Ethnic disparities in gastric cancer presentation and screening practice in the United States: Analysis of 1997–2010 Surveillance, Epidemiology and End Results-Medicare data
Cancer Epidemiology, Biomarkers & Prevention Mar 31, 2019
Florea A, et al. - Based on race/ethnicity, place of birth, and history of gastric cancer–related conditions, researchers analyzed gastric cancer presentation and screening services among Medicare patients. They derived data on demography, location, and disease staging from the Surveillance, Epidemiology and End Results-Medicare gastric cancer database (1997–2010). From inpatient and outpatient services claims, frequencies of gastric cancer–related conditions (eg, peptic ulcer, gastric ulcer, gastritis) and screening (Helicobacter pylori testing and endoscopy) were compared according to selected race/ethnicity and place of birth. Among Asian/Pacific Islanders, as well as black and Hispanic individuals, the diagnosis of noncardia gastric cancer, associated with H. pylori infection, was more frequent vs non-Hispanic white people. Among all gastric cancer cases, low testing for H. pylori was reported, although these cases had risk factors for which screening is suggested.
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