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African-
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Prostate
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"Disgraceful Tragedy"
African- American
Prostate Cancer
Crisis

Late Diagnosis, Poor Care
Factors in African-American
Prostate Cancer Disaster

Black American men may have a genetic predisposition to prostate cancer, researchers say. But this is not enough to account for the rate at which they die of it compared to other American men.
Endocrine system makes male hormones (androgens), which fuel prostate cancer     African Americans are two to three times as likely to die of prostate cancer as white men. Only 66% of African Americans diagnosed with prostate cancer survive for five years, compared with 81% percent of white men.
     Is prostate cancer inevitably more deadly for African-American men? Not according to a senior radiation oncologist at the University of Rochester, Dr. Raymond Wynn, M.D. The extra suffering, he says, stems from lack of proper health care.

Equal Treatment for Survival
Poor medical care, Dr. Wynn says, leads to late diagnosis and inferior treatment once the disease is found. African-American men with prostate cancer live as long as white men after diagnosis if they receive the same treatment. Black men are not receiving adequate treatment. They also aren’t going to the doctor until they have late-stage disease.
     "Quality care is essential, " says Dr. Wynn, "but African Americans also must get screened early if we want to reduce the number of prostate cancer deaths in this group." Prostate cancer screening is crucial for patients at highest risk of developing and dying from the disease at a relatively young age. If anyone must be screened, Wynn says, it is African American men.
     This is the opposite of what is happening. As more white men hear about the PSA test and ask for it, the difference in stage of disease at diagnosis between African Americans and white Americans is widening.

Pain Care Worst for Hispanic Patients
Pain treatment for cancer is lowgrade for many Americans and worst for minorities. At the M. D. Anderson Cancer Center in Houston, Texas, Hispanic patients are even less likely to receive adequate pain treatment than are African Americans.
     A study of minority patients with metastatic cancer at M.D. Anderson found that 65% of the patients did not receive pain treatment up to standards in U.S. and World Health Organization guidelines. Even among whites, 50% of patients did not receive care meeting those standards.

In the past 15 years, according to a recent article in The New England Journal of Medicine, the health of African Americans has worsened compared to the health of other US citizens.
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January 1998. Last modified April 3, 1999

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