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Colorectal Cancer: In the Pursuit of Health Equity.

L. Musselwhite,Folasade P. May,M. Salem,E. Mitchell

Published 2021 in American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting

ABSTRACT

Colorectal cancer mortality has decreased considerably following the adoption of national screening programs, yet, within at-risk subgroups, there continue to be measurable differences in clinical outcomes from variations in screening, receipt of chemotherapy, radiation or surgery, access to clinical trials, research participation, and survivorship. These disparities are well-described and some have worsened over time. Disparities identified have included race and ethnicity, age (specifically young adults), socioeconomic status, insurance access, geography, and environmental exposures. In the context of the COVID-19 pandemic, colorectal cancer care has necessarily shifted dramatically, with broad, immediate uptake of telemedicine, transition to oral medications when feasible, and considerations for sequence of treatment. However, it has additionally marginalized patients with colorectal cancer with historically disparate cancer-specific outcomes; among them, uninsured, low-income, immigrant, and ethnic-minority patients-all of whom are more likely to become infected, be hospitalized, and die of either COVID-19 or colorectal cancer. Herein, we outline measurable disparities, review implemented solutions, and define strategies toward ensuring that all have a fair and just opportunity to be as healthy as possible.

PUBLICATION RECORD

  • Publication year

    2021

  • Venue

    American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting

  • Publication date

    2021-03-01

  • Fields of study

    Medicine

  • Identifiers
    DOI 10.1200/EDBK_321071PMID 34010044
  • External record

    Open on Semantic Scholar

  • Source metadata

    Semantic Scholar, PubMed

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