Racial and Ethnic Disparities in Interval Colorectal Cancer Incidence

Nicolette J. Rodriguez; Thomas R. McCarty

doi:10.7326/L17-0497

Letters |2 January 2018

Racial and Ethnic Disparities in Interval Colorectal Cancer Incidence

Nicolette J. Rodriguez, MD, MPH; Thomas R. McCarty, MD

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TO THE EDITOR:

Using the National Cancer Institute's SEER (Surveillance, Epidemiology, and End Results) database, Fedewa and colleagues (1) found that black and white patients had similar rates of screening colonoscopy. However, black patients had significantly lower polyp detection rates (PDRs) and a significantly higher risk for interval colorectal cancer (CRC) than white patients.

Previous studies have shown that minority populations are more likely to receive health care in lower socioeconomic settings, which has been associated with worse clinical outcomes (2). Although the higher incidence of CRC may easily be attributed to poor-quality screening colonoscopies, Fedewa and colleagues show that black patients continued to have a higher risk for interval CRC even after adjusting for PDRs. These interesting findings suggest that screening and improved access should not be the sole focus of CRC prevention strategies.

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2018 American College of Physicians

Letters |2 January 2018

Racial and Ethnic Disparities in Interval Colorectal Cancer Incidence

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Letters |2 January 2018

Racial and Ethnic Disparities in Interval Colorectal Cancer Incidence

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