Department of Surgery, 21640Harbor-UCLA Medical Center, Torrance, CA, USA.
Am Surg. 2022 Dec;88(12):2823-2830. doi: 10.1177/00031348221111513. Epub 2022 Jun 26.
Racial disparities in colorectal cancer for Black patients have led to a significant mortality difference when compared to White patients, a gap which has remained to this day. These differences have been linked to poorer quality insurance and socioeconomic status in addition to lower access to high-quality health care resources, which are emblematic of systemic racial inequities. Disparities impact nearly every point along the colorectal cancer care continuum and include barriers to screening, surgical care, oncologic care, and surveillance. These critical faults are the driving forces behind the mortality difference Black patients face. Health care systems should strive to correct these disparities through both cultural competency at the provider level and public policy change at the national level.
黑人群体与白人群体相比，在结直肠癌方面存在显著的种族差异，导致死亡率存在显著差异，这一差距至今仍未缩小。这些差异与较差的保险质量和社会经济地位有关，此外，还与获得高质量医疗保健资源的机会较少有关，这是系统性种族不平等的典型表现。差异几乎影响结直肠癌护理连续体的每一个环节，包括筛查、手术护理、肿瘤学护理和监测方面的障碍。这些关键缺陷是导致黑人群体面临死亡率差异的主要原因。医疗保健系统应通过在提供者层面提高文化能力以及在国家层面进行公共政策改革，努力纠正这些差异。
