Late presentation of colorectal cancer in a vulnerable population

Chanda Ho*, Rachel Kornfield, Eric Vittinghoff, John Inadomi, Hal Yee, Ma Somsouk

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

OBJECTIVES:We examined colorectal cancer (CRC) stage at presentation and mortality in a vulnerable population compared with nationally representative data.METHODS:CRC cases were identified from San Francisco General Hospital (SFGH) and the Surveillance Epidemiology and End Results (SEER) database.RESULTS:Fifty-five percent of the SFGH cohort presented with advanced disease, compared with 44% of the SEER cohort. Increased risk of advanced stage at presentation at SFGH compared with SEER was most evident among blacks and Asians. There was weak evidence for worse survival at SFGH compared with SEER overall. This varied by race with poorer survival at SFGH among whites and possibly blacks but some evidence for better survival among Asians. Among CRC patients at SFGH, Asians and Hispanics had better survival than whites and blacks. At SFGH, 44% had a diagnosis of CRC within 1 year of establishing care there. Of those who had established care at SFGH for at least 1 year, only 22% had exposure to CRC screening tests.CONCLUSIONS:These findings allow examination of CRC presentation by ethnicity in vulnerable populations and identify areas where access and utilization of CRC screening can be improved.

Original languageEnglish (US)
Pages (from-to)466-470
Number of pages5
JournalAmerican Journal of Gastroenterology
Volume108
Issue number4
DOIs
StatePublished - Apr 2013
Externally publishedYes

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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