{"id":36359,"date":"2014-04-25T07:46:55","date_gmt":"2014-04-25T07:46:55","guid":{"rendered":"http:\/\/www.mixedracestudies.org\/wordpress\/?p=36359"},"modified":"2014-04-25T07:46:55","modified_gmt":"2014-04-25T07:46:55","slug":"is-raceethnicity-related-to-presence-or-severity-of-pain-in-colorectal-and-lung-cancer","status":"publish","type":"post","link":"https:\/\/mixedracestudies.org\/wp\/?p=36359","title":{"rendered":"Is Race\/Ethnicity Related to Presence or Severity of Pain in Colorectal and Lung Cancer?"},"content":{"rendered":"

Is Race\/Ethnicity Related to Presence or Severity of Pain in Colorectal and Lung Cancer?<\/strong><\/em><\/a><\/p>\n

Journal of Pain and Symptom Management<\/a>
\nPublished online: 2014-04-18
\nDOI: 10.1016\/j.jpainsymman.2014.02.005<\/a><\/p>\n

Kathryn A. Martinez<\/strong><\/a>, PhD, MPH, Postdoctoral Fellow
\nCanSORT (Cancer Surveillance & Outcomes Research Team)
\nAnn Arbor VA Health Services Research & Development Center,
\nUniversity of Michgan, Ann Arbor<\/em><\/p>\n

Claire F. Snyder<\/strong><\/a>, PhD, Associate Professor of Internal Medicine
\nJohns Hopkins Univesity Shchool of Medicine, Baltimore, Maryand<\/em><\/p>\n

Jennifer L. Malin<\/strong><\/a>, MD, PhD
\nWellpoint, Thousand Oaks, Calfornia<\/em>; Jonsson Comprehensive Cancer Center and David Geffen School of Medicine, University of California, Los Angeles<\/em><\/p>\n

Sydney M. Dy<\/strong><\/a>, MD, MSc, Physician Leader, Duffey Pain and Palliative Care Program, Hopkins Kimmel Cancer Center; Associate Professor
\nDeparmemt of Health Management and Policy
\nJohns Hopkins Bloomberg School of Public Health<\/em><\/p>\n

Context<\/strong><\/p>\n

Developing interventions to address racial\/ethnic cancer pain disparities requires exploration of the role of socioeconomic status, health status, and pain severity from the time of diagnosis.<\/p>\n

Objectives<\/strong><\/p>\n

To examine patterns of disparities in cancer pain by evaluating differences by race\/ethnicity in the odds of reporting pain and in pain severity, controlling for key patient-level covariates.<\/p>\n

Methods<\/strong><\/p>\n

This study used data from a nationally representative cohort of colorectal and lung cancer patients. Multivariable logistic regression was conducted to examine the relationship between race\/ethnicity and reporting pain. Multivariable linear regression was then conducted, among those who reported pain, to determine differences in pain severity by race\/ethnicity.<\/p>\n

Results<\/strong><\/p>\n

The cohort included 5,761 individuals (14% black, 7% Hispanic\/Latino, 6% Asian or Pacific Islander, and 3% multiracial) among whom 48% reported pain. The adjusted odds of reporting differed only for multiracial patients, who were more likely to report pain than whites (OR:1.54; p=0.036). However, among those with pain, severity was higher for black patients (\u03b2=6.6; p\u22640.001) and multiracial patients (\u03b2=4.5; p=0.036) relative to white patients. Lower educational attainment, depressed affect, and lower levels of wealth were also associated with higher pain severity.<\/p>\n

Conclusion<\/strong><\/p>\n

While the odds of experiencing pain differed only for multiracial patients, among those reporting pain, both blacks and multiracial individuals reported higher pain severity than whites. Sociodemographic status, health status, and depression were associated with severity but did not explain the disparity. Interventions to address these disparities will need to address reported severity as well as patient-level factors.<\/p>\n

Read or purchase the article here<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

Is Race\/Ethnicity Related to Presence or Severity of Pain in Colorectal and Lung Cancer? Journal of Pain and Symptom Management Published online: 2014-04-18 DOI: 10.1016\/j.jpainsymman.2014.02.005 Kathryn A. Martinez, PhD, MPH, Postdoctoral Fellow CanSORT (Cancer Surveillance & Outcomes Research Team) Ann Arbor VA Health Services Research & Development Center, University of Michgan, Ann Arbor Claire F. […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,2039,20],"tags":[17275,17277,17276,17273,17274,17272,17271],"class_list":["post-36359","post","type-post","status-publish","format-standard","hentry","category-articles","category-health-medicine","category-usa","tag-claire-f-snyder","tag-jennifer-l-malin","tag-journal-of-pain-and-symptom-management","tag-kathryn-a-martinez","tag-kathryn-martinez","tag-sydney-e-morss-dy","tag-sydney-m-dy"],"_links":{"self":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/posts\/36359","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=36359"}],"version-history":[{"count":0,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=\/wp\/v2\/posts\/36359\/revisions"}],"wp:attachment":[{"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=36359"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=36359"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mixedracestudies.org\/wp\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=36359"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}