With that role in mind I took some time during the ASCO annual meeting to review studies related to cancer disparities. Here are just a few of the studies I viewed.
Impact of Obesity Ovarian Cancer#6089 Uterine cancer histology and stage at presentation in black & white women:— Dee Sparacio (@womenofteal) May 29, 2020
A cohort study of 488,000
Compared to white women black women are more likely to be dx with serous, clear cell,carcinosarcoma, leiomyosarcomas at adv stages #gyncsm #ASCO20 #OVCA #cancerdisparity
"Obese patients were more likely to experience carboplatin under dosing in the neoadjuvant and adjuvant setting. No association with survival was observed for dose reduction and BMI #gyncsm #ASCO20 #OVCA #cancerdisparity 2/2— Dee Sparacio (@womenofteal) May 29, 2020
Opiod Access / End Of Life Care
Fleishman: Health Services Research and Quality Improvement Highlights #ASCO20— Dee Sparacio (@womenofteal) May 31, 2020
Racial / ethnic disparities in Opiod Access at EOL
Reducing implicit bias is still a challenge ; calls to pharmacy may help alleviate issue#cancerdisparity #Healthservices pic.twitter.com/Y5Kph11K5t
Gender based disparities in clinical trials
Abstract # 2058
2/2— Dee Sparacio (@womenofteal) May 31, 2020
Of the trials lacking balance, the vast majority (80%) had under-representation of women.
Early phase > #disparity
future work: Why is there underrepresentation of women?
Is it time? child care issues? travel? Lots more to learn #ASCO20
Survival outcomes by race minimally invasive versus open surgery
Are outcomes better if open radical hysterectomy used?— Dee Sparacio (@womenofteal) May 31, 2020
Data from Nat Cancer Database-
Black women with open radical hysterectomy have lower survival than white women who had MIS . #ASCO20 #gyncsm #disparity 2/2
Geography and Cancer Care"The cohort of women with high #financialToxicity demonstrated higher mean scores on screening measures for depression and anxiety as well as persistently lower quality of life." #gyncsm #ASCO20 #ovariancancer https://t.co/J0EGQlyjRI pic.twitter.com/Yk8lq2DO4f— Fumiko Ladd Chino, MD (@fumikochino) May 29, 2020
This study assessed overall survival (OS) of patients with all cancers, chronic myeloid leukemia (CML), and lung cancer while assessing distance from each county to the one (NCI-CC) in Georgia. Researchers conclude that disparity in cancer care exists between geographic conditions.
Black and white disparities in triple negative breast cancer ... Nurses’ Health Study
This study examined disparities in triple negative breaset cancer by socioeconomic position, reporductive factors and diabete. " observed racial differences in TNBC diagnoses may be at least partially mediated by differences in socioeconomic position and reproductive patterns, namely breastfeeding."
Breast and cervical cancer screening disparities among transgender patients
About 1 million Americans identify as transgender. Limited primary care access and poor adherence to breast and cervical cancer screening are evident for transgender populations.
I look forward to next year's annual meeting whose theme was announce by incoming ASCO President , Dr Lori Pierce.
We as advocates have a role to play to insure all patients receive appropriate and timely cancer care.I’ve been interested throughout my whole career in how to best create #equity in cancer care for all patients. So, I'm excited to introduce my @ASCO presidential theme, Equity: Every Patient. Every Day. Everywhere. pic.twitter.com/X8W3Qn8R9R— Lori J. Pierce, MD, FASTRO, FASCO (@ASCOPres) June 1, 2020
Every Day is a Blessing!