Table.
First author |
Year | Sample (N) |
Race/Ethnicity Detail |
Dates of Diagnosis (follow-up time) |
Findings |
---|---|---|---|---|---|
Cooper, G.S. |
2000 | SEER- Medicare cohort (N=5,716) |
94% Non-black 6% Black |
1991 (followed through 1994) |
- 46.9% of blacks obtained a colonoscopy vs. 51.4% among whites and 45% in patients of other races in 3 years (n.s.). |
Elston Lafata, J. |
2001 | Multispeciality HMO, Michigan (N=251) |
63% White 37% Minority - 98% Black - 2% Other |
1990 – 1995 (median follow- up 4 yrs.) |
- White participants more likely to receive colon exam (colonoscopy, barium enema, or sigmoidoscopy) than blacks (RR = 1.43,n.s.). |
Cooper, G.S. |
2004 | SEER- Medicare cohort (N=33.8 million, not limited to cancer survivors) |
87% White 7.81% Black 5.77% Other |
Unknown diagnosis dates, Colonoscopy data from 1999 |
- Annualized rates of colonoscopy surveillance among males was 0.62% among blacks vs. 1.28% among whites (P<0.0001) - Annualized rates of colonoscopy surveillance among females was 0.57% among blacks vs. 0.88% among whites (P<0.0001). |
Ellison, G.L. |
2003 | SEER- Medicare cohort (N=52,105) |
86% White 6% Black 9% Other |
1986-1996 (followed through 1998) |
- Blacks were less likely than whites to have a first colon exam (colonoscopy, endoscopy, barium enema) (RR=0.87, P<0.05 among those diagnosed before 1991 and RR=0.75, P<0.05 among those diagnosed 1991-1996). - Blacks were 9% less likely to have a second colon exam than Whites. - At 18 months post-treatment, colon exams were conducted among 57% of whites, 48% of blacks, and 45% of people of other races. - At 3 years, colon exams were conducted among 67% of whites, 61% of blacks, and 56% of people of other races. - At 5 years, colon exams were conducted among 74% of whites, 70% of blacks, and 63% of people of other races. |
Rulyak, S.J. |
2004 | Group Health Cooperative HMO, Washington (N=1,002) |
93% White 4% Black 4% Other |
1993-1999 (median follow- up 3.6 years) |
- Blacks less likely to receive colon exams (colonoscopy, barium enema, or sigmoidoscopy) than whites (RR=0.70, n.s.). - Asians more likely to receive colon exams compared to white patients (RR=1.37, n.s.). |
Rolnick, S. | 2005 | 11 HMOs in Cancer Research Network, U.S. (N=881) |
75% White 25% Black |
1990-2000 (5 years follow- up) |
- Median time to exam (colonoscopy, barium enema, or sigmoidoscopy) was 14.3 months for whites, 18.7 months for blacks (P=0.0002). - Blacks were less likely to receive first surveillance exam at 1 year (HR=0.47, P=.0008), 3 years (HR=0.55, P<.0001), and 5 years (HR=0.59, P=.0009) post-treatment compared to whites (HR = 0.62, P<0.05). |
Cooper, G.S. |
2008 | SEER- Medicare cohort (N=9,426) |
87% White 6% Black 3% Hispanic 1% Asian 2% Other |
2000-2001 (3.5 years of follow-up) |
- 3-year follow-up guidelines for colonoscopy were met by 65.4% black, 72.9% Hispanic, 74.6% white and 68.7% of patients of other races (P= .001). - Blacks were significantly less likely than whites to undergo colonoscopy within 3 yrs. (OR=0.57, P=0.001) |
Salz, T. | 2010 | Multiregional population- based cohort study in U.S. (N=1,423) |
67% White 18% Black 6% Hispanic 9% Other |
2003-2005 (14 months of follow-up) |
- Blacks and Hispanics were less likely to undergo colonoscopy 14 months post-surgery (47% and45%, respectively) than whites (49%). - Blacks were less likely than whites to receive a colonoscopy in 14 months (OR=0.89, n.s.). - Hispanics were less likely than whites to receive a colonoscopy (OR=0.95, n.s.), and participants of other races were more likely than whites to receive a colonoscopy (OR=1.50, n.s.). |