Gaps in Gastric Cancer Risk Factor Management: Analysis of Electronic Health Data and Provider/Patient Perspectives
Abstract
This study addressed factors and their interactions contributing to disparities in testing and treatment of H. pylori (HP) infection and related gastric disorders (atrophic gastritis, gastric ulcer), and gastric cancer [GC; gastric adenocarcinoma (GCA), gastric non-Hodgkins lymphoma (GL) and gastric MALT lymphoma (gMALT) diagnosis and treatment, among Latinos relative to non-Latinos at two affiliated but independent health systems in San Antonio, Texas. Continued secondary data analysis showed a very small proportion of patients developed GC but were diagnosed within 1 month of their index diagnosis. Time from diagnosis to referral was within 5 months for 80 of patients; referral time was shorter for female gender, Hispanic ethnicity and low insurance but not poverty, income or education. In contrast, time from referral to actual encounter was longer for those with lower income. Qualitative interviews for providers in primary care, gastroenterology and oncology have been completed and analysis is underway.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jun 01, 2021
- Accession Number
- AD1147527
Entities
People
- Dorothy Long Parma
- Raquel Romero
Organizations
- University of Texas at San Antonio