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Disparities

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Abstract

It is well established that the cancer burden disproportionately affects specific subpopulations. While health disparities impact all phases of the cancer care continuum, unequal implementation of innovations and healthcare access at early phases of cancer care have potential downstream effects and may adversely influence the survivorship phase of care. When cancer treatment ends, patients continue to navigate a complex, fragmented healthcare system that has historically had poorly coordinated transitions into longer-term care. This chapter describes the key research, healthcare, and policy findings related to the intersection of cancer health disparities and cancer survivorship care. It provides an overview of selected disparities between population subgroups and discusses policy and healthcare delivery system strategies that may affect such individuals. Areas for future research are provided throughout with emphasis on those that extend and emphasize how innovations in survivorship care can be designed, tailored, and tested to meet the needs of health disparity populations.

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References

  1. National Cancer Institute. Cancer health disparities. 2008. https://www.cancer.gov/about-nci/organization/crchd/cancer-health-disparities-fact-sheet#q2. Accessed 07/03/2017. 2016.

  2. McCabe MS, Bhatia S, Oeffinger KC, Reaman GH, Tyne C, Wollins DS, et al. American Society of Clinical Oncology statement: achieving high-quality cancer survivorship care. J Clin Oncol. 2013;31(5):631–40.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Zhao GX, Ford ES, Ahluwalia IB, Li CY, Mokdad AH. Prevalence and trends of receipt of cancer screenings among US women with diagnosed diabetes. J Gen Intern Med. 2009;24(2):270–5.

    Article  PubMed  Google Scholar 

  4. Gilbert KL, Ray R, Siddiqi A, Shetty S, Baker EA, Elder K, et al. Visible and invisible trends in black men’s health: pitfalls and promises for addressing racial, ethnic, and gender inequities in health. Annu Rev Public Health. 2016;37:295–311.

    Article  PubMed  PubMed Central  Google Scholar 

  5. DeSantis CE, Fedewa SA, Goding Sauer A, Kramer JL, Smith RA, Jemal A. Breast cancer statistics, 2015: convergence of incidence rates between black and white women. CA Cancer J Clin. 2016;66(1):31–42.

    Google Scholar 

  6. DeSantis CE, Siegel RL, Sauer AG, Miller KD, Fedewa SA, Alcaraz KI, et al. Cancer statistics for African Americans, 2016: progress and opportunities in reducing racial disparities. CA Cancer J Clin. 2016;66(4):290–308.

    Article  PubMed  Google Scholar 

  7. O'Keefe EB, Meltzer JP, Bethea TN. Health disparities and cancer: racial disparities in cancer mortality in the United States, 2000-2010. Front Public Health. 2015;3:51.

    PubMed  PubMed Central  Google Scholar 

  8. Anderson M. A rising share of the US Black population is foreign born. Pew Research Center, April 2015;9.

    Google Scholar 

  9. Advani PS, Ying J, Theriault R, Melhem-Bertrand A, Moulder S, Bedrosian I, et al. Ethnic disparities in adherence to breast cancer survivorship surveillance care. Cancer. 2014;120(6):894–900.

    Article  PubMed  Google Scholar 

  10. Wu C, Ashing KT, Jones VC, Barcelo L. The association of neighborhood context with health outcomes among ethnic minority breast cancer survivors. J Behav Med. 2017:1–10.

    Google Scholar 

  11. Siegel R, Naishadham D, Jemal A. Cancer statistics for Hispanics/Latinos, 2012. CA Cancer J Clin. 2012;62(5):283–98.

    Article  PubMed  Google Scholar 

  12. Siegel RL, Fedewa SA, Miller KD, Goding-Sauer A, Pinheiro PS, Martinez-Tyson D, et al. Cancer statistics for Hispanics/Latinos, 2015. CA Cancer J Clin. 2015;65(6):457–80.

    Article  PubMed  Google Scholar 

  13. Geiss LS, Wang J, Cheng YJ, Thompson TJ, Barker L, Li Y, et al. Prevalence and incidence trends for diagnosed diabetes among adults aged 20 to 79 years, United States, 1980-2012. JAMA. 2014;312(12):1218–26.

    Article  CAS  PubMed  Google Scholar 

  14. Schmitz KH, Neuhouser ML, Agurs-Collins T, Zanetti KA, Cadmus-Bertram L, Dean LT, et al. Impact of obesity on cancer survivorship and the potential relevance of race and ethnicity. J Natl Cancer Inst. 2013;105(18):1344–54.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Miller AM, Ashing KT, Modeste NN, Herring RP, Sealy DA. Contextual factors influencing health-related quality of life in African American and Latina breast cancer survivors. J Cancer Survivorship Res Pract. 2015;9(3):441–9.

    Article  Google Scholar 

  16. Torre LA, Sauer AMG, Chen MS, Kagawa-Singer M, Jemal A, Siegel RL. Cancer statistics for Asian Americans, Native Hawaiians, and Pacific Islanders, 2016: converging incidence in males and females. CA Cancer J Clin. 2016;66(3):182–202.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Kagawa-Singer M, Kho C. Asian American health and disease: an overview. Health promotion in multicultural populations. 3rd ed. Washington, DC: Sage Publications Inc.; 2015. p. 292–332.

    Google Scholar 

  18. McCracken M, Olsen M, Chen MS, Jemal A, Thun M, Cokkinides V, et al. Cancer incidence, mortality, and associated risk factors among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese ethnicities. CA Cancer J Clin. 2007;57(4):190–205.

    Article  PubMed  Google Scholar 

  19. JH-y W, Adams IF, Tucker-Seeley R, Gomez SL, Allen L, Huang E, et al. A mixed method exploration of survivorship among Chinese American and non-Hispanic White breast cancer survivors: the role of socioeconomic well-being. Qual Life Res. 2013;22(10):2709–20.

    Article  Google Scholar 

  20. White MC, Espey DK, Swan J, Wiggins CL, Eheman C, Disparities in Cancer Mortality KJS. Incidence among American Indians and Alaska Natives in the United States. Am J Public Health. 2014;104(Suppl 3):S377–S87.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Cobb N, Espey D, Health Behaviors KJ. Risk factors among American Indians and Alaska Natives, 2000–2010. Am J Public Health. 2014;104(Suppl 3):S481–S9.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Burhansstipanov L, Dignan M, Jones KL, Krebs LU, Marchionda P, Kaur JSA. Comparison of quality of life between native and non-native cancer survivors: native and non-native cancer survivors’ QOL. J Cancer Educ. 2012;27(Suppl 1):S106–S13.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Burhansstipanov L, Krebs LU, Dignan MB, Jones K, Harjo LD, Watanabe-Galloway S, et al. Findings from the Native Navigators and the Cancer Continuum (NNACC) Study. J Cancer Educ. 2014;29(3):420–7.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Graham R, Berkowitz B, Blum R, Bockting W, Bradford J, de Vries B, et al. The health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding. Washington, DC: Institute of Medicine; 2011.

    Google Scholar 

  25. Bowen DJ, Boehmer U. The lack of cancer surveillance data on sexual minorities and strategies for change. Cancer Causes Control. 2007;18(4):343–9.

    Article  PubMed  Google Scholar 

  26. Boehmer U, Miao X, Ozonoff A. Cancer survivorship and sexual orientation. Cancer. 2011;117(16):3796–804.

    Article  PubMed  Google Scholar 

  27. Boehmer U, Glickman M, Milton J, Winter M. Health-related quality of life in breast cancer survivors of different sexual orientations. Qual Life Res. 2012;21(2):225–36.

    Article  PubMed  Google Scholar 

  28. Jabson JM, Donatelle RJ, Bowen DJ. Relationship between sexual orientation and quality of life in female breast cancer survivors. J Women's Health. 2011;20(12):1819–24.

    Article  Google Scholar 

  29. Boehmer U, Glickman M, Winter M, Clark MA. Long-term breast cancer survivors’ symptoms and morbidity: differences by sexual orientation? J Cancer Surviv. 2013;7(2):203–10.

    Article  PubMed  Google Scholar 

  30. Quinn GP, Sanchez JA, Sutton SK, Vadaparampil ST, Nguyen GT, Green BL, et al. Cancer and lesbian, gay, bisexual, transgender/transsexual, and queer/questioning (LGBTQ) populations. CA Cancer J Clin. 2015;65(5):384–400.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Heck JE, Berthiller J, Vaccarella S, Winn DM, Smith EM, Shan'gina O, et al. Sexual behaviours and the risk of head and neck cancers: a pooled analysis in the International Head and Neck Cancer Epidemiology (INHANCE) consortium. Int J Epidemiol. 2010;39(1):166–81.

    Article  PubMed  Google Scholar 

  32. Palefsky JM, Holly EA, Ralston ML, Jay N. Prevalence and risk factors for human papillomavirus infection of the anal canal in human immunodeficiency virus (HIV)-positive and HIV-negative homosexual men. J Infect Dis. 1998;177(2):361–7.

    Article  CAS  PubMed  Google Scholar 

  33. Kaul R. Incidence of cancers in people with HIV/AIDS compared with immunosuppressed transplant recipients: a meta-analysis. J HIV Ther. 2007;12(3):79–81.

    Google Scholar 

  34. Boehmer U, Elk R. Cancer and the LGBT community: unique perspectives from risk to survivorship. Springer; 2015.

    Google Scholar 

  35. Gooren LJ, Trotsenburg MA, Giltay EJ, Diest PJ. Breast cancer development in transsexual subjects receiving cross-sex hormone treatment. J Sex Med. 2013;10(12):3129–34.

    Article  PubMed  Google Scholar 

  36. Brown GR, Jones KT. Incidence of breast cancer in a cohort of 5,135 transgender veterans. Breast Cancer Res Treat. 2015;149(1):191–8.

    Article  PubMed  Google Scholar 

  37. Bentzen AG, Balteskard L, Wanderås EH, Frykholm G, Wilsgaard T, Dahl O, et al. Impaired health-related quality of life after chemoradiotherapy for anal cancer: late effects in a national cohort of 128 survivors. Acta Oncol. 2013;52(4):736–44.

    Article  PubMed  Google Scholar 

  38. Bradford J, Reisner SL, Honnold JA, Xavier J. Experiences of transgender-related discrimination and implications for health: results from the Virginia Transgender Health Initiative Study. Am J Public Health. 2013;103(10):1820–9.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Mayer KH, Bradford JB, Makadon HJ, Stall R, Goldhammer H, Landers S. Sexual and gender minority health: what we know and what needs to be done. Am J Public Health. 2008;98(6):989–95.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Clegg LX, Reichman ME, Miller BA, Hankey BF, Singh GK, Lin YD, et al. Impact of socioeconomic status on cancer incidence and stage at diagnosis: selected findings from the surveillance, epidemiology, and end results: National Longitudinal Mortality Study. Cancer Causes Control. 2009;20(4):417–35.

    Article  PubMed  Google Scholar 

  41. Johnson S, McDonald JT, Corsten MJ. Socioeconomic factors in head and neck cancer. J Otolaryngol Head Neck Surg. 2008;37(4):597–601.

    PubMed  Google Scholar 

  42. Shebl FM, Capo-Ramos DE, Graubard BI, McGlynn KA, Altekruse SF. Socioeconomic status and hepatocellular carcinoma in the United States. Cancer Epidemiol Biomark Prev. 2012;21(8):1330–5.

    Article  Google Scholar 

  43. DeNavas-Walt C, Proctor B, Smith J. Income, poverty, and health insurance coverage in the United States: 2010 (Current Population Reports P60-239). Washington, DC: US Department of Commerce, Economic and Statistics Administration, US Census Bureau; 2011.

    Google Scholar 

  44. Boscoe FP, Johnson CJ, Sherman RL, Stinchcomb DG, Lin G, Henry KA. The relationship between area poverty rate and site-specific cancer incidence in the United States. Cancer. 2014;120(14):2191–8.

    Article  PubMed  Google Scholar 

  45. Ashing-Giwa KT, Lim JW. Examining the impact of socioeconomic status and socioecologic stress on physical and mental health quality of life among breast cancer survivors. Oncol Nurs Forum. 2009;36(1):79–88.

    Article  PubMed  Google Scholar 

  46. Zafar SY. Financial toxicity of cancer care: it’s time to intervene. J Natl Cancer Inst. 2016;108(5):djv370.

    Article  PubMed  Google Scholar 

  47. McNulty J, Khera N. Financial hardship—an unwanted consequence of cancer treatment. Curr Hematol Malig Rep. 2015:1–8.

    Google Scholar 

  48. Ramsey SD, Bansal A, Fedorenko CR, Blough DK, Overstreet KA, Shankaran V, et al. Financial insolvency as a risk factor for early mortality among patients with cancer. J Clin Oncol. 2016;34(9):980–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  49. Jagsi R, Pottow JA, Griffith KA, Bradley C, Hamilton AS, Graff J, et al. Long-term financial burden of breast cancer: experiences of a diverse cohort of survivors identified through population-based registries. Journal of Clinical Oncology;32:1269–76.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Abbott DE, Voils CL, Fisher DA, Greenberg CC, Safdar N. Socioeconomic disparities, financial toxicity, and opportunities for enhanced system efficiencies for patients with cancer. J Surg Oncol. 2017;115(3):250–6.

    Article  PubMed  Google Scholar 

  51. Neugut AI, Subar M, Wilde ET, Stratton S, Brouse CH, Hillyer GC, et al. Association between prescription co-payment amount and compliance with adjuvant hormonal therapy in women with early-stage breast cancer. J Clin Oncol. 2011;29(18):2534–42.

    Article  PubMed  PubMed Central  Google Scholar 

  52. De Souza JA, Yap BJ, Hlubocky FJ, Daugherty C. Relationship between the cancer-specific comprehensive score for financial toxicity (COST), patient-reported outcome, and health-related quality of life (HRQOL) in patients with advanced cancers. J Clin Oncol. 2014;32(31_suppl):222.

    Article  Google Scholar 

  53. de Moor JS, Mariotto AB, Parry C, Alfano CM, Padgett L, Kent EE, et al. Cancer survivors in the United States: prevalence across the survivorship trajectory and implications for care. Cancer Epidemiol Biomark Prev. 2013;22(4):561–70.

    Article  Google Scholar 

  54. Weaver KE, Rowland JH, Bellizzi KM, Aziz NM. Forgoing medical care because of cost: assessing disparities in healthcare access among cancer survivors living in the United States. Cancer. 2010;116(14):3493–504.

    Article  PubMed  Google Scholar 

  55. DeSantis CE, Lin CC, Mariotto AB, Siegel RL, Stein KD, Kramer JL, et al. Cancer treatment and survivorship statistics, 2014. CA Cancer J Clin. 2014;64(4):252–71.

    Article  PubMed  Google Scholar 

  56. Cho H, Mariotto AB, Mann BS, Klabunde CN, Feuer EJ. Assessing non–cancer-related health status of US cancer patients: other-cause survival and comorbidity prevalence. Am J Epidemiol. 2013;178(3):339–49.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Albertsen PC, Moore DF, Shih W, Lin Y, Li H, Lu-Yao GL. Impact of comorbidity on survival among men with localized prostate cancer. J Clin Oncol. 2011;29(10):1335–41.

    Article  PubMed  PubMed Central  Google Scholar 

  58. Howlader N, Ries LAG, Mariotto AB, Reichman ME, Ruhl J, Cronin KA. Improved estimates of cancer-specific survival rates from population-based data. JNCI J Nat Cancer Inst. 2010;102(20):1584–98.

    Article  PubMed  Google Scholar 

  59. Feuer EJ, Lee M, Mariotto AB, Cronin KA, Scoppa S, Penson DF, et al. The Cancer Survival Query System: making survival estimates from the Surveillance, Epidemiology, and End Results program more timely and relevant for recently diagnosed patients. Cancer. 2012;118(22):5652–62.

    Article  PubMed  Google Scholar 

  60. Bach PB, Schrag D, Brawley OW, Galaznik A, Yakren S, Begg CB. Survival of blacks and whites after a cancer diagnosis. JAMA. 2002;287(16):2106–13.

    Article  PubMed  Google Scholar 

  61. Tammemagi C, Nerenz D, Neslund-Dudas C, Feldkamp C, Nathanson D. Comorbidity and survival disparities among black and white patients with breast cancer. JAMA. 2005;294(14):1765–72.

    Article  CAS  PubMed  Google Scholar 

  62. DeSantis C, Naishadham D, Jemal A. Cancer statistics for African Americans, 2013. CA Cancer J Clin. 2013;63(3):151–66.

    Article  PubMed  Google Scholar 

  63. Lutfey K, Freese J. Toward some fundamentals of fundamental causality: socioeconomic status and health in the routine clinic visit for diabetes 1. Am J Sociol. 2005;110(5):1326–72.

    Article  Google Scholar 

  64. Halpern MT, Viswanathan M, Evans TS, Birken SA, Basch E, Mayer DK. Models of cancer survivorship care: overview and summary of current evidence. J Oncol Pract. 2015;11(1):e19–27.

    Article  PubMed  Google Scholar 

  65. Ogle KS, Swanson GM, Woods N, Azzouz F. Cancer and comorbidity. Cancer. 2000;88(3):653–63.

    Article  CAS  PubMed  Google Scholar 

  66. Short PF, Mallonee EL. Income disparities in the quality of life of cancer survivors. Med Care. 2006;44(1):16–23.

    Article  PubMed  Google Scholar 

  67. Taplin SH, Rodgers AB. Toward improving the quality of cancer care: addressing the interfaces of primary and oncology-related subspecialty care. J Natl Cancer Inst Monogr. 2010;2010(40):3–10.

    Article  PubMed  PubMed Central  Google Scholar 

  68. Ward E, Halpern M, Schrag N, Cokkinides V, DeSantis C, Bandi P, et al. Association of insurance with cancer care utilization and outcomes. CA Cancer J Clin. 2008;58(1):9–31.

    Article  PubMed  Google Scholar 

  69. Institute of Medicine. Delivering high-quality cancer care: charting a new course for a system in crisis. Washington, DC: The National Academic Press; 2013.

    Google Scholar 

  70. Kent EE, Forsythe LP, Yabroff KR, Weaver KE, Moor JS, Rodriguez JL, et al. Are survivors who report cancer-related financial problems more likely to forgo or delay medical care? Cancer. 2013;119(20):3710–7.

    Article  PubMed  Google Scholar 

  71. Bluethmann SM, Mariotto AB, Rowland JH. Anticipating the “Silver Tsunami”: prevalence trajectories and comorbidity burden among older cancer survivors in the United States. AACR. 2016;

    Google Scholar 

  72. Davidoff AJ, Hill SC, Bernard D, Yabroff KR. The affordable care act and expanded insurance eligibility among nonelderly adult cancer survivors. J Natl Cancer Inst. 2015;107(9):djv181.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  73. Polite BN, Griggs JJ, Moy B, Lathan C, duPont NC, Villani G, et al. American Society of Clinical Oncology Policy Statement on Medicaid Reform. J Clin Oncol. 2014;32(36):4162–7.

    Article  PubMed  PubMed Central  Google Scholar 

  74. Oncology TASoC. The State of Cancer Care in America, 2017: a report by the American Society of Clinical Oncology. J Oncol Pract. 2017;13(4):e353–e94.

    Article  Google Scholar 

  75. Robin Yabroff K, Short PF, Machlin S, Dowling E, Rozjabek H, Li C, et al. Access to preventive health care for cancer survivors. Am J Prev Med. 2013;45(3):304–12.

    Article  CAS  PubMed  Google Scholar 

  76. Ward EM, Fedewa SA, Cokkinides V, Virgo K. The association of insurance and stage at diagnosis among patients aged 55 to 74 years in the national cancer database. Cancer J. 2010;16(6):614–21.

    Article  PubMed  Google Scholar 

  77. Leopold C, Park ER, Nekhlyudov L. The impact of the affordable care act on cancer survivorship. Cancer J. 2017;23(3):181–9.

    Article  PubMed  Google Scholar 

  78. Hewitt ME, Ganz PA. From cancer patient to cancer survivor: lost in transition: an American Society of Clinical Oncology and Institute of Medicine Symposium. Washington, D.C.: National Academies Press; 2006.

    Google Scholar 

  79. Agency for Healthcare Research and Quality. National Healthcare Quality and Disparities Report Chartbook on Care Coordination. Rockville, MD; June 2016. Contract No.: AHRQ Pub. No. 16-0015-6-EF.

    Google Scholar 

  80. Dawes AJ, Hemmelgarn M, Nguyen DK, Sacks GD, Clayton SM, Cope JR, et al. Are primary care providers prepared to care for survivors of breast cancer in the safety net? Cancer. 2015;121(8):1249–56.

    Article  PubMed  Google Scholar 

  81. Hudson SV, Ohman-Strickland PA, Bator A, O'Malley D, Gundersen D, Lee HS, et al. Breast and prostate cancer survivors’ experiences of patient-centered cancer follow-up care from primary care physicians and oncologists. J Cancer Survivorship Res Pract. 2016;10(5):906–14.

    Article  Google Scholar 

  82. Nekhlyudov L, O'Malley DM, Hudson SV. Integrating primary care providers in the care of cancer survivors: gaps in evidence and future opportunities. Lancet Oncol. 2017;18(1):e30–e8.

    Article  PubMed  PubMed Central  Google Scholar 

  83. O'Malley D, Hudson SV, Nekhlyudov L, Howard J, Rubinstein E, Lee HS, et al. Learning the landscape: implementation challenges of primary care innovators around cancer survivorship care. J Cancer Survivorship Res Pract. 2016.

    Google Scholar 

  84. Salz T, Oeffinger KC, Lewis PR, Williams RL, Rhyne RL, Yeazel MW. Primary care providers' needs and preferences for information about colorectal cancer survivorship care. J Am Board Fam Med. 2012;25(5):635–51.

    Article  PubMed  PubMed Central  Google Scholar 

  85. Luctkar-Flude M, Aiken A, McColl MA, Tranmer J, Langley H. Are primary care providers implementing evidence-based care for breast cancer survivors? Cancer Med. 2015;61(11):978–84.

    Google Scholar 

  86. Kantsiper M, McDonald EL, Geller G, Shockney L, Snyder C, Wolff AC. Transitioning to breast cancer survivorship: perspectives of patients, cancer specialists, and primary care providers. J Gen Intern Med. 2009;24(Suppl 2):S459–66.

    Article  PubMed  Google Scholar 

  87. Hudson SV, Miller SM, Hemler J, Ferrante JM, Lyle J, Oeffinger KC, et al. Adult cancer survivors discuss follow-up in primary care: ‘not what I want, but maybe what I need’. Ann Fam Med. 2012;10(5):418–27.

    Article  PubMed  PubMed Central  Google Scholar 

  88. Potosky AL, Han PK, Rowland J, Klabunde CN, Smith T, Aziz N, et al. Differences between primary care physicians’ and oncologists’ knowledge, attitudes and practices regarding the care of cancer survivors. J Gen Intern Med. 2011;26(12):1403–10.

    Article  PubMed  PubMed Central  Google Scholar 

  89. Virgo KS, Lerro CC, Klabunde CN, Earle C, Ganz PA. Barriers to breast and colorectal cancer survivorship care: perceptions of primary care physicians and medical oncologists in the United States. J Clin Oncol. 2013;31(18):2322–36.

    Article  PubMed  PubMed Central  Google Scholar 

  90. Dy SM, Ashok M, Wines RC, Rojas Smith L. A framework to guide implementation research for care transitions interventions. J Healthc Quali. 2015;37(1):41–54.

    Article  Google Scholar 

  91. Kim CS, Flanders SA. Transitions of care. Ann Intern Med. 2013;158.

    Article  PubMed  Google Scholar 

  92. Howell D, Hack T, Oliver T, Chulak T, Mayo S, Aubin M, et al. Models of care for post-treatment follow-up of adult cancer survivors: a systematic review and quality appraisal of the evidence. J Cancer Surviv. 2012:1–13.

    Google Scholar 

  93. Campbell MK, Tessaro I, Gellin M, Valle CG, Golden S, Kaye L, et al. Adult cancer survivorship care: experiences from the LIVESTRONG centers of excellence network. J Cancer Survivorship Res Pract. 2011;5(3):271–82.

    Article  Google Scholar 

  94. Surbone A, Halpern MT. Unequal cancer survivorship care: addressing cultural and sociodemographic disparities in the clinic. Support Care Cancer. 2016;24(12):4831–3.

    Article  PubMed  Google Scholar 

  95. Earle CC, Ganz PA. Cancer survivorship care: don’t let the perfect be the enemy of the good. J Clin Oncol. 2012;30(30):3764–8.

    Article  PubMed  Google Scholar 

  96. Faul LA, Shibata D, Townsend I, Jacobsen PB. Improving survivorship care for patients with colorectal cancer. Cancer Control. 2010;17(1):35–43.

    Article  PubMed  Google Scholar 

  97. Rowland JH, Hewitt M, Ganz PA. Cancer survivorship: a new challenge in delivering quality cancer care. J Clin Oncol. 2006;24(32):5101–4.

    Article  PubMed  Google Scholar 

  98. Salz T, Oeffinger KC, McCabe MS, Layne TM, Bach PB. Survivorship care plans in research and practice. CA Cancer J Clin. 2012;62(2):101–17.

    Article  PubMed  PubMed Central  Google Scholar 

  99. Moy B, Polite BN, Halpern MT, Stranne SK, Winer EP, Wollins DS, et al. American Society of Clinical Oncology policy statement: opportunities in the patient protection and affordable care act to reduce cancer care disparities. J Clin Oncol. 2011;29(28):3816–24.

    Article  PubMed  Google Scholar 

  100. Blanch-Hartigan D, Forsythe LP, Alfano CM, Smith T, Nekhlyudov L, Ganz PA, et al. Provision and discussion of survivorship care plans among cancer survivors: results of a nationally representative survey of oncologists and primary care physicians. J Clin Oncol. 2014;32(15):1578–85.

    Article  PubMed  PubMed Central  Google Scholar 

  101. Grunfeld E, Levine MN, Julian JA, Coyle D, Szechtman B, Mirsky D, et al. Randomized trial of long-term follow-up for early-stage breast cancer: a comparison of family physician versus specialist care. J Clin Oncol. 2006;24(6):848–55.

    Article  PubMed  Google Scholar 

  102. Boekhout A, Maunsell E, Pond G, Julian J, Coyle D, Levine M, et al. A survivorship care plan for breast cancer survivors: extended results of a randomized clinical trial. J Cancer Surviv. 2015;9(4):683–91.

    Article  PubMed  Google Scholar 

  103. Parry C, Kent EE, Forsythe LP, Alfano CM, Rowland JH. Can't see the forest for the care plan: a call to revisit the context of care planning. J Clin Oncol. 2013;31(21):2651–3.

    Article  PubMed  PubMed Central  Google Scholar 

  104. Tarazi WW, Bradley CJ, Harless DW, Bear HD, Sabik LM. Medicaid expansion and access to care among cancer survivors: a baseline overview. J Cancer Surviv. 2016;10(3):583–92.

    Article  PubMed  Google Scholar 

  105. Ashing-Giwa K, Tapp C, Brown S, Fulcher G, Smith J, Mitchell E, et al. Are survivorship care plans responsive to African-American breast cancer survivors?: voices of survivors and advocates. J Cancer Survivorship Res Pract. 2013;7(3):283–91.

    Article  Google Scholar 

  106. Marbach TJ, Griffie J. Patient preferences concerning treatment plans, survivorship care plans, education, and support services. Oncol Nurs Forum. 2011;38(3):335–42.

    Article  PubMed  Google Scholar 

  107. Burg MA, Lopez ED, Dailey A, Keller ME, Prendergast B. The potential of survivorship care plans in primary care follow-up of minority breast cancer patients. J Gen Intern Med. 2009;24(Suppl 2):S467–71.

    Article  PubMed  Google Scholar 

  108. Ashing K, Serrano M, Weitzel J, Lai L, Paz B, Vargas R. Towards developing a bilingual treatment summary and survivorship care plan responsive to Spanish language preferred breast cancer survivors. J Cancer Survivorship Res Pract. 2014;8(4):580–94.

    Article  Google Scholar 

  109. O'Malley DM, Hudson SV, Ohman-Strickland PA, Bator A, Lee HS, Gundersen DA, et al. Follow-up care education and information: identifying cancer survivors in need of more guidance. J Cancer Educ. 2016;31(1):63–9.

    Article  PubMed  PubMed Central  Google Scholar 

  110. Wen K-Y, Hu A, Ma GX, Fang CY, Daly MB. Information and communication needs of Chinese American breast cancer patients: perspectives on survivorship care planning. J Commun Support Oncol. 2014;12(12):439.

    Article  CAS  Google Scholar 

  111. Ashing KT, Lai L, Brown S, McDowell K, Carter D, Smith J, et al. Developing a treatment summary and survivorship care plan responsive to African-American breast cancer survivors. Psychooncology. 2016;25(6):729–31.

    Article  PubMed  Google Scholar 

  112. Burke NJ, Napoles TM, Banks PJ, Orenstein FS, Luce JA, Joseph G. Survivorship care plan information needs: perspectives of safety-net breast cancer patients. PLoS One. 2016;11(12):e0168383.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  113. Battaglia TA, Roloff K, Posner MA, Freund KM. Improving follow-up to abnormal breast cancer screening in an urban population. A patient navigation intervention. Cancer. 2007;109(2 Suppl):359–67.

    Article  PubMed  Google Scholar 

  114. Ferrante JM, Chen PH, Kim S. The effect of patient navigation on time to diagnosis, anxiety, and satisfaction in urban minority women with abnormal mammograms: a randomized controlled trial. J Urban Health. 2008;85(1):114–24.

    Article  PubMed  Google Scholar 

  115. Ladabaum U, Mannalithara A, Jandorf L, Itzkowitz SH. Cost-effectiveness of patient navigation to increase adherence with screening colonoscopy among minority individuals. Cancer. 2015;121(7):1088–97.

    Article  PubMed  Google Scholar 

  116. O'Brien MJ, Halbert CH, Bixby R, Pimentel S, Shea JA. Community health worker intervention to decrease cervical cancer disparities in Hispanic women. J Gen Intern Med. 2010;25(11):1186–92.

    Article  PubMed  PubMed Central  Google Scholar 

  117. Christie J, Itzkowitz S, Lihau-Nkanza I, Castillo A, Redd W, Jandorf L. A randomized controlled trial using patient navigation to increase colonoscopy screening among low-income minorities. J Natl Med Assoc. 2008;100(3):278–84.

    Article  PubMed  Google Scholar 

  118. Jandorf L, Gutierrez Y, Lopez J, Christie J, Itzkowitz SH. Use of a patient navigator to increase colorectal cancer screening in an urban neighborhood health clinic. J Urban Health. 2005;82(2):216–24.

    Article  PubMed  PubMed Central  Google Scholar 

  119. Paskett ED, Harrop JP, Wells KJ. Patient navigation: an update on the state of the science. CA Cancer J Clin. 2011;61(4):237–49.

    Article  PubMed  PubMed Central  Google Scholar 

  120. Davis CM, Myers HF, Nyamathi AM, Lewis M, Brecht ML. The meaning of survivorship as defined by African American breast cancer survivors. J Transcult Nurs. 2016;27(3):277–85.

    Article  PubMed  Google Scholar 

  121. Sabatino SA, Thompson TD, Smith JL, Rowland JH, Forsythe LP, Pollack L, et al. Receipt of cancer treatment summaries and follow-up instructions among adult cancer survivors: results from a national survey. J Cancer Survivorship Res Pract. 2013;7(1):32–43.

    Article  Google Scholar 

  122. Wen KY, Fang CY, Ma GX. Breast cancer experience and survivorship among Asian Americans: a systematic review. J Cancer Survivorship Res Pract. 2014;8(1):94–107.

    Article  Google Scholar 

  123. Warnecke RB, Oh A, Breen N, Gehlert S, Paskett E, Tucker KL, et al. Approaching health disparities from a population perspective: the National Institutes of Health Centers for Population Health and Health Disparities. Am J Public Health. 2008;98(9):1608–15.

    Article  PubMed  PubMed Central  Google Scholar 

  124. Cooper LA, Ortega AN, Ammerman AS, Buchwald D, Paskett ED, Powell LH, et al. Calling for a bold new vision of health disparities intervention research. Am J Public Health. 2015;105(Suppl 3):S374–S6.

    Article  PubMed  PubMed Central  Google Scholar 

  125. Schulz AJ, Mullings LE. Gender, race, class, & health: intersectional approaches. San Francisco: Jossey-Bass; 2006.

    Google Scholar 

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O’Malley, D.M., Tsui, J., Davis, S.N., Hudson, S.V. (2018). Disparities. In: Feuerstein, M., Nekhlyudov, L. (eds) Handbook of Cancer Survivorship. Springer, Cham. https://doi.org/10.1007/978-3-319-77432-9_5

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