Medical College of Wisconsin
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Breast and Colorectal Cancer Survival Disparities in Southeastern Wisconsin. WMJ 2016 Feb;115(1):17-21 PMID: 27057575

Pubmed ID

27057575

Abstract

BACKGROUND: Cancer health disparities by race, ethnicity, socioeconomic status, and geography are a top public health priority. Breast and colorectal cancer, in particular, have been shown to exhibit significant disparities and contribute a large proportion of morbidity and mortality from cancer. In addition, breast and colorectal cancer offer targets for prevention and control, including nutrition, physical activity, screening, and effective treatments to prolong and enhance the quality of survival. However, despite the investment of significant time and resources over many years, breast and colorectal cancer disparities persist, and in some cases, may be growing.

METHODS: This paper examines breast and colorectal cancer survival disparities in an 8-county region in southeastern Wisconsin, including the City of Milwaukee. Cox proportional hazards models were used to examine survival trends, and a new adaptation of adaptive spatial filtering--a disease mapping method--was used to examine spatial patterns of survival.

RESULTS: Disparities by race and ethnicity are revealed, and spatial analyses identify specific areas within the study region that have lower than expected survival rates.

CONCLUSIONS: Cancer control efforts in southeastern Wisconsin should focus on black/African American and Hispanic/Latina women to reduce breast cancer survival disparities, and black/African American populations to reduce colorectal cancer disparities. Evidence indicates that targeted interventions may be needed to serve populations in the Milwaukee and Kenosha metropolitan areas, as well as areas of Walworth, Ozaukee, and Waukesha counties.

Author List

Beyer KM, Zhou Y, Matthews K, Hoormann K, Bemanian A, Laud PW, Nattinger AB

Authors

Amin Bemanian in the CTSI department at Medical College of Wisconsin - CTSI
Kirsten M. Beyer PhD, MPH Associate Professor in the Institute for Health and Equity department at Medical College of Wisconsin
Purushottam W. Laud PhD Professor in the Institute for Health and Equity department at Medical College of Wisconsin
Ann B. Nattinger MD, MPH Associate Provost, Professor in the Medicine department at Medical College of Wisconsin




Scopus

2-s2.0-84959017359   6 Citations

MESH terms used to index this publication - Major topics in bold

Breast Neoplasms
Colorectal Neoplasms
Female
Humans
Incidence
Male
Registries
Survival Analysis
Wisconsin
jenkins-FCD Prod-300 626508253d14e4184314fb9f66322a03a5906796