Black Americans with melanoma, the deadliest form of skin cancer, wait longer for surgery than white patients, a new study finds.
"We already knew that black patients with melanoma have a worse prognosis and that longer time to treatment is associated with worse survival, but we didn't fully understand the relationship between race and time to treatment after controlling for various other factors," said study first author Raghav Tripathi, from Case Western Reserve University School of Medicine in Cleveland.
The time from diagnosis to surgery was an average of 23.4 days for black patients, compared with 11.7 days for white patients. Compared to whites, blacks were two times more likely to have to wait 41-60 days, three times more likely to have to wait 61-90 days, and five times more likely to have to wait 91 days or more.
Health insurance status didn't fully account for the disparities in wait times between blacks and whites, according to the study authors. Tripathi noted that blacks typically develop more aggressive melanoma and require more complex surgeries that can take longer to schedule, particularly if they involve coordination among several doctors.
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