{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T08:02:24Z","timestamp":1784707344621,"version":"3.55.0"},"reference-count":48,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:00:00Z","timestamp":1782777600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Cancer Causes Control"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Racial and ethnic disparities in esophageal cancer outcomes are documented, but whether they differ by stage at diagnosis is unclear. Using population-based data from Florida, a diverse, Medicaid non-expansion state, we conducted a stage-stratified analysis of racial\/ethnic differences in survival and treatment receipt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed 21,814 esophageal cancer cases from the Florida Cancer Data System (2005\u20132021). Using cause-specific Cox models, we estimated adjusted hazard ratios (aHRs) for cancer-specific mortality overall and by stage, adjusting for demographics, tumor characteristics, treatment, smoking, and socioeconomic factors. Multivariable logistic regression assessed racial\/ethnic differences in receipt of surgery, chemotherapy, and radiation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients were 81.0% non-Hispanic (NH) White, 8.0% NH Black, and 10.0% Hispanic. NH Black patients had higher overall mortality than NH White patients (aHR: 1.08; 95% CI 1.02\u20131.15). Stage-stratified models showed elevated mortality among NH Black patients at localized (aHR: 1.24; 95% CI 1.05\u20131.45) and regional stages (aHR: 1.19; 95% CI 1.07\u20131.35) compared with NH White patients, but lower mortality at distant stage (aHR: 0.88; 95% CI 0.80\u20130.98). NH Black patients had lower odds of surgery (aOR: 0.51; 95% CI 0.43\u20130.61) and chemotherapy (aOR: 0.79; 95% CI 0.70\u20130.90) compared\u00a0with NH White patients; radiation receipt did not differ.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Survival disparities were most pronounced at curable stages, indicating inequities in post-diagnosis management. Lower treatment receipt and \u00a0persistent\u00a0survival differences after clinical adjustment suggest that structural and systemic factors contribute. These findings highlight a critical target for cancer control and underscore the need for system-level reforms to ensure equitable, stage-appropriate care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10552-026-02194-5","type":"journal-article","created":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T20:36:31Z","timestamp":1782851791000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Racial and ethnic disparities in esophageal cancer survival are greatest at curable stages: a population-based study"],"prefix":"10.1007","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0398-6384","authenticated-orcid":false,"given":"Saurabh","family":"Kalra","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cindy Medina","family":"Pab\u00f3n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Kalra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"WayWay M.","family":"Hlaing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paulo S.","family":"Pinheiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,30]]},"reference":[{"issue":"1","key":"2194_CR1","first-page":"17","volume":"73","author":"RL Siegel","year":"2023","unstructured":"Siegel RL et al (2023) Cancer statistics, 2023. 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