Evidence for racial/ethnic disparities in emergency department visits following breast cancer surgery among women in California: a population-based study

Falcone, Mary; Liu, Lihua; Farias, Albert J.; Zhang, Juanjuan; Kang, Irene; Li, Ming; Stern, Mariana C.; Lerman, Caryn

doi:10.1007/s10549-021-06119-5

Cited by 4 publications

(1 citation statement)

References 34 publications

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“…Health risk behaviors are known to cluster and are more likely seen in individuals with lower educational attainment, putting them at greater risk of cancer (11). Type of health insurance, or the lack of it, has contributed to differing rates of early diagnosis, surgery, and cancer outcomes (12)(13)(14). More recently, attention has been focused on environmental factors, such as where people live, in identifying root causes of cancer disparities.…”

Section: Cancer Health Disparitiesmentioning

confidence: 99%

Assessing the Coverage of US Cancer Center Primary Catchment Areas

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McNair

Yurick

et al. 2022

Cancer Epidemiology, Biomarkers &Amp; Prevention

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Background: Cancer centers are expected to engage communities and reduce the burden of cancer in their catchment areas. However, the extent to which cancer centers adequately reach the entire U.S. population is unknown. Methods:We surveyed all members of the Association of American Cancer Institutes (N=102 cancer centers) to document and map each cancer center's primary catchment area.Catchment area descriptions were aggregated to the county level. Catchment area coverage scores were calculated for each county and choropleths generated representing coverage across the U.S. Similar analyses were utilized to overlay U.S. population density, cancer incidence, and cancer mortality compared to each county's cancer center catchment area coverage.Results: Roughly 85% of U.S. counties were included in at least one cancer center's primary catchment area. However, 15% of U.S. counties, or roughly 25 million Americans, do not reside in a catchment area. When catchment area coverage was integrated with population density, cancer incidence, and cancer mortality metrics, geographical trends in both over-and-under coverage were apparent. Conclusion:Geographic gaps in cancer center catchment area coverage exist and may be propagating cancer disparities. Efforts to ensure coverage to all Americans should be a priority of cancer center leadership.Impact: This is the first known geographic analysis and interpretation of the primary catchment areas of all U.S.-based cancer centers and identifies key geographic gaps important to target for disparities reduction.

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Section: Cancer Health Disparitiesmentioning

confidence: 99%