Call on future researchers to move away from a 'race-based' view of cancer disparities to one that seeks ways to measure and modify a person's milieu.
, a unique analysis of studies from the past 60 years involving more than one million patients has shown that when social factors are removed from the picture, prostate-cancer mortality among Black people is similar or lower than that among White men.
However, such simple comparisons might be misleading for researchers trying to assess and remedy healthcare disparities. This is the conclusion of a unique analysis of 60 years' worth of science by Randy Vince, MD, and colleagues. Vince, who is Black, is a urologic oncologist at Case Western Reserve University, Cleveland, Ohio.
The researchers gave each of these studies a score based on how thoroughly the authors had compensated for factors that are known to increase cancer deaths, such as geography, lack of equitable and harmonized insurance benefits, nonstandardized treatment, low income, and poor insurance status. The rationale was that these social determinants of health could be affecting the likelihood of dying from prostate cancer independently of the person's race.
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