Colorectal Cancer Clinical Trial
Official title:
Appraisal Delay and Disparities in Timely Cancer Diagnosis
RATIONALE: Gathering information about timely diagnosis in African American and Caucasian
patients with newly diagnosed colorectal cancer may help doctors learn more about factors
that influence a diagnosis and plan the best treatment.
PURPOSE: This phase I trial is studying differences in timely cancer diagnosis in African
American patients and in Caucasian patients with newly diagnosed colorectal cancer.
OBJECTIVES:
- Identify and examine the factors that influence appraisal and diagnostic delay by
focusing on recognition, perception, communication, and response to pre-diagnosis
cancer symptoms in African American and Caucasian patients with newly diagnosed
colorectal cancer.
OUTLINE: This is a multicenter study. Patients are stratified according to race
(African-American vs Caucasian) and gender (male vs female).
Patients undergo a 45-60 minute interview to obtain information on variations in symptom
perception, assessment, and patient-physician communication process. Patients are assessed
by sociodemographic characteristics (i.e, education, gender, age, insurance status,
employment status, income, race/ethnicity, and religiosity), information of close confidants
(i.e., relationship, family history of cancer, and caregiver/decision-making status), and
physician characteristics. Patients are also assessed by the Trust in the Health Care
System, DMPQ, RCS, Brief COPE scale, Lukwago Religiosity scale, and RAND Social Support
Survey questionnaires.
Patient charts are reviewed to obtain medical data.
;
Observational Model: Case Control, Time Perspective: Retrospective
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