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Addressing racial and ethnic disparities in US liver cancer care

HCC, the most common form of primary liver cancer, is the fastest rising cause of cancer-related death in the United States. HCC disproportionately affects racial and ethnic minorities in the United States. A practical framework is needed to organize the complex patient, provider, health system, and...

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Autores principales: Kim, Nicole J., Cravero, Anne, VoPham, Trang, Vutien, Philip, Carr, Rotonya, Issaka, Rachel B., Johnston, Janet, McMahon, Brian, Mera, Jorge, Ioannou, George N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289716/
https://www.ncbi.nlm.nih.gov/pubmed/37347221
http://dx.doi.org/10.1097/HC9.0000000000000190
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author Kim, Nicole J.
Cravero, Anne
VoPham, Trang
Vutien, Philip
Carr, Rotonya
Issaka, Rachel B.
Johnston, Janet
McMahon, Brian
Mera, Jorge
Ioannou, George N.
author_facet Kim, Nicole J.
Cravero, Anne
VoPham, Trang
Vutien, Philip
Carr, Rotonya
Issaka, Rachel B.
Johnston, Janet
McMahon, Brian
Mera, Jorge
Ioannou, George N.
author_sort Kim, Nicole J.
collection PubMed
description HCC, the most common form of primary liver cancer, is the fastest rising cause of cancer-related death in the United States. HCC disproportionately affects racial and ethnic minorities in the United States. A practical framework is needed to organize the complex patient, provider, health system, and societal factors that drive these racial and ethnic disparities. In this narrative review, we adapted and applied the National Institute on Minority Health and Health Disparities (NIMHD) Research Framework to the HCC care continuum, as a step toward better understanding and addressing existing HCC-related disparities. We first summarize the literature on HCC-related disparities by race and ethnicity organized by the framework’s 5 domains (biological, behavioral, physical/built environment, sociocultural environment, and health care system) and 4 levels (individual, interpersonal, community, and societal) of influence. We then offer strategies to guide future research initiatives toward promotion of health equity in HCC care. Clinicians and researchers may help mitigate further inequities and better address racial and ethnic disparities in HCC care by prioritizing the following in HCC research: (1) increasing racial and ethnic minority representation, (2) collecting and reporting HCC-related data by racial and ethnic subgroups, (3) assessing the patient experience of HCC care by race and ethnicity, and (4) evaluating HCC-specific social determinants of health by race and ethnicity. These 4 priorities will help inform the development of future programs and interventions that are tailored to the unique experiences of each racial and ethnic group.
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spelling pubmed-102897162023-06-24 Addressing racial and ethnic disparities in US liver cancer care Kim, Nicole J. Cravero, Anne VoPham, Trang Vutien, Philip Carr, Rotonya Issaka, Rachel B. Johnston, Janet McMahon, Brian Mera, Jorge Ioannou, George N. Hepatol Commun Review HCC, the most common form of primary liver cancer, is the fastest rising cause of cancer-related death in the United States. HCC disproportionately affects racial and ethnic minorities in the United States. A practical framework is needed to organize the complex patient, provider, health system, and societal factors that drive these racial and ethnic disparities. In this narrative review, we adapted and applied the National Institute on Minority Health and Health Disparities (NIMHD) Research Framework to the HCC care continuum, as a step toward better understanding and addressing existing HCC-related disparities. We first summarize the literature on HCC-related disparities by race and ethnicity organized by the framework’s 5 domains (biological, behavioral, physical/built environment, sociocultural environment, and health care system) and 4 levels (individual, interpersonal, community, and societal) of influence. We then offer strategies to guide future research initiatives toward promotion of health equity in HCC care. Clinicians and researchers may help mitigate further inequities and better address racial and ethnic disparities in HCC care by prioritizing the following in HCC research: (1) increasing racial and ethnic minority representation, (2) collecting and reporting HCC-related data by racial and ethnic subgroups, (3) assessing the patient experience of HCC care by race and ethnicity, and (4) evaluating HCC-specific social determinants of health by race and ethnicity. These 4 priorities will help inform the development of future programs and interventions that are tailored to the unique experiences of each racial and ethnic group. Lippincott Williams & Wilkins 2023-06-22 /pmc/articles/PMC10289716/ /pubmed/37347221 http://dx.doi.org/10.1097/HC9.0000000000000190 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Association for the Study of Liver Diseases. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (https://creativecommons.org/licenses/by/4.0/) (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/)
spellingShingle Review
Kim, Nicole J.
Cravero, Anne
VoPham, Trang
Vutien, Philip
Carr, Rotonya
Issaka, Rachel B.
Johnston, Janet
McMahon, Brian
Mera, Jorge
Ioannou, George N.
Addressing racial and ethnic disparities in US liver cancer care
title Addressing racial and ethnic disparities in US liver cancer care
title_full Addressing racial and ethnic disparities in US liver cancer care
title_fullStr Addressing racial and ethnic disparities in US liver cancer care
title_full_unstemmed Addressing racial and ethnic disparities in US liver cancer care
title_short Addressing racial and ethnic disparities in US liver cancer care
title_sort addressing racial and ethnic disparities in us liver cancer care
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289716/
https://www.ncbi.nlm.nih.gov/pubmed/37347221
http://dx.doi.org/10.1097/HC9.0000000000000190
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