Racial/Ethnic Disparities in Surgical Management of Pancreatic Adenocarcinoma: A Scoping Review

Non-White patients diagnosed with pancreatic adenocarcinoma (PDAC) have lower rates of overall survival, as compared to their White counterparts, despite similar post-resection survival. This suggests that pre-resection factors contribute to these survival disparities. One potential explanation for these disparities are differences in surgical decision making for White and non-White patients. There has yet to be a scoping review focusing solely on the disparities in decision to undergo surgical treatment of PDAC by race and their contributing factors. The goal of this review is to address this gap in the literature by examining and synthesizing current published studies regarding disparities in decisions to undergo resection for resectable PDAC by race. We predict that most studies will highlight disparities in treatment decisions, and that physician bias will play a role in these decisional differences

Racial/Ethnic Disparities in Surgical Management of Pancreatic Adenocarcinoma: A Scoping Review

Non-White patients diagnosed with pancreatic adenocarcinoma (PDAC) have lower rates of overall survival, as compared to their White counterparts, despite similar post-resection survival. This suggests that pre-resection factors contribute to these survival disparities. One potential explanation for these disparities are differences in surgical decision making for White and non-White patients. There has yet to be a scoping review focusing solely on the disparities in decision to undergo surgical treatment of PDAC by race and their contributing factors. The goal of this review is to address this gap in the literature by examining and synthesizing current published studies regarding disparities in decisions to undergo resection for resectable PDAC by race. We predict that most studies will highlight disparities in treatment decisions, and that physician bias will play a role in these decisional differences