Gastrointestinal cancers among Asian American and Pacific Islander populations

The Lancet Regional Health - Americas, Journal Year: 2025, Volume and Issue: 42, P. 100989 - 100989

Published: Jan. 10, 2025

Language: Английский

Treatment Noncompletion and Shorter Radiation Regimens Among US Patients With Prostate Cancer: A Focus on Asian American and Pacific Islander Patients

The Prostate, Journal Year: 2025, Volume and Issue: unknown

Published: March 31, 2025

ABSTRACT Background Higher rates of radiation therapy (RT) noncompletion may be associated with certain demographic groups in patients prostate cancer (PC). We examined disparities and receipt shorter RT regimens among disaggregated Asian American Pacific Islander the US. Methods performed a retrospective cohort analysis all diagnosed localized PC (2004–2017) National Cancer Database who identified as White, East Asian, Southeast Islander, or South were treated definitive RT. The two primary outcomes 1) treatment 2) receiving regimens. Regression models adjusted for relevant sociodemographic clinical factors. Results analytic was comprised 143,379 [White, n = 140,656 (98.10%); 1,150 (0.80%); 925 (0.65%); 195 (0.14%); 453 (0.32%)]. On multivariable analysis, increased rate compared to White (Southeast vs. White; OR: 1.55 [95% CI: 1.29–1.86], p < 0.001). Geographic region facility within United States also significant, from Atlantic (OR: 1.32 1.24–1.41], 0.001), North Central 1.09 1.03–1.17], 0.007), 1.54 1.41–1.68], West 1.14 1.04–1.24], 0.005) regions had higher comparison New England. Distance facility, presence comorbidities, education attainment significantly impacted well. Additionally, our study reports short course substantially SBRT 2.60 1.10–6.16], 0.030) patients, while Hispanic lower 0.48 0.40–0.57], Furthermore, urban 0.68 0.61–0.76], 0.001) metro 0.50 0.39–0.65], facilities reduced access than rural areas. Patients received Middle 3.28 2.91–3.68], 2.72 2.40–3.09], 1.53 1.34–1.75], 3.07 2.61–3.63], 2.35 2.02–2.75], Mountain 2.45 2.01–2.97], Conclusions This found that patients. access–a traditional therapies–were based on race/ethnicity geographical Our findings emphasize heterogeneous differences amongst diverse support need further research inform targeted interventions.

Language: Английский

Individuals from culturally and linguistically diverse backgrounds have more advanced prostate cancer at diagnosis in Victoria, Australia

Cancer Epidemiology, Journal Year: 2025, Volume and Issue: 97, P. 102827 - 102827

Published: April 23, 2025

The Australian Cancer Plan prioritises individuals from culturally and linguistically diverse (CALD) backgrounds as a focus of interventions aimed at improving cancer care experiences outcomes. We to investigate differences in the National Comprehensive Network (NCCN) risk category classification prostate (PCa) diagnosis between CALD non-CALD populations. included Victorian Prostate Outcomes Registry registrants with PCa (February 2009-August 2022) country-of-birth data. status was defined birth mainly non-English-speaking country versus Australia or English-speaking (MESC). were further sub-grouped by preferred spoken language: non-English-speaking. estimated effect on NCCN categories using partial proportional ordinal logistic regression. There 25,951 individuals: 18,392 (71 %) Australian-born, 5046 (19 2513 (10 MESC-born. Of 4872 preferred-language data, 498 speaking language other than English. Compared Australian-born individuals, presented less low-risk (15 % vs 22 but more high-risk (32 21 metastatic (18 8 disease. had significantly advanced (regional metastatic) disease (adjusted odds ratio [aOR]=1.17, 95 confidence interval [CI]=1.06-1.29). Non-English-speaking (aOR=1.54, CI=1.23-1.94). Individuals greater presenting PCa. Improving early detection for requires investigation underlying factors plan effective interventions.

Language: Английский