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Early stage lung cancer is primarily treated with surgery, often accompanied by radiation and chemotherapy. In more advanced stages of the disease, chemotherapy and surgery may still be used, although the surgery is no longer likely to achieve a cure. Top
Thinkpad (AXcess News) Boston - According to a study by Dana-Farber Cancer Institute researchers, even when they have equal access to specialized care, blacks with potentially curable lung cancer are about half as likely as whites to undergo surgery that could save their lives.
The report notes that 50 percent of all newly diagnosed cancers in men involve those of the prostate, lung and bronchus, and colon and rectum. For women, cancers of the breast, lung and bronchus, and colon and rectum will account for half of the cases diagnosed this year. Mortality rates for all of these have declined, except for lung cancer in women. In men under 40 and women under 20, the leading cause of cancer mortality is leukemia.
Microsoft Designed to identify the causes of racial discrepancies in lung cancer treatment in the United States, the research ruled out unequal access to medical care as the sole explanation. It did show that blacks were somewhat less likely to be offered lung cancer surgery, and were slightly more likely to refuse it than were whites. Overall, the study found that blacks who had equal access to care were 45 percent less likely than whites to have lung cancer surgery.
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Laptop Computers These findings point to a subtle and complex "communications problem" underlying the inequality, said Christopher Lathan, MD, of Dana-Farber and lead author of the report that is published online by the Journal of Clinical Oncology and is schedule to appear in the journal's Jan. 20 print issue. "Something's not happening. There was no specific reason that could be found, but there needs to be more attention paid to the doctor-patient interaction."
People with darker skin are also at higher risk because the skin’s deeper pigmentation reduces the body’s ability to photosynthesize vitamin D. In fact, the UC San Diego folks found that blacks are five times more likely to be deficient than whites – a fact that may explain why black men are at a higher risk of prostate cancer and why black women die from breast cancer more often then white women.
Laptop Computer The generally poorer health of blacks and other racial minorities is often blamed on social and financial obstacles to obtaining medical care. The new study, however, documents that the lower rate of surgery for black lung cancer patients "is not just about access to care or not being physically able to undergo treatment," said Craig Earle, MD, of Dana-Farber and the paper's senior author. "There still seems to be a racial disparity."
----- Arthritis and Arthritic Pain If you are at least 18, have arthritis, and have been diagnosed with heart disease or have its risk factors, you may be eligible to participate in this study. The research site is in Falls Church, Va. Please see //www.centerwatch. cat15.html. Small Cell Lung Cancer small cell lung cancer and have undergone resection, you may be eligible to participate in this study.
Desktop Computer According to the American Cancer Society, lung cancer is the leading cause of cancer deaths among blacks Americans, and blacks have the highest lung cancer mortality rate in the United States. It is estimated that 15,500 blacks will die from lung cancer in the United States in 2005 (accounting for nearly a quarter of all cancer deaths), and that more than 19,000 will be diagnosed with the disease, which is approximately 14 percent of all new cancer cases among blacks.
Notebooks Yet, blacks have been previously found less likely to get surgical treatment. Someone who is diagnosed before the cancer has spread very far - Stage I or II - has up to a 50 percent chance of being alive at five years if surgery is performed. Untreated, the disease is almost always fatal.
Lenovo The researchers, who also included Bridget Neville, MPH, of Dana-Farber, analyzed cancer registry records and insurance claims of 21,219 Medicare-eligible patients diagnosed with non-metastatic lung cancer between 1991 and 2001. With Medicare, inequalities due to insurance coverage were eliminated. Of these patients, 14,224 had undergone invasive procedures to "stage" the disease by its extent, which is a guide to treatment decisions.
Hard Drive The procedures included bronchoscopy, the insertion of a viewing tube into the lungs, and mediastinoscopy and thoracoscopy, where surgeons make incisions in the chest wall under general anesthesia, through which viewing scopes are placed. Blacks were 25 percent less likely than whites to have staging examinations.
Travelstar But even after being referred for and undergoing staging, only 36 percent of blacks - but 50 percent of whites - were among the 6,972 who went on to receive surgical treatment. The difference in surgery rates was 45 percent.
Gateway "We thought that if all the patients had been staged - which suggests that they had access to the appropriate specialists and implies some level of trust in the medical system - that they would have the same rate of surgery," said Lathan. "We were quite surprised to find this was not the case."
Laptop Parts The study did not address cultural factors, but Lathan said blacks might be mistrustful of the medical system and less aware of the potential benefits of the invasive surgery. Lathan, who is black and treats lung cancer patients, added that physicians may be less inclined to try and persuade reluctant black patients to strongly consider the surgery, particularly if a patient lacks good social support during recovery.
Software While urging further study, Lathan advised all patients to "make sure they're getting all the resources they need, even if it means challenging their physicians a little bit." For physicians, he added, "it's really important that we spend as much time thinking about how we communicate with our patients as we do about how to treat them."
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