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Articles by Curtiland Deville
Health Disparities and Inequities in the Utilization of Proton Therapy for Prostate Cancer
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In Reply to Shueng et al.
We appreciate the comments by Shueng et al 1 Shueng P-W Chen J-D Hsu C-X In regard to Mattes et al. about our study assessing the feasibility of integrating radiation oncology (RO) into pre-existing early pathway programs for diverse premedical students. An important question raised was why only approximately one-half of students were aware of the specialty of RO at baseline.
Characterizing population-wide genomic risk distribution for development of a novel clinical-genomic risk system for prognostication in patients with clinically localized prostate cancer | Prostate Cancer and Prostatic Diseases
Abstract Genomic classifiers are endorsed by guidelines and commonly used to inform prognosis in prostate cancer. We aimed to understand the distribution of genomic risk within the validated staging collaboration for cancer of the prostate (STAR-CAP) and propose a system integrating genomic and clinicopathologic risk. We hypothesized that genomic heterogeneity would have implications on risk estimates and may inform treatment decisions.
Radiotherapy Deserts: Impact of Race, Poverty and the Rural-Urban Continuum on Density of Providers and Utilization of Radiotherapy in the United States
Abstract Purpose : Prior efforts to characterize disparities in radiotherapy access and receipt have not comprehensively investigated interplay between race, socioeconomic status, and geography relative to oncologic outcomes.
Declining Representation and Reporting of Racial and Ethnic Minority Patients in Prostate Cancer Clinical Trials Despite Persistent Health Disparities-Where Progress Confronts Limitations | Oncology | JAMA Oncology | JAMA Network
[Skip to Navigation] December 15, 2022 JAMA Oncol. Published online December 15, 2022. doi:10.1001/jamaoncol.2022.6749 Full Text Clinical trials enable us to redefine our standard of care. In a disease setting with well-established population-level disparities, such as prostate cancer,1 inclusive clinical research is essential.
Ensuring That Health Inequities and Disparities Are Not Exacerbated in the Evolving Oligometastatic Treatment Paradigm
When considering metastatic cancer as an overall category, it is broadly accepted that incidence, outcomes, and treatment utilization can vary by factors including race and ethnicity, gender, socioeconomic status, insurance status, and geographic location. However, for the subcategory of patients with oligometastatic disease states, there is a dearth of evidence regarding how the use of novel radiation treatment strategies can be affected by or may affect existing health care inequities.
Tempering optimism for MRI-guided focused ultrasound therapy
We commend Behfar Ehdaie and colleagues 1 Ehdaie B Tempany CM Holland F et al. MRI-guided focused ultrasound focal therapy for patients with intermediate-risk prostate cancer: a phase 2b, multicentre study. for the successful completion of their trial published in The Lancet Oncology. The authors suggest that MRI-guided, high-intensity focal ultrasound therapy is a safe and effective option for patients with intermediate-risk prostate cancer.
A Survey to Assess and Delineate Approaches to Medical Student Outreach to Promote Diversity at Academic Radiation Oncology Programs
ABSTRACT Purpose/Objective(s) To assess how academic radiation oncology departments engage medical students who are either female and/or from racial and ethnic demographic groups that are underrepresented in medicine (URiM). Materials/Methods An electronic survey was sent to all 83 radiation oncology residency program directors (or if applicable medical student directors) whose department is affiliated with an on-site medical school.
Navigating Native Hawaiian and Pacific Islander Cancer Disparities From a Cultural and Historical Perspective
The coronavirus disease 2019 (COVID-19) disparities disproportionately affecting communities of color have summoned a call to examine the racist nature, scope, and root of health inequities in our society. Native Hawaiians and other Pacific Islanders (NHPIs) represent a geographically isolated and often ignored minority population. Herein, we navigate the cancer disparities of these people. The Pacific conceals over 20,000 islands scattered across thousands of miles of open ocean (Fig 1, Table 1).
Reconciling outcomes for Black men with prostate cancer within and outside the Veterans Health Administration
Editorial W. Robert Lee MD, MEd, MS Corresponding Author w.robert.lee@duke.edu orcid.org/https://orcid.org/0000-0002-3545-0170 Department of Radiation Oncology, Duke University School of Medicine, Durham, North Carolina Corresponding Author: W. Robert Lee, MD, MEd, MS, Durham Veterans Affairs Medical Center, DUMC 3085, Durham, NC 27710 (w.robert.lee@duke.edu). Search for more papers by this author See referenced original article on pages 403‐11, this issue.
The Suffocating State of Physician Workforce Diversity
It is a difficult time to witness the outrage of the ravaged and disenfranchised communities of color and the long-standing, systemic oppression of Black people in the US. I find my clinical day job as a radiation oncologist exceptionally fulfilling—supporting, advocating for, and treating men with prostate cancer.
I Can’t Breathe: The Continued Disproportionate Underrepresentation and Effective Exclusion of Black Physicians in the United States Radiation Oncology Workforce
Abstract Purpose Black physicians remain disproportionately underrepresented in certain medical specialties, yet comprehensive assessments in Radiation Oncology (RO) are lacking. Our purpose was to report current and historical representation trends for Black physicians in the US RO workforce. Methods Public registries were used to assess significant differences in 2016 representation for US vs RO Black academic full-time faculty, residents, and applicants.
Improving Diversity, Inclusion, and Representation in Radiology and Radiation Oncology Part 2: Challenges and Recommendations
The ACR Commission for Women and General Diversity is committed to identifying barriers to a diverse physician workforce in radiology and radiation oncology (RRO), and to offering policy recommendations to overcome these barriers. Part 2 of a 2-part position article from the commission addresses issues regarding diversity and inclusion in the context of career choices and professional advancement. Barriers to improving diversity and representation in RRO are reviewed.
Improving Diversity, Inclusion, and Representation in Radiology and Radiation Oncology Part 1: Why These Matter
The ACR Commission for Women and General Diversity is committed to identifying barriers to a diverse physician workforce in radiology and radiation oncology (RRO), and to offering policy recommendations to overcome these barriers. In Part 1 of a 2-part position article from the commission, diversity as a concept and its dimensions of personality, character, ethnicity, biology, biography, and organization are introduced. Terms commonly used to describe diverse individuals and groups are reviewed.
Comparative toxicity outcomes of proton‐beam therapy versus intensity‐modulated radiotherapy for prostate cancer in the postoperative setting
Original Article Comparative toxicity outcomes of proton‐beam therapy versus intensity‐modulated radiotherapy for prostate cancer in the postoperative setting Neha Vapiwala MD Corresponding Author E-mail address: vapiwala@uphs.upenn.edu Department of Radiation Oncology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania Corresponding author: Neha Vapiwala, MD, Department of Radiation Oncology, Perelman School of Medicine at the University of...
Updates from ATRO's Committee on Health Equity, Diversity and Inclusion (CHEDI) - American Society for Radiation Oncology (ASTRO) - American Society for Radiation Oncology (ASTRO)
By Curtiland Deville, MD, Chair, CHEDI, ASTRO Despite continued technological advances in radiation oncology, well-documented disparities and inequities in cancer care and outcomes continue to persist domestically and globally. While diversification of the physician workforce is seen as an important component to addressing health disparities, certain specialties, such as radiation oncology, remain disproportionately underrepresented by women and underrepresented racial and ethnic minorities.
Oxybutynin for Hot Flashes Due to Androgen Deprivation in Men
Nonhormonal treatments used for menopausal hot flashes in women have generally been found to have limited efficacy against hot flashes induced by androgen deprivation for the treatment of prostate cancer in men.
Diversity, Inclusion, and Representation: It Is Time to Act
Abstract Although the available pool of qualified underrepresented minority and women medical school graduates has expanded in recent decades, their representation in the radiological professions has improved only marginally. Recognizing this deficit in diversity, many professional medical societies, including the ACR, have incorporated these values as core elements of their missions and instituted programs that address previously identified barriers to a more diverse workforce.
A Culture of Inclusivity at the National Institute of Food and Agriculture
Fine words, to be sure, but how do we make it true in a department that employs almost 100,000 directly and countless more indirectly at thousands of locations across the country? At USDA’s National Institute of Food and Agriculture (NIFA), civil rights are inherent to our mission. By promoting equal opportunity and supporting underserved groups and communities, NIFA’s programs help people improve their lives and communities.
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