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America's Demographic and Cultural Transformation: Implications for Cancer. Addendum: How the Patient Protection and Affordable Care Act and Other Recent Legislative Activity May Impact the Panel's Recommendations

机译:美国的人口和文化转型:对癌症的影响。附录:患者保护和平价医疗法以及其他近期立法活动如何影响专家组的建议

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Cancer incidence among minority populations is projected to nearly double between 2010 and 2030 while increasing 31 percent among the non Hispanic white population. Minority and other underserved populations are disproportionately affected by certain cancers, are often diagnosed at later stages of disease, and frequently have lower rates of survival once diagnosed. Racial and ethnic differences in cancer incidence, presentation, and prognosis are well documented. However, the current understanding of cancer risk, progression, and outcomes is based largely on studies of non.Hispanic white populations. The risk factors, screening guidelines, and treatment regimens identified through research are often not appropriate for individuals of non.European descent. Regardless of race/ethnicity, each individual has a unique complement of cultural, environmental, biological, and genetic risk factors that coalesce to determine cancer risk. Insights into the interactions between multiple variables (e.g., gene-neighborhood interactions) and biological markers of cancer risk and prognosis can be gained through thoughtfully designed research and should ultimately help health care providers more effectively treat patients.

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