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Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
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Competing-Risk Nomogram for Predicting Cancer-Specific Survival in Multiple Primary Colorectal Cancer Patients after Surgery
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Spanish-Speaking Status: A Protective Factor in Colorectal Cancer Presentation at a Safety-Net Hospital.

Trevor S Silva1, Anika Singh1, Kiran Sinjali2

  • 1Riverside University Health System, Moreno Valley, California.

The Journal of Surgical Research
|August 30, 2022
PubMed
Summary

Spanish-speaking colorectal cancer patients at safety-net hospitals had fewer emergent presentations and less need for palliative surgery. This suggests language status may be a protective factor, warranting further investigation into culturally competent care.

Keywords:
Colorectal cancerHealth disparitiesSafety-net hospitalSpanish-speaking status

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Area of Science:

  • Oncology
  • Health Services Research
  • Health Disparities

Background:

  • Colorectal cancer (CRC) screening rates and outcomes are often poorer among Hispanic populations.
  • Spanish-speaking status has been linked to worse CRC outcomes, but data from safety-net hospital (SNH) settings is limited.

Approach:

  • A sequential review of 157 colorectal cancer patients at an SNH from 2016-2019 was conducted.
  • Patient data including insurance, cancer stage, surgery type, and initial consultation setting were compared based on primary spoken language (English vs. Spanish).

Key Points:

  • Of 157 patients, 67 (42.7%) primarily spoke Spanish. Spanish-speaking patients had higher odds of having Medicaid insurance (AOR 2.28), receiving a resection (AOR 3.96), and undergoing elective surgery (AOR 3.24).
  • Spanish-speaking patients had lower odds of an initial inpatient consult (AOR 0.34).
  • Overall, Spanish-speaking status was associated with a lower likelihood of emergent presentation and need for palliative surgery.

Conclusions:

  • In the SNH setting, Spanish-speaking status was linked to a reduced likelihood of emergent colorectal cancer presentation and palliative surgery.
  • Further research is necessary to explore if culturally competent infrastructure within SNHs contributes to Spanish-speaking status being a potentially protective factor in CRC care.