Racial, Ethnic, and Socioeconomic Survival Disparities in Early-Onset Metastatic Colorectal Cancer

Are race and ethnicity and neighborhood-level socioeconomic status (SES) associated with mortality among young adults with metastatic colorectal cancer (mCRC)?In this cohort study of 3115 young adults with mCRC, 3-year survival was lower among Black patients (40.7%) and patients in the lowest SES quintile (40.6%). Patients living in the lowest SES quintile had 51% higher risk of mortality, and Black patients had 8% higher risk of mortality, although the latter association was not statistically significant after adjusting for sociodemographic, tumor, and treatment characteristics.These findings suggest that structural conditions, such as neighborhood-level SES, impact survival among young adults with mCRC.

Corresponding Author: Jennifer S. Wang, MPH, UTHealth Houston School of Public Health, 1200 Pressler St, Houston, TX 77030 (jennifer.s.wang@uth.tmc.edu).

Link to the article in your story

We encourage you to link out to this article in your story using the link below. It includes an access token that will give free access to the article for your readers up to one year after publication. (The link will be live after the article publishes and embargo is lifted.)

Please see the article for additional information, including full author list, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

Need more information? Contact us.