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

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  • Cooper, G.S.
  • Yuan, Z.
  • Landefeld, C.S.
  • Rimm, A.A.

Abstract

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 Whites 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.

Suggested Citation

  • Cooper, G.S. & Yuan, Z. & Landefeld, C.S. & Rimm, A.A., 1996. "Surgery for colorectal cancer: Race-related differences in rates and survival among medicare beneficiaries," American Journal of Public Health, American Public Health Association, vol. 86(4), pages 582-586.
    • Handle: RePEc:aph:ajpbhl:1996:86:4:582-586_4
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    Cited by:

    1. Malat, Jennifer R. & van Ryn, Michelle & Purcell, David, 2006. "Race, socioeconomic status, and the perceived importance of positive self-presentation in health care," Social Science & Medicine, Elsevier, vol. 62(10), pages 2479-2488, May.
    2. Ho Vivian & Short Marah N. & Ku-Goto Meei-Hsiang, 2012. "Can Centralization of Cancer Surgery Improve Social Welfare?," Forum for Health Economics & Policy, De Gruyter, vol. 15(1), pages 1-25, October.

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