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Differences in Stage of Cancer at Diagnosis, Treatment, and Survival by Race and Ethnicity Among Leading Cancer Types
Author(s) -
Chenyue Zhang,
Chenxing Zhang,
Qingliang Wang,
Zhenxiang Li,
Jiamao Lin,
Haiyong Wang
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.2950
Subject(s) - medicine , cancer , stage (stratigraphy) , cohort , epidemiology , odds ratio , breast cancer , logistic regression , paleontology , biology
Key Points Question Do stage of cancer at diagnosis, use of definitive therapy, and survival differ by race/ethnicity among patients with 1 of the most common cancers? Findings In this cohort study of 950 377 patients with cancer, stage at diagnosis, treatment, and survival varied by race and ethnicity. Overall, compared with Asian patients, black patients were more likely to have metastatic disease at diagnosis, black and Hispanic patients were less likely to receive definitive treatment, and white, black, and Hispanic patients had worse odds of cancer-specific and overall survival. Meaning The findings of this study may lead to different management strategies based on race and ethnicity to improve outcomes.

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