ing more about the experiences of African American Veterans who regularly experi­ence health care access challenges may be an important step toward equitable, coordi­nated Veterans Health Administration (VHA) care. This article explores the experiences of African American Veterans who are at risk of experiencing poor care coordination.Design: We partnered with a community organization to recruit and engage Veterans in three exploratory engagement workshops between October 2015 and February 2016.Participants and Setting: Veterans living in South Los Angeles, CaliforniaMain Outcome Measures: Veterans were asked to describe their experiences with community care and the VHA, a division of the US Department of Veterans Affairs (VA). Field notes taken during the workshops were analyzed by community and academic partners using grounded theory methodol­ogy to identify emergent themes.Results: 12 Veterans and 3 family members of Veterans participated in one or more en­gagement workshops. Their trust in the VA was generally low. Positive themes included: Veterans have knowledge to share and want to help other Veterans; and connecting to VA services can result in positive experi­ences. Negative themes included: functional barriers to accessing VA health care services; insensitive VA health care environment; lack of trust in the VA health care system; and Veteran status as disadvantageous for accessing non-VA community services.Conclusions: Veterans living in underserved areas who have had difficulty accessing VA care have unique perspectives on VA services. Partnering with trusted local com­munity organizations to engage Veterans in their home communities is a promising strategy to inform efforts to improve care access and coordination for vulnerable Vet­erans.Ethn Dis. 2018;28(Suppl 2):475-484; doi:10.18865/ed.28.S2.475.

The Impact of Age on Colorectal Cancer Incidence, Treatment, and Outcomes in an Equal-Access Health Care System

2014 ◽  
Vol 57 (3) ◽  
pp. 303-310 ◽  
Author(s):  
Scott R. Steele ◽  
Grace E. Park ◽  
Eric K. Johnson ◽  
Matthew J. Martin ◽  
Alexander Stojadinovic ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Health Care System ◽  
Cancer Incidence ◽  
Equal Access ◽  
Colorectal Cancer Incidence ◽  
The Impact ◽  
Care System
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