2023-09-28 14:46:10 +00:00
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abstract: 'Low socioeconomic and health care access realities of being American
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Indian/Alaskan Native (Al/AN) in the United States combined with decades
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of data documenting poor cancer outcomes for-this population provide a
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population nested within the United States that is analogous to the
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cancer care landscape of low- and middle-income countries
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internationally. We reviewed the medical literature with respect to
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cancer prevention, access to cancer treatment, and access to effective
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supportive and palliative care for Al/AN populations in the United
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States. Research confirms poorer cancer outcomes, suboptimal cancer
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screening, and high-risk cancer behaviors among Al/AN communities. Al/AN
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cancer patients are less likely to undergo recommended cancer surgeries,
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adjuvant chemotherapy, and radiation therapy than their White
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counterparts. Studies including both rural and urban survivors with Al
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cancer revealed barriers to receipt of optimal cancer symptom management
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and proportionally lower hospice use among Al/AN populations. Culturally
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tailored programs in targeted communities have been shown to mitigate
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the observed cancer-related health disparities among Al/AN communities.
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There is still much work to be done to improve cancer-related health
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outcomes in Al/AN communities, and the goals of the providers serving
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them corresponds with those propelling the growing interest in global
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oncology equity. Policy work and more funding are needed to continue to
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build upon the work that the Indian Health Service and established
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cancer-related health programs have begun in Al/AN communities. (C) 2017
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Elsevier Inc. All rights reserved.'
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affiliation: 'Guadagnolo, BA (Corresponding Author), Univ Texas MD Anderson Canc Ctr,
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Dept Radiat Oncol, Houston, TX 77030 USA.
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Guadagnolo, B. Ashleigh, Univ Texas MD Anderson Canc Ctr, Dept Radiat Oncol, Houston,
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TX 77030 USA.
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Petereit, Daniel G., Rapid City Reg Canc Care Inst, Rapid City, SD USA.
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Coleman, C. Norman, Int Canc Expert Corps, New York, NY USA.
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Coleman, C. Norman, NCI, Radiat Res Program, Div Canc Treatment \& Diag, Rockville,
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MD USA.'
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author: Guadagnolo, B. Ashleigh and Petereit, Daniel G. and Coleman, C. Norman
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author-email: aguadagnolo@gmail.com
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author_list:
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- family: Guadagnolo
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given: B. Ashleigh
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- family: Petereit
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given: Daniel G.
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- family: Coleman
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given: C. Norman
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da: '2023-09-28'
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doi: 10.1016/j.semradonc.2016.11.006
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eissn: 1532-9461
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files: []
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issn: 1053-4296
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journal: SEMINARS IN RADIATION ONCOLOGY
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keywords-plus: 'ALASKA-NATIVES; HEALTH-CARE; PALLIATIVE CARE; PATIENT NAVIGATION;
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MEDICAL MISTRUST; DISPARITIES; MORTALITY; SYSTEM; SATISFACTION; BARRIERS'
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language: English
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month: APR
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number: '2'
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number-of-cited-references: '54'
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orcid-numbers: Guadagnolo, B. Ashleigh/0000-0002-4489-7070
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pages: 143-149
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papis_id: 3609b6504511c29f5afa984c635c3786
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ref: Guadagnolo2017cancercare
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times-cited: '38'
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title: 'Cancer Care Access and Outcomes for American Indian Populations in the United
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States: Challenges and Models for Progress'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000397698100007
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usage-count-last-180-days: '0'
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usage-count-since-2013: '13'
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volume: '27'
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web-of-science-categories: Oncology; Radiology, Nuclear Medicine \& Medical Imaging
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year: '2017'
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