Sherman added that the agency has to balance how much information it demands from drugmakers against the need to get a drug onto the market, where it will be broadly available for all patients. It is worth noting again that most of this large body of evidence on disparities in the diagnosis and treatment of cardiac disease does not reflect problems of primary access to health care, but are based on studies of persons already in the health care system.
After adjusting for socioeconomic status, a study comparing experiences of Hispanic with non-Hispanic patients in California, Florida and New York found that Hispanics were less likely to undergo major procedures in 38 percent of 63 different disease categories Andrews and Elixhauser, What are the most promising or exciting areas of pediatric cancer research?
Drug resistance in patients who relapse after an initial response to treatment is another major problem. In one dialysis center in which 67 percent of the patients were black, 64 percent of those who received a kidney transplant were white. Outcomes of inpatient palliative care consultations among Asian Americans and Pacific Islanders with cancer.
Patient choice accounted for only a very small amount of the variation, and in 90 percent of the cases in which patients did not receive bypass surgery, it was the physician who made the decision not to recommend the procedure.
Archives of Internal Medicine. Racial and ethnic differences in end-of-life costs: Editorials, commentaries, and workshop and conference reports were also reviewed.
Many studies have provided evidence that African American patient preferences, including refusal of or disinterest in the possibility of transplantation, is an important contributor. Kashif Ali, research head at Maryland Oncology Hematology, has spent seven years recruiting patients for about 30 cancer and blood disease trials a year.
Hospice use among urban Black and white U.
Relatively few were based on detailed access to clinical records. Use of major therapeutic procedures: Many pediatric oncology centers are also developing programs to follow patients long term to try to recognize and intervene early to reduce adverse late effects.
What advances in treatment have been made to help address these symptoms and late effects that will help improve quality of life alongside survival?
Merkel Cell Polyomavirus Small T. These studies clearly established that whatever the causes, the experience of minorities within the health care system differed from that of comparable whites across a broad range of disease categories.
A small study of physicians at one teaching hospital found that they felt more confident about giving an overview of clinical trials to white patients than to those of other races or ethnicities Stone et al. Much work is being done now to develop more targeted and novel therapies, and to determine the role of these genetic changes in tumor formation and treatment responsiveness.
Board of Trustees Report Similarly, numerous studies have examined problems of differential treatment of the Inuit people in Canada and emphasized the need for greater cultural competence on the part of physicians. Escarce and Epstein, Ethnic Variation among Cancer Patients Essay - Ethnicity is a term used to distinguish individuals and classify them into groups based on cultural and occasionally physical characteristics.
Feb 12, · Esophageal cancer, or oesophageal cancer, is a lethal variation of cancer globally ranking sixth as the leading cause of cancer-associated deaths and eighth as the most common type of cancer (Pennathur et al. ). Nov 06, · Words: Length: 6 Pages Document Type: Essay Paper #: Skin cancer [ ] disease, its diagnosis, how it is treated, the different forms, and the causes of the disease.
Skin cancer is a growing problem in society because so many people misunderstand it. Dec 26, · Finally, we show that microbial assembly processes exert greater influence over biogeochemical function when there is variation in the relative contributions of dispersal and selection among communities.
Among women diagnosed and treated for DCIS, the percentage of women who died of breast cancer is lower than that for the age-matched population at large.[10,11] This favorable outcome may reflect the benign nature of the condition, the benefits of treatment, or the volunteer effect (i.e., women who undergo breast cancer screening.
Finally, survey data suggest lower rates of advance directive completion among patients of specific ethnic backgrounds, which may reflect distrust of the U.S. health care system, current health.Download