Article
Oncology
John L. Vaughn, Orysya Soroka, Narendranath Epperla, Monika Safford, Laura C. Pinheiro
Summary: In a population-based cohort study of lymphoma patients, Non-Hispanic Black patients were less likely to receive autologous HCT compared to Non-Hispanic White patients, but this difference was partially explained by socioeconomic and disease-specific factors.
Article
Green & Sustainable Science & Technology
Qiang Wang, Mei-Po Kwan, Jie Fan, Jian Lin
Summary: This study found that overall racial inequality in residential energy consumption/cost has remained relatively stable over the past 25 years in the U.S., but African-American households are more vulnerable to energy poverty compared to white and Asian households. Surprisingly, the proportion of white households experiencing energy poverty has seen the greatest increase from 1990 to 2015.
RENEWABLE & SUSTAINABLE ENERGY REVIEWS
(2021)
Article
Gastroenterology & Hepatology
Yassine Kilani, Syeda Ashna Fatima Kamal, Fnu Vikash, Sindhu Vikash, Mohammad Aldiabat, Saqr Alsakarneh, Yazan Aljabiri, Haris Sohail, Vikash Kumar, Laith Numan, Kawtar Al Khalloufi
Summary: There is a disparity in liver transplantation for hepatocellular carcinoma among races in the United States. This study aimed to update the literature on the odds, trends, and complications of liver transplantation in individuals of different racial backgrounds. The results showed that Black patients were less likely to undergo liver transplantation for hepatocellular carcinoma and had higher mortality rates, sepsis, and acute kidney injury following the procedure.
DIGESTIVE DISEASES AND SCIENCES
(2023)
Editorial Material
Oncology
Richard S. Hoehn
Summary: Racial inequities in the presentation, management, and survival of hepatocellular carcinoma patients may be influenced by biological factors, but complex social issues are likely the main cause of these disparities.
Article
Gastroenterology & Hepatology
Dora C. Huang, Rosa L. Yu, Saleh Alqahtani, Hani Tamim, Behnam Saberi, Alan Bonder
Summary: This study aimed to investigate the treatment efficacy of liver transplantation for hepatocellular carcinoma patients and its differences in terms of socioeconomic status, race, and ethnicity. The results showed that male gender, private insurance, and higher income were associated with better post-transplant survival, while African American and Black individuals had lower survival rates, and Asian and Hispanic individuals had higher survival rates compared to White individuals.
ANNALS OF HEPATOLOGY
(2023)
Review
Nutrition & Dietetics
Jungwon Min, Hailee Goodale, Hong Xue, Rebecca Brey, Youfa Wang
Summary: The study found that obesity prevalence in the USA has been steadily increasing since 2007, with significant decreases in obesity rates among non-Hispanic black women in the past decade. However, obesity rates have increased among Mexican-American men, boys, and girls, surpassing or equaling non-Hispanic black groups. Differences in biological, behavioral, and sociocultural factors contribute to racial/ethnic disparities in obesity.
ADVANCES IN NUTRITION
(2021)
Article
Surgery
Krista L. Lentine, Tomohiro Tanaka, Huiling Xiao, Therese Bittermann, Mary Amanda Dew, Mark A. Schnitzler, Kim M. Olthoff, Jayme E. Locke, Sukru Emre, Heather F. Hunt, AnnMarie Liapakis, David A. Axelrod
Summary: Living donor liver transplantation (LDLT) in the United States is limited to specific experienced transplant centers. This study analyzed transplant registry data from 2002 to 2019 to assess the impact of recipient and center factors on the likelihood of receiving LDLT. The study found that while the likelihood of receiving LDLT has increased in recent years, there are still disparities in access based on age, gender, race, ethnicity, obesity, and socioeconomic factors.
CLINICAL TRANSPLANTATION
(2023)
Article
Gastroenterology & Hepatology
Ya-Ching Hung, Ya-Wen Chen, Charles G. Rickert, Yu-Tien Hsu, Heidi Yeh, David C. Chang
Summary: Factors influencing the treatment choice between liver transplantation and surgical resection for hepatocellular carcinoma include liver transplant center density, availability of potential donors, incidence of chronic liver disease/cirrhosis, gender, and minority populations. Short-term surgical outcomes of liver transplantation and surgical resection were not associated with the utilization of liver transplantation.
Review
Gastroenterology & Hepatology
Nicole E. Rich, Christian Carr, Adam C. Yopp, Jorge A. Marrero, Amit G. Singal
Summary: There are significant racial and ethnic disparities in the prognosis of hepatocellular carcinoma (HCC) in the United States, with black patients having worse overall survival and Hispanic and Asian patients having better overall survival compared with white patients. Interventions are needed to reduce disparities in early HCC detection and improve HCC prognosis.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Article
Critical Care Medicine
Jennifer Richmond, Megan Hollister Murray, Cato M. Milder, Jeffrey D. Blume, Melinda C. Aldrich
Summary: This study identified factors contributing to racial disparities in lung cancer stage of diagnosis among low-income adults. Individual-level and area-level factors were found to be associated with distant stage diagnosis. The predictive power of the model slightly improved when psychosocial factors were considered. Interventions on both structural and individual-level factors are necessary to reduce racial disparities in lung cancer stage at presentation.
Article
Surgery
Malcolm MacConmara, Benjamin Wang, Madhukar S. Patel, Christine S. Hwang, Lucia DeGregorio, Jigesh Shah, Steven Hanish, Dev Desai, Raymond Lynch, Bekir Tanriover, Herbert Zeh, Parsia A. Vagefi
Summary: This study assessed the impact of COVID-19 pandemic on access to liver transplantation, revealing that in the early stages of the pandemic, minorities and candidates with public insurance saw a decrease in liver transplants, although there were some improvements throughout the pandemic period, minorities still had lower transplant odds.
Article
Gastroenterology & Hepatology
Nicole J. Kim, Anne Cravero, Trang VoPham, Philip Vutien, Rotonya Carr, Rachel B. Issaka, Janet Johnston, Brian McMahon, Jorge Mera, George N. Ioannou
Summary: HCC is the most common form of primary liver cancer and the fastest rising cause of cancer-related death in the United States. It disproportionately affects racial and ethnic minorities in the country. A practical framework is needed to address the complex factors driving these disparities and guide future research initiatives towards health equity in HCC care.
HEPATOLOGY COMMUNICATIONS
(2023)
Article
Gastroenterology & Hepatology
Michael R. Poulson, B. Aldana Blanco, Alaina D. Geary, Kelly M. Kenzik, David B. McAneny, Jennifer F. Tseng, Teviah E. Sachs
Summary: The study reveals that racial segregation has a significant impact on the disparities in the treatment and outcomes of Hepatocellular Carcinoma between black and white patients in the U.S.A. When segregation levels are high, black patients have significantly lower survival rates compared to whites, which disappears at lower segregation levels.
Article
Gastroenterology & Hepatology
Hao Liu, Christof Kaltenmeier, Naudia Jonassaint, Jaideep Behari, Andres Duarte -Rojo, Shahid Malik, Dempsey L. Hughes, Swaytha Ganesh, Dheera Reddy, Colin Powers, Caitlin Loseth, Ann Thompson, Hasan Al Harakeh, Roy Hill, Zhang Xingyu, Emilia Diego, Andrea Di Martini, Ramon Bataller, Michele Molinari
Summary: This study found that the survival gap between different racial/ethnic groups undergoing liver transplant for hepatocellular carcinoma has decreased over time. However, Black/African Americans still have the lowest survival among all racial/ethnic groups.
Editorial Material
Oncology
Xiaotao Zhang, Aaron P. Thrift
Summary: Although liver transplantation rates are increasing in the United States, studies show that liver transplantation has only a modest impact on population-level HCC-specific mortality (a 0.5% reduction in the annual rate of increase in IBM rate compared to nontransplant). As a result, prioritizing HCC screening and surveillance, along with increasing access to liver transplantation and other curative treatments, are essential to improve HCC survival rates. Additionally, future research on HCC mortality should also focus on risk factors such as viral hepatitis and nonalcoholic fatty liver disease prevention and treatment.
CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION
(2021)