Health Disparities: Impact of Health Disparities and Treatment Decision-Making Biases on Cancer Adverse Effects Among Black Cancer Survivors.
Jacqueline B Vo, Arielle Gillman, Kelsey Mitchell and 1 others
PMID 34533532WHAT IT FOUND
Black cancer survivors face disparities in pain assessment and treatment, and the review describes nursing actions to assess pain, explain adverse effects, monitor chemotherapy, and support navigation.
Key findings
01The review reports pain-care disparities: Black patients are less likely to have pain assessed or managed, and some oncologists are less likely to prescribe opioids for Black patients with advanced cancer.
02A meta-analysis cited in the review reported that 6 of 14 studies examining implicit bias in healthcare outcomes identified a relationship between provider implicit bias and disparities in treatment recommendations.
03The review describes nursing actions: assess health literacy and use teach-back, learn culturally appropriate pain assessment, monitor chemotherapy adverse effects, and use oncology nurse navigators.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
No original methods or participants are reported. It is a narrative review, not a systematic review, and study selection is not described. It does not test whether nurse education, bias training, pain assessment, or navigation reduces disparities. The article is published in a nursing journal and focuses on nursing roles, but many statements are recommendations rather than measured effects.
Declared interests
The paper is listed as supported by N.I.H., Extramural; no author conflicts of interest are stated in the supplied text.
The easy way to misread this
Do not read the nursing recommendations as evidence that they reduce cancer disparities. The article reports no original outcomes and does not test nurse education, pain assessment, or navigation.