Colon Cancer Clinical Trial
Differences in Timely Cancer Diagnosis in African American and Caucasian Patients With Newly Diagnosed Colorectal Cancer
Summary
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.
Full Description
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.
Eligibility Criteria
Inclusion Criteria:
21 years of age or older
Cognitively able to participate in an interview
Diagnosed with Colorectal cancer
Patient at University Hospitals, Case Western Reserve University, or Cleveland Clinic Foundation
diagnosed within 6 months of the scheduled interview
have no prior history of colon cancer or cancer of any other major organ system
any stage of cancer
Patient will have described their symptoms to their PCPs
Patient will have acted as their own decision maker
Must be African American or Caucasian
Exclusion Criteria
No disease discovered by previous routine screening or by other unintentional detection procedure (i.e., without symptom appraisal process or communicating specific symptoms to physicians)
Not living in nursing or assisted living facilities
Cognitive impairment
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There are 4 Locations for this study
Cleveland Ohio, 44060, United States
Cleveland Ohio, 44106, United States
Cleveland Ohio, 44130, United States
South Euclid Ohio, 44121, United States
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