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Journal of the National Cancer Institute Advance Access first published online on June 30, 2009
This version published online on July 7, 2009
JNCI Journal of the National Cancer Institute, doi:10.1093/jnci/djp185
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© The Author 2009. Published by Oxford University Press.

EDITORIAL

Is Race Really a Negative Prognostic Factor for Cancer?

Otis W. Brawley

Affiliation of author: American Cancer Society and Emory University

Correspondence to: Otis W. Brawley, MD, American Cancer Society, 250 Williams St, Atlanta, GA 30322 (e-mail: otis.brawley@cancer.org).

The first 10% of the full text of this article appears below.

For most cancers, black Americans or Americans of African heritage have the highest cancer mortality rates and the worst survival of any population (1). This fact has been a concern for nearly 40 years (2). Although it is incontrovertible that there are racial disparities in cancer incidence and mortality, the reasons for the disparities are not as clear and indeed are controversial. Some have suggested that they are due to racial differences in biology (3,4). Others have suggested that socioeconomic and cultural influences are to blame (5).

This issue of the Journal has two articles that help bring some focus to the issue and help better define the questions that should be asked. It is only through clearly defining the problem that we can most appropriately address it and develop the interventions . . . [Full Text of this Article]


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