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Mitigation of Racial and Ethnic Disparities in Surgical Treatment and Outcomes of Metastatic Colorectal Cancer in a Closed Health Care Delivery System

Year: 2025

Type: article

Abstract: BACKGROUND: Previous studies have demonstrated racial and ethnic disparities in the treatment and outcomes of patients with colorectal cancer. However, none of these studies has examined whether these disparities exist in a closed health care delivery system. The aim of this study was to identify racial and ethnic disparities in rates of diagnosis, treatment, and outcomes for patients with colorectal cancer with liver metastasis (CRLM) within the Kaiser Permanente Southern California system. METHODS: The authors performed a retrospective review of 110 adult patients with CRLM who underwent surgery on both sites with curative intent at any Kaiser Permanente Southern California facility between 2010 and 2020. The authors stratified patients by race and ethnicity as Asian/Asian American, Black, Hispanic, or White individuals. RESULTS: = .9). CONCLUSION: Within a closed health care delivery system, racial and ethnic disparities in treatment and outcomes were not observed for surgical patients with CRLM. However, disparities in diagnosis for the Hispanic population persist and should be addressed.

Source: The Permanente Journal

DOI: 10.7812/tpp/24.178

Authors: Claire J Yang, Harry Kim, Michael Tam, Vikram Attaluri, Anna Leung

Institutions: Kaiser Permanente, Los Angeles Medical Center, Kaiser Permanente West Los Angeles Medical Center, Kaiser Permanente Riverside Medical Center

Language: English

Topic: Colorectal Cancer Surgical Treatments

Subfield: Oncology

Field: Medicine

Domain: Health Sciences

SDGs: Reduced inequalities, Good health and well-being

Open Access status: green

OpenAlex ID: W4411102749

FWCI: 0.373

Cites:

Cited by: 1

Related to: 10