{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T19:24:14Z","timestamp":1760297054194},"reference-count":43,"publisher":"Wiley","issue":"6p2","license":[{"start":{"date-parts":[[2003,12,18]],"date-time":"2003-12-18T00:00:00Z","timestamp":1071705600000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2003,12]]},"abstract":"<jats:sec><jats:label \/><jats:p><jats:bold>Objective. <\/jats:bold> To investigate racial differences in posttreatment bowel surveillance after colorectal cancer surgery in a large population of Medicare patients.<\/jats:p><jats:p><jats:bold>Data Sources. <\/jats:bold> We used a large population\u2010based dataset: Surveillance, Epidemiology, and End Results (SEER) linked to Medicare data.<\/jats:p><jats:p><jats:bold>Study Design. <\/jats:bold> This is a retrospective cohort study. We analyzed data from 44,768 non\u2010Hispanic white, 2,921 black, and 4,416 patients from other racial\/ethnic groups, aged 65 and older at diagnosis, who had a diagnosis of local or regional colorectal cancer between 1986 and 1996, and were followed through December 31, 1998. Cox Proportional Hazards models were used to investigate the relation of race and receipt of posttreatment bowel surveillance.<\/jats:p><jats:p><jats:bold>Data Collection. <\/jats:bold> Sociodemographic, hospital, and clinical characteristics were collected at the time of diagnosis for all members of the cohort. Surgery and bowel surveillance with colonoscopy, sigmoidoscopy, and barium enema were obtained from Medicare claims using ICD\u20109\u2010CM and CPT\u20104 codes.<\/jats:p><jats:p><jats:bold>Principal Findings. <\/jats:bold> The chance of surveillance within 18 months of surgery was 57 percent, 48 percent, and 45 percent for non\u2010Hispanic whites, blacks, and others, respectively. After adjusting for sociodemographic, hospital, and clinical characteristics, blacks were 25 percent less likely than whites to receive surveillance if diagnosed between 1991 and 1996 (RR=0.75, 95 percent CI=0.70\u20130.81).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions.<\/jats:title><jats:p>Elderly blacks were less likely than non\u2010Hispanic whites to receive posttreatment bowel surveillance and this result was not explained by measured racial differences in sociodemographic, hospital, and clinical characteristics. More research is needed to explore the influences of patient\u2010 and provider\u2010level factors on racial differences in posttreatment bowel surveillance.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1475-6773.2003.00207.x","type":"journal-article","created":{"date-parts":[[2003,12,18]],"date-time":"2003-12-18T16:28:34Z","timestamp":1071764914000},"page":"1885-1904","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":38,"title":["Racial Differences in the Receipt of Bowel Surveillance Following Potentially Curative Colorectal Cancer Surgery"],"prefix":"10.1111","volume":"38","author":[{"given":"Gary L.","family":"Ellison","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan L.","family":"Warren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin B.","family":"Knopf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin L.","family":"Brown","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,12,18]]},"reference":[{"key":"e_1_2_6_2_1","volume-title":"Survival Analysis Using the SAS\u00ae System: A Practical Guide","author":"Allison P. D.","year":"1995"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(97)00156-3"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.86.4.582"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0142(19990515)85:10<2124::AID-CNCR5>3.0.CO;2-L"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2000.106685"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.282.6.583"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.44.1.27"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.1999.17.4.1312"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0895-4356(92)90133-8"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200104000-00007"},{"issue":"4","key":"e_1_2_6_13_1","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1001\/jama.1989.03420040118031","article-title":"Detection and Surveillance of Colorectal Cancer","volume":"261","author":"Fleischer D. E.","year":"1989","journal-title":"Journal of the American Medical Association"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-129-1-199807010-00007"},{"issue":"4","key":"e_1_2_6_15_1","first-page":"23","article-title":"Disparities in Medicare Services","volume":"21","author":"Gornick M. E.","year":"2000","journal-title":"Health Care Financing Review"},{"key":"e_1_2_6_16_1","volume-title":"Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care","author":"Institute of Medicine","year":"2002"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.3322\/canjclin.52.1.23"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.284.13.1670"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1067\/mge.2001.118949"},{"issue":"11","key":"e_1_2_6_20_1","first-page":"937","article-title":"Race of Physician and Satisfaction with Care among African\u2010American Patients","volume":"94","author":"LaVeist T. A.","year":"2002","journal-title":"Journal of the National Medical Association"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.2307\/3090205"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199712000-00002"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199907000-00011"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/87.22.1686"},{"issue":"1","key":"e_1_2_6_25_1","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1177\/1077558700057001S06","article-title":"Racial and Ethnic Differences in Access to Medical Care","volume":"57","author":"Mayberry R. M.","year":"2000","journal-title":"Medical Care Research and Review"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2002.08.062"},{"key":"e_1_2_6_27_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2002.20.5.1192"},{"key":"e_1_2_6_28_1","volume-title":"SEER Cancer Statistics Review, 1973\u20131999, National Cancer Institute","author":"Ries L. A. G.","year":"2002"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02239433"},{"key":"e_1_2_6_30_1","volume-title":"SAS statistical software (version 8.2)","author":"SAS Institute","year":"2001"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200003000-00005"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/93.11.850"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2001.19.17.3712"},{"key":"e_1_2_6_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/95.8.588"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(97)00089-9"},{"key":"e_1_2_6_36_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/94.5.334"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/93.16.1264"},{"issue":"3","key":"e_1_2_6_38_1","first-page":"213","article-title":"Variations in the Use of Adjuvant Chemotherapy for Node\u2010Positive Colon Cancer in the Elderly","volume":"7","author":"Sundararajan V.","year":"2001","journal-title":"Cancer Journal"},{"key":"e_1_2_6_39_1","first-page":"1","article-title":"Medigap","volume":"782","author":"Super N.","year":"2002","journal-title":"National Health Policy Forum Issue Brief"},{"key":"e_1_2_6_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02050993"},{"issue":"23","key":"e_1_2_6_41_1","doi-asserted-by":"crossref","first-page":"1837","DOI":"10.1001\/jama.1995.03520470045030","article-title":"Cost of Patient Follow\u2010up after Potentially Curative Colorectal Cancer Treatment","volume":"273","author":"Virgo K. S.","year":"1995","journal-title":"Journal of the American Medical Association"},{"key":"e_1_2_6_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02307079"},{"issue":"8","key":"e_1_2_6_43_1","first-page":"iv\u20103","article-title":"Overview of the SEER\u2010Medicare Data","volume":"40","author":"Warren J. L.","year":"2002","journal-title":"Medical Care"},{"key":"e_1_2_6_44_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200006153422401"}],"container-title":["Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1475-6773.2003.00207.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1475-6773.2003.00207.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T10:54:07Z","timestamp":1697194447000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1475-6773.2003.00207.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,12]]},"references-count":43,"journal-issue":{"issue":"6p2","published-print":{"date-parts":[[2003,12]]}},"alternative-id":["10.1111\/j.1475-6773.2003.00207.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1475-6773.2003.00207.x","archive":["Portico"],"relation":{},"ISSN":["0017-9124","1475-6773"],"issn-type":[{"value":"0017-9124","type":"print"},{"value":"1475-6773","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,12]]},"assertion":[{"value":"2003-12-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}