Division of Surgical Oncology, Department of Surgery, Brody School of Medicine at East Carolina University, 600 Moye Boulevard, Surgical Oncology Suite, 4S-24, Greenville, NC 27834, USA.
Division of Surgical Oncology, Department of Surgery, Brody School of Medicine at East Carolina University, 600 Moye Boulevard, Surgical Oncology Suite, 4S-24, Greenville, NC 27834, USA.
Surg Oncol Clin N Am. 2022 Jan;31(1):65-79. doi: 10.1016/j.soc.2021.07.008. Epub 2021 Oct 19.
Racial disparities pervade nearly all aspects of management of locoregional colorectal cancer, including time to treatment, receipt of resection, adequacy of resection, postoperative complications, and receipt of neoadjuvant and adjuvant multimodality therapies. Disparate gaps in treatment translate into enduring effects on survivorship, recurrence, and mortality. Efforts to reduce these gaps in care must be undertaken on a multilevel basis and focus on modifiable factors that underlie racial disparity.
种族差异普遍存在于局部结直肠癌管理的几乎所有方面,包括治疗时间、接受切除术、切除的充分性、术后并发症、新辅助和辅助多模式治疗的接受情况。治疗方面的差异差距转化为对生存、复发和死亡率的持久影响。必须在多层次上开展减少这些护理差距的努力,并重点关注构成种族差异的可改变因素。