Health Affairs, 28, no. 1 (2009): 160-168
doi: 10.1377/hlthaff.28.1.160
© 2009 by Project HOPE
 
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Cancer

A Matter Of Race: Early-Versus Late-Stage Cancer Diagnosis

Beth A. Virnig, Nancy N. Baxter, Elizabeth B. Habermann, Roger D. Feldman and Cathy J. Bradley

We compared the stage at which cancer is diagnosed and survival rates between African Americans and whites, for thirty-four solid tumors, using the population-based Surveillance Epidemiology and End Results (SEER) database. Whites were diagnosed at earlier stages than African Americans for thirty-one of the thirty-four tumor sites. Whites were significantly more likely than blacks to survive five years for twenty-six tumor sites; no cancer site had significantly superior survival among African Americans. These differences cannot be explained by screening behavior or risk factors; they point instead to the need for broad-based strategies to remedy racial inequality in cancer survival.


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