Author Affiliations: Harold C. Simmons Cancer Center (Drs Gupta and Balasubramanian), Divisions of Digestive and Liver Diseases (Dr Gupta) and Outcomes and Health Services Research (Dr Gupta), and Departments of Internal Medicine (Drs Gupta and Shah) and Clinical Sciences (Dr Gupta), UT Southwestern Medical Center, Dallas, Texas; Parkland Health and Hospital System, Dallas (Drs Gupta and Shah); and University of Texas School of Public Health, Dallas Regional Campus (Dr Balasubramanian).
Blacks have the highest colorectal cancer (CRC) incidence and mortality of any racial/ethnic group in the United States.1 Indeed, at every age, CRC incidence is higher for blacks than for non-Hispanic whites (Figure). Differences in CRC incidence and mortality have been attributed to poor access to care, failure of physicians to recommend CRC screening, and low rates of participation when screening is offered, as well as possible differences in tumor characteristics and genetics among blacks compared with other groups.2,3
Gupta S, Shah J, Balasubramanian BA. Strategies for Reducing Colorectal Cancer Among Blacks. Arch Intern Med. 2012;172(2):182-184. doi:10.1001/archinternmed.2011.594