Esophageal Cancer Disparities in the United States

Racial Disparities in One of the Deadliest Cancers

Esophageal cancer arises when abnormal cells in the esophagus grow uncontrollably, forming a tumor.

It is often diagnosed at an advanced stage due to its subtle early symptoms, such as difficulty swallowing, unintentional weight loss, and persistent indigestion or heartburn.

Facts and Disparities

Beyond the clinical presentation lies a deeper narrative of inequity that must be addressed to ensure fair access to care and improved outcomes for all.

Stage at Diagnosis

One of the key contributors to disparities in esophageal cancer outcomes is the stage at which the cancer is diagnosed.

Minority populations often receive a diagnosis at a more advanced stage, limiting treatment options and reducing the likelihood of successful outcomes.

Addressing barriers to early detection, such as lack of awareness and limited access to screening programs, is crucial in narrowing this gap.

Socioeconomic Disparities

A recent study by UVA Cancer Center highlights troubling socioeconomic disparities in treatment access for early stage esophageal adenocarcinoma, an increasingly common cancer of the food tube that can be cured if treated early but can be fatal if treated too late.

UVA researchers found that patients from lower-income households were more likely to die than those from higher-income brackets.

Incidence & Survival Rates

According to the American Cancer Society, squamous cell carcinoma (ESCC) is more common in African Americans.

While Adenocarcinoma (EAC) is more common in non-Hispanic white individuals, minority groups experience worse survival rates.

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National Minority Quality Forum is a research and educational organization dedicated to ensuring that high-risk racial and ethnic populations and communities receive optimal health care. This nonprofit, nonpartisan organization integrates data and expertise in support of initiatives to eliminate health disparities.

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