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CA: A Cancer Journal for Clinicians  [Peer Reviewed]
(Published By: American Cancer Society)
Table Of Contents
[Archives]
Currently Viewing: Vol. 60, No. 1,   Feb,      2010       
  1Cancer, Culture, and Health Disparities: Time to Chart a New Course?
  Reprint Author E-mail : mkagawa@ucla.edu
   Author(s):Marjorie Kagawa-singer; Annalyn Valdez Dadia; Mimi C. Yu; Antonella Surbone
  Author Address : Department of Asian American Studies, Senior Editor, AAPI Nexus Journal, 650 Charles Young Dr. South, Box 951772, Los Angeles, CA 90095-1772
  Keyword(s) :Health Disparities;Culture;Cancer Care
  Abstract:

Little progress has been made over the last 40 years to eliminate the racial/ethnic differences in incidence, morbidity, avoidable suffering, and mortality from cancer that result from factors beyond genetic differences. More effective strategies to promote equity in access and quality care are urgently needed because the changing demographics of the United States portend that this disparity will not only persist but significantly increase. Such suffering is avoidable. The authors posit that culture is a prime factor in the persistence of health disparities. However, this concept of culture is still poorly understood, inconsistently defined, and ineffectively used in practice and research. The role of culture in the causal pathway of disparities and the potential impact of culturally competent cancer care on improving cancer outcomes in ethnic minorities has, thus, been underestimated. In this article, the authors provide a comprehensive definition of culture and demonstrate how it can be used at each stage of the cancer care continuum to help reduce the unequal burden of cancer. The authors conclude with suggestions for clinical practice to eliminate the disconnection between evidence-based, quality, cancer care and its delivery to diverse population groups

    
   
  2Developing a Quality Screening Colonoscopy Referral System in Primary Care Practice: A Report from the National Colorectal Cancer Roundtable
  Reprint Author E-mail : randa.sifri@jefferson.edu
   Author(s):Randa Sifri; Richard Wender; David Lieberman; Michael Potter; Karen Peterson; Thomas K. Weber; Robert Smith
  Author Address : Department of Family and Community Medicine, Thomas Jefferson University, 1015 Walnut Street, Suite 401, Philadelphia, PA 19107
  Keyword(s) :Colorectal Cancer;Screening Colonoscopies;Primary Care Practices;Insurance Reimbursement
  Abstract:

The use of colonoscopy in colorectal cancer (CRC) screening has increased substantially in recent years. Media messages and changes in insurance reimbursement, as well as new screening guidelines from the American Cancer Society and the US Preventive Services Task Force, have contributed to this increase. Primary care providers (PCPs) are frequently responsible for making the recommendation and referral for screening. The process of successfully referring a patient for screening colonoscopy can be cumbersome and requires a coordinated effort between the PCP and the endoscopist. In recognition of the potential complexity of this process, the National Colorectal Cancer Roundtable has issued a report to describe the components of a quality screening colonoscopy referral system in primary care practice. The elements of a quality program include an optimal scheduling and referral system, the appropriate patient preparation information, consistent reporting and follow–up systems, and a detailed approach to dealing with special situations

    
   
  3Mixed Results on Link between Cellular Telephones and Cancer
   Author(s):John Henry Dreyfuss
  Keyword(s) :Results;Links;Cellular Telephones;Cancer
    
   
  4Progress in Cancer Care: A Rational Call to do better
   Author(s):Alan G. Thorson
  Keyword(s) :Progress;Cancer;Computer Assisted Language Learning
    
   
  5Simulation Model Predicts Cost Savings from Colorectal Cancer Screening
   Author(s):John Henry Dreyfuss
  Keyword(s) :Simulation Models;Predicts;costs;Cost savings;Colorectal Cancer Screening
    
   
  6Study Finds Omission of Axillary Lymph Node Dissection Safe for Patients with Sentinel Node Micrometastases
   Author(s):John Henry Dreyfuss
  Keyword(s) :Study;Axillary Lymph Nodes;Axillary Lymph Node Dissection;Safe;Patients;Sentinel Node;Micrometastases
    
   
  7The Globalization of Tobacco Use: 21 Challenges for the 21st Century
  Reprint Author E-mail : tom.glynn@cancer.org
   Author(s):Thomas Glynn; John R. Seffrin; Otis W. Brawley; Nathan Grey; Hana Ross
  Author Address : Cancer Science and Trends, International Cancer Control, American Cancer Society, 901 E Street, NW, Suite 500, Washington, DC 20004
  Keyword(s) :Nicotiana Tabacum;Tobacco Use;Globalization
  Abstract:

The globalization of tobacco began more than 500 years ago, but the public health response to the death, disease, and economic disruption that it has caused is fewer than 50 years old. In this report, the authors briefly trace the history of tobacco use and commerce as it moved from the Americas in the late 15th century and then eastward. They then discuss the wide range of issues that must be addressed, and the equally wide range of expertise that is needed if the global health community is to be successful in reducing, and eventually eliminating, the rising tide of tobacco use, particularly in the low- and middle-income nations that are the target of the multinational tobacco industry

    
   
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