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- W2912682249 abstract "Objectives African Americans (AAs) have disproportionately higher incidence and lower survival rates from pancreatic cancer compared with whites. Historically, this disparity has been attributed to modifiable risk factors. Recent studies suggest that nonmodifiable aspects may also play an important role. We review these new contributions as potential targets for closing the disparity. Methods A PubMed search was conducted to review studies of nonmodifiable elements contributing to pancreatic cancer disparities in AAs. Results Several nonmodifiable risks are associated with the racial disparity in pancreatic cancer. SSTR5 P335L, Kaiso, and KDM4/JMJD2A demonstrate differential racial expression, increasing their potential as therapeutic targets. Many social determinants of health and their associations with diabetes, obesity, and the microbiome are partially modifiable risk factors that significantly contribute to outcomes in minorities. Barriers to progress include the low minority inclusion in research studies. Conclusions Genomics, epigenetics, the microbiome, and social determinants of health are components that contribute to the pancreatic cancer disparity in AAs. These factors can be researched, targeted, and modified to improve mortality rates. Closing the disparity in pancreatic cancer will require an integrated approach of personalized medicine, increased minority recruitment to studies, and advanced health care/education access." @default.
- W2912682249 created "2019-02-21" @default.
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- W2912682249 creator A5053595568 @default.
- W2912682249 date "2019-02-01" @default.
- W2912682249 modified "2023-10-18" @default.
- W2912682249 title "Closing the Disparity in Pancreatic Cancer Outcomes" @default.
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- W2912682249 doi "https://doi.org/10.1097/mpa.0000000000001238" @default.
- W2912682249 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30629027" @default.
- W2912682249 hasPublicationYear "2019" @default.
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