{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T02:21:43Z","timestamp":1789870903516,"version":"4.0.1"},"reference-count":45,"publisher":"Wiley","issue":"S24","license":[{"start":{"date-parts":[[2017,12,5]],"date-time":"2017-12-05T00:00:00Z","timestamp":1512432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2017,12,15]]},"abstract":"<jats:sec><jats:title>BACKGROUND<\/jats:title><jats:p>In the first CONCORD study (2008), 5\u2010year survival for patients diagnosed with colon cancer between 1990 and 1994 in the United States was among the highest in the world (60%), but there were large racial disparities in most participating states. The CONCORD\u20102 study (2015) enabled the examination of survival trends between 1995 and 2009 for US states by race and stage.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>The authors analyzed data from 37 state population\u2010based cancer registries, covering approximately 80% of the US population, for patients who were diagnosed with colon cancer between 2001 and 2009 and were followed through 2009. Survival up to 5 years was corrected for background mortality (net survival) using state\u2010specific and race\u2010specific life tables and age\u2010standardized using the International Cancer Survival Standard weights. Survival is presented by race (all, black, white), stage, state, and calendar period (2001\u20102003 and 2004\u20102009) to account for changes in methods used to collect stage.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>Five\u2010year net survival increased by 0.9%, from 63.7% between 2001 and 2003 to 64.6% between 2004 and 2009. More black than white patients were diagnosed with distant\u2010stage disease between 2001 and 2003 (21.5% vs 17.2%) and between 2004 and 2009 (23.3% vs 18.8%). Survival improved for both blacks and whites, but 5\u2010year net survival was 9\u201010% lower for blacks than for whites both between 2001 and 2003 (54.7% vs 64.5%) and between 2004 and 2009 (56.6% vs 65.4%). The absolute difference between blacks and whites decreased by only 1% during the decade.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>Five\u2010year net survival from colon cancer increased slightly over time. Survival among blacks diagnosed between 2004 and 2009 had still not reached the level of that among whites diagnosed between 1990 and 1994, some 15 to 20 years earlier. These findings suggest a need for more targeted efforts to improve screening and to ensure timely, appropriate treatment, especially for blacks, to reduce this large and persistent disparity in survival. <jats:bold><jats:italic>Cancer<\/jats:italic> 2017;123:5014\u201036.<\/jats:bold> Published 2017. This article is a U.S. Government work and is in the public domain in the USA.<\/jats:p><\/jats:sec>","DOI":"10.1002\/cncr.31076","type":"journal-article","created":{"date-parts":[[2017,12,8]],"date-time":"2017-12-08T13:06:57Z","timestamp":1512738417000},"page":"5014-5036","source":"Crossref","is-referenced-by-count":112,"title":["Colon cancer survival in the United States by race and stage (2001\u20102009): Findings from the CONCORD\u20102 study"],"prefix":"10.1002","volume":"123","author":[{"given":"Arica","family":"White","sequence":"first","affiliation":[{"name":"Division of Cancer Prevention and Control, US Centers for Disease Control and Prevention Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Djenaba","family":"Joseph","sequence":"additional","affiliation":[{"name":"Division of Cancer Prevention and Control, US Centers for Disease Control and Prevention Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sun Hee","family":"Rim","sequence":"additional","affiliation":[{"name":"Division of Cancer Prevention and Control, US Centers for Disease Control and Prevention Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher J.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Cancer Data Registry of Idaho Boise Idaho"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel P.","family":"Coleman","sequence":"additional","affiliation":[{"name":"Cancer Survival Group, Department of Non\u2010Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Allemani","sequence":"additional","affiliation":[{"name":"Cancer Survival Group, Department of Non\u2010Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine London United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,12,5]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"GLOBOCAN 2012\u2009v1.0, Cancer Incidence and Mortality Worldwide: IARC CancerBase No. 11 [Internet]","author":"Ferlay J","year":"2013"},{"key":"e_1_2_8_3_1","volume-title":"United States Cancer Statistics: 1999\u20102013 Incidence and Mortality Web\u2010based Report","author":"US Cancer Statistics Working Group","year":"2016"},{"key":"e_1_2_8_4_1","volume-title":"SEER Cancer Statistics Review, 1975\u20102014, based on November 2016 SEER data submission, posted to the SEER web site April 2017","author":"Howlader N","year":"2017"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28509"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30854"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(08)70179-7"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)62038-9"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30905"},{"key":"e_1_2_8_10_1","volume-title":"SEER Summary Staging Manual\u20102000: Codes and Coding Instructions","author":"Young JL","year":"2001"},{"key":"e_1_2_8_11_1","unstructured":"Surveillance Epidemiology and End Results (SEER) Program.Collaborative Stage. 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