title: Racial and ethnic disparities in gastric cancer outcomes: more important than surgical technique?
abstract: Racial and ethnic disparities in cancer care are major public health concerns and their identification is necessary to develop interventions to eliminate these disparities. We and others have previously observed marked disparities in gastric cancer outcomes between Eastern and Western patients. These disparities have long been attributed to surgical technique and extent of lymphadenectomy. However, more recent evidence suggests that other factors such as tumor biology, environmental factors such as Helicobacter pylori infection and stage migration may also significantly contribute to these observed disparities. We review the literature surrounding disparities in gastric cancer and provide data pertaining to potential contributing factors.
authors.affiliation: Shaila J Merchant, Lily Li, Joseph Kim, Division of Surgical Oncology, Department of Surgery, City of Hope National Medical Center, Duarte, CA 91010, United States.
authors.forename: Shaila J
authors.initials: SJ
authors.lastname: Merchant
authors.affiliation: Shaila J Merchant, Lily Li, Joseph Kim, Division of Surgical Oncology, Department of Surgery, City of Hope National Medical Center, Duarte, CA 91010, United States.
authors.forename: Lily
authors.initials: L
authors.lastname: Li
authors.affiliation: Shaila J Merchant, Lily Li, Joseph Kim, Division of Surgical Oncology, Department of Surgery, City of Hope National Medical Center, Duarte, CA 91010, United States.
authors.forename: Joseph
authors.initials: J
authors.lastname: Kim
mesh_terms: D004777:Environment; D005006:Ethnicity; D054624:Health Status Disparities; D054625:Healthcare Disparities / Q000208:ethnology*; D006801:Humans; D009367:Neoplasm Staging; D044469:Racial Groups; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000208:ethnology* / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology
keywords: Disparities; Ethnicity; Gastric adenocarcinoma; Gastric cancer; Race