The theme for this year's ASCO annual meeting was EQUITY: EVERY PATIENT EVERY DAY EVERYWHERE. I attended a number of sessions including Equality in Care for All Women: Addressing Disparities in Gynecologic Malignancies and Social Determinants, Not Biology: Time to Reappraise Genetics- Based Theories of Racial/Ethnic Cancer Outcome Disparities and More Than the Patient: Structural Racism and Cancer Disparities.
Here are the tweets I posted during the sessions.
Watching: Intersectionality in Cancer Care w/ Dr Brewer. This is a method to understand how "multiple forms of inequity & disadvantage sometimes compound themselves" gather not only demographic data but social determinant data #ASCO21 #gyncsm
— Dee Sparacio (@womenofteal) June 4, 2021
https://twitter.com/womenofteal/status/1400889490294648837?s=20
Equality in Care for All Women:
Addressing Disparities in
Gynecologic Malignancies
#ASCO21 #gyncsm
— Dee Sparacio (@womenofteal) June 4, 2021
Botswana : Developed smart phone app with reminders for treatment etc.
HIV status did not impact cervical cancer survival
20% Women < age 40 - Alter screening guidelines?
2/2 pic.twitter.com/ly3DnsO49X
International Disparities in Gyn cancer
— Dee Sparacio (@womenofteal) June 4, 2021
Dr Das #ASCO21 #gyncsm
Low and Mid income countries have lower HPV vaccination rates.
Africa and Asia have highest gyn cancer incidence.#ovca Access to Parps limited in low - Mid income countries pic.twitter.com/IJ7vMQMYHA
Pierce #ASCO21 #gyncsm
— Dee Sparacio (@womenofteal) June 4, 2021
Data supports molecular differences at the tumor level need to invest
There are differences in tumor mutational burden by race.
Immunotherapies GOG3023 Tisodamab Vindontin mostly white women in trial - are responses the same for all? pic.twitter.com/l42J9QvgoO
Dr Pierce #ASCO21 #gyncsm
— Dee Sparacio (@womenofteal) June 4, 2021
"Toxic individualism" leading to low HPV vaccination rates in the US.
Need better education on HPV and highlight the benefits of vaccine in reducing cervical cancer rates.
Excellent discussion after presentations Drs Grover, DAs, Pierce pic.twitter.com/549Q2ugaQv
Opening Session
.@RheaBoydMD lists ACTIONS to help us become #AntiRacist
— Stephanie Graff, MD, FACP (@DrSGraff) June 5, 2021
1. Create Black Sanctuaries
2. Confront Whiteness#ASCO21 pic.twitter.com/hzg0kVahTU
Social Determinants, Not Biology: Time to Reappraise Genetics-Based Theories of Racial/Ethnic Cancer Outcome Disparities
Prepping for
— Dee Sparacio (@womenofteal) June 6, 2021
Social Determinants, Not Biology: Time to Reappraise Genetics-Based Theories of Racial/Ethnic Cancer Outcome Disparities
Robert Timothy Dess, MD
Marvella Elizabeth Ford, PhD
Nestor F. Esnaola, MD#ASCO21 #gyncsm pic.twitter.com/AOCUSU6mBQ
Robert Timothy Dess, MD
— Dee Sparacio (@womenofteal) June 6, 2021
Ed Session Social Determinants, Not Biology: Time to Reappraise Genetics-Based Theories of Racial/Ethnic Cancer Outcome Disparities
Prostate Cancer
Race is a social construct. Treatment Guidelines have race as risk factor. #ASCO21 pic.twitter.com/UpkvB0oH6M
Social Determinants, Not Biology: Time to Reappraise Genetics-Based Theories of Racial/Ethnic Cancer Outcome Disparities #ASCO21 #gyncsm
— Dee Sparacio (@womenofteal) June 6, 2021
Dr Ford: Biological Association of obesity and cancer. SC case I-95 corridor case study most residents are black, > poverty> Cancer rates pic.twitter.com/7bvM4pLdda
Social Determinants, Not Biology: #ASCO2021 #lcsm
— Dee Sparacio (@womenofteal) June 6, 2021
Nestor F. Esnaola
Patient Navigation may be beneficial @OncNav
Southern lung cancer study in progress 2/2 pic.twitter.com/MzCXWpjhLc
Social Determinants, Not Biology:
— Dee Sparacio (@womenofteal) June 6, 2021
Discussion : #ASCO21
Easier to focus on bio than social determinant impacts . What is driving these issues. Esnaola
Limited wi-fi /Techimpacts telehealth. All need access, do patients need help with monthly data/minutes for cell phone. Ford
More Than the Patient: Structural Racism and Cancer Disparities
Education Session
— Dee Sparacio (@womenofteal) June 8, 2021
Ansell Matter of Life & Death: The legacy of structural racism.
Gap in mortality from BC in Chicago increased from the 1990's to today 62%.
Inequality in Quality!
Chicago improved quality care and navigate to better treatment pic.twitter.com/fPlbBJCuLr
Scarlett Lin Gomez Ed session Health Place and Social Justice #ASCO21 @OncoAlert
— Dee Sparacio (@womenofteal) June 8, 2021
Prostate CA Higher burden
RESPOND :
higher levels of redlining
Racial bias in mortgage lending
among AA men
What to do: Address Data needs, examine neighborhood context pic.twitter.com/bHv7kEhhgo
Jennifer J. Griggs
— Dee Sparacio (@womenofteal) June 8, 2021
Racism in the Oncology Workforce #ASCO21 #gyncsm
Underepresented groups may be invisible as well as hypervisible
There is fatigue in code switching.
It is hard to not unsee what we see with racism. pic.twitter.com/2s6OUuFVzG
Digging deeper into More Than the Patient: Structural Racism and Cancer Disparities#ASCO21
— Dee Sparacio (@womenofteal) June 8, 2021
We need to mindful about inclusion in the workforce and research- Gomez
We need more Native American oncology providers ( there are only 12 in the US) - Griggs pic.twitter.com/ULRCIggf8R
There are so many areas where we all can improve the care for "every patient everywhere" and these open and honest discussions can make these needed changes happen.
Dee
Every Day is a Blessing!
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