Differences in Timely Cancer Diagnosis in African American and Caucasian Patients With Newly Diagnosed Colorectal Cancer

Completed

• Conditions: Colorectal Cancer
• Interventions: Other: medical chart review; Other: questionnaire administration; Other: study of socioeconomic and demographic variables; Other: survey administration

• Registration Number: NCT00856115
• Lead Sponsor: Case Comprehensive Cancer Center

Brief 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.

Detailed 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.

Study Timeline

• Study Start: 2008-11
• Study First Submitted: 2009-03-04
• Study First Submitted QC: 2009-03-04
• Study First Posted: 2009-03-05
• Primary Completion: 2010-10
• Study Completion: 2014-01
• Status Verified: 2014-07
• Last Update Submitted: 2014-07-14
• Last Update Posted: 2014-07-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 84

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

Exclusion Criteria

Not provided

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
African American Female	medical chart review	-
Caucasian Female	study of socioeconomic and demographic variables	-
Caucasian Male	questionnaire administration	-
Caucasian Male	survey administration	-
Caucasian Male	medical chart review	-
African American Female	study of socioeconomic and demographic variables	-
African American Female	survey administration	-
Caucasian Female	medical chart review	-
African American Female	questionnaire administration	-
African American Male	medical chart review	-
Caucasian Female	questionnaire administration	-
African American Male	questionnaire administration	-
African American Male	study of socioeconomic and demographic variables	-
African American Male	survey administration	-
Caucasian Female	survey administration	-
Caucasian Male	study of socioeconomic and demographic variables	-

Primary Outcome Measures

Name	Time	Method
Factors that influence appraisal and diagnostic delay	45-60 minute interview

Trial Locations

Locations (4)

Lake/University Ireland Cancer Center; 🇺🇸 Cleveland, Ohio, United States

Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center; 🇺🇸 Cleveland, Ohio, United States

Southwest General Health Center; 🇺🇸 Cleveland, Ohio, United States

UH-Green Road; 🇺🇸 South Euclid, Ohio, United States