abstract: 'Low socioeconomic and health care access realities of being American

  Indian/Alaskan Native (Al/AN) in the United States combined with decades

  of data documenting poor cancer outcomes for-this population provide a

  population nested within the United States that is analogous to the

  cancer care landscape of low- and middle-income countries

  internationally. We reviewed the medical literature with respect to

  cancer prevention, access to cancer treatment, and access to effective

  supportive and palliative care for Al/AN populations in the United

  States. Research confirms poorer cancer outcomes, suboptimal cancer

  screening, and high-risk cancer behaviors among Al/AN communities. Al/AN

  cancer patients are less likely to undergo recommended cancer surgeries,

  adjuvant chemotherapy, and radiation therapy than their White

  counterparts. Studies including both rural and urban survivors with Al

  cancer revealed barriers to receipt of optimal cancer symptom management

  and proportionally lower hospice use among Al/AN populations. Culturally

  tailored programs in targeted communities have been shown to mitigate

  the observed cancer-related health disparities among Al/AN communities.

  There is still much work to be done to improve cancer-related health

  outcomes in Al/AN communities, and the goals of the providers serving

  them corresponds with those propelling the growing interest in global

  oncology equity. Policy work and more funding are needed to continue to

  build upon the work that the Indian Health Service and established

  cancer-related health programs have begun in Al/AN communities. (C) 2017

  Elsevier Inc. All rights reserved.'
affiliation: 'Guadagnolo, BA (Corresponding Author), Univ Texas MD Anderson Canc Ctr,
  Dept Radiat Oncol, Houston, TX 77030 USA.

  Guadagnolo, B. Ashleigh, Univ Texas MD Anderson Canc Ctr, Dept Radiat Oncol, Houston,
  TX 77030 USA.

  Petereit, Daniel G., Rapid City Reg Canc Care Inst, Rapid City, SD USA.

  Coleman, C. Norman, Int Canc Expert Corps, New York, NY USA.

  Coleman, C. Norman, NCI, Radiat Res Program, Div Canc Treatment \& Diag, Rockville,
  MD USA.'
author: Guadagnolo, B. Ashleigh and Petereit, Daniel G. and Coleman, C. Norman
author-email: aguadagnolo@gmail.com
author_list:
- family: Guadagnolo
  given: B. Ashleigh
- family: Petereit
  given: Daniel G.
- family: Coleman
  given: C. Norman
da: '2023-09-28'
doi: 10.1016/j.semradonc.2016.11.006
eissn: 1532-9461
files: []
issn: 1053-4296
journal: SEMINARS IN RADIATION ONCOLOGY
keywords-plus: 'ALASKA-NATIVES; HEALTH-CARE; PALLIATIVE CARE; PATIENT NAVIGATION;

  MEDICAL MISTRUST; DISPARITIES; MORTALITY; SYSTEM; SATISFACTION; BARRIERS'
language: English
month: APR
number: '2'
number-of-cited-references: '54'
orcid-numbers: Guadagnolo, B. Ashleigh/0000-0002-4489-7070
pages: 143-149
papis_id: 3609b6504511c29f5afa984c635c3786
ref: Guadagnolo2017cancercare
times-cited: '38'
title: 'Cancer Care Access and Outcomes for American Indian Populations in the United
  States: Challenges and Models for Progress'
type: Article
unique-id: WOS:000397698100007
usage-count-last-180-days: '0'
usage-count-since-2013: '13'
volume: '27'
web-of-science-categories: Oncology; Radiology, Nuclear Medicine \& Medical Imaging
year: '2017'