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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 3/2018

01-12-2018 | ASO Author Reflections

ASO Author Reflections: African Americans and Rectal Cancer Surgery

Authors: Elliot G. Arsoniadis, MD, Mary R. Kwaan, MD, MPH

Published in: Annals of Surgical Oncology | Special Issue 3/2018

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Excerpt

The use of sphincter-preserving proctectomy instead of permanent colostomy has increased among patients with rectal cancer. This has largely been attributed to improvements in multimodality therapy, including the use of neoadjuvant chemoradiation,1 but a stronger focus on surgical training and technique has been key. Prior studies using the Nationwide Inpatient Sample (NIS) have demonstrated that African American (AA) race is a negative predictor for receipt of sphincter-preserving proctectomy by patients with rectal cancer.2,3 This observation was further supported by similar work using the Surveillance, Epidemiology, and End Results (SEER) database.4 The current study aimed to determine whether AA race still is a risk factor for not receiving sphincter-preserving surgery for rectal cancer in the decade since publication of these prior studies (study period 1998–2012). …
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Ricciardi R, Virnig BA, Madoff RD, Rothenberger DA, Baxter NN. The status of radical proctectomy and sphincter-sparing surgery in the United States. Dis Colon Rectum. 2007;50:1117–9.
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Morris AM, Billingsley KG, Baxter NN, Baldwin LM. Racial disparities in rectal cancer treatment: a population-based analysis. Arch Surg Chicago, IL 1960. 2004;139:151–5; discussion 156.
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Arsoniadis EG, Fan Y, Jarosek S, Gaertner WB, Melton GB, Madoff RD, et al. Decreased use of sphincter-preserving procedures among African Americans with rectal cancer. Ann Surg Oncol. 2018;25:720–8.CrossRefPubMed
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Brady JT, Xu Z, Scarberry KB, Saad A, Fleming FJ, Remzi FH, et al. Evaluating the current status of rectal cancer care in the US: where we stand at the start of the Commission on Cancer’s National Accreditation Program for Rectal Cancer. J Am Coll Surg. 2018;226:881–90.CrossRefPubMed
Metadata
Title
ASO Author Reflections: African Americans and Rectal Cancer Surgery
Authors
Elliot G. Arsoniadis, MD
Mary R. Kwaan, MD, MPH
Publication date
01-12-2018
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue Special Issue 3/2018
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-018-7054-9

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