Equity and Cancer Survival Among Veterans Health Administration Patients: A Systematic Review and - Report - MDSpire

Equity and Cancer Survival Among Veterans Health Administration Patients: A Systematic Review and

  • By

  • Alyssa Jasmine Bullard

  • Haley I. Tupper

  • Kevin Su

  • Lin Gu

  • Luca F. Valle

  • Isla P. Garraway

  • Donna L. Washington

  • Chloe E. Bird

  • Robert A. Winn

  • Stephen J. Freedland

  • Christina D. Williams

  • Drew Moghanaki

  • July 2, 2026

  • 0 min

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Disparities in Cancer Survival Rates Among Patients of the Veterans Health Administration

Overview

This comprehensive review investigates cancer survival rates among veterans within the Veterans Health Administration (VHA), focusing on racial disparities.

Background

Despite advancements in cancer care leading to reduced mortality rates, significant disparities persist, particularly among Black populations in the general U.S. population. The VHA, serving over 9 million veterans, aims to provide equitable cancer care regardless of race.

Data Highlights

No numerical data or trial data was provided in the source material.

Key Findings

  • Black populations generally have lower cancer survival rates compared to White populations, even after adjusting for various factors.
  • Social determinants of health, such as socioeconomic status and access to healthcare, contribute to survival disparities.
  • The VHA provides standardized care, which may lead to comparable survival outcomes across racial groups.
  • A systematic review was conducted to evaluate overall survival (OS) and cancer-specific survival (CSS) by race among veterans treated in the VHA.
  • Meta-analysis was used to estimate pooled hazard ratios for OS and CSS across eligible studies.

Clinical Implications

Continued monitoring and evaluation of survival outcomes by race within the VHA are essential for ensuring equitable care.

Conclusion

This review highlights the importance of understanding cancer survival rates among veterans.

Related Resources & Content

  1. Journal of General Internal Medicine, 2026 -- Estimating Lung Cancer Screening Eligibility in the Veterans Health Administration Using Patient-Reported Smoking Histories
  2. ADA News, 2021 -- Study Investigates Influence of Race on Receipt of Care for Prostate Cancer
  3. The ASCO Post, 2024 -- Outcomes of Immune Checkpoint Inhibitor Treatment for Cancer in Black vs White Patients in the U.S. VHA System
  4. Inconsistent Implementation of VHA Oncology Program Requirements Due to Insufficient Oversight | Department of Veterans Affairs OIG
  5. Trends in lung cancer survival: superior outcomes in US veterans compared to general population | JNCI Cancer Spectrum
  6. The ASCO Post — Regional Disparities in Metastatic Breast Cancer Survival Between 1990 and 2011
  7. Inconsistent Implementation of VHA Oncology Program Requirements Due to Insufficient Oversight | Department of Veterans Affairs OIG
  8. https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=12061
  9. Updated Oncology Medical Home Standards Now Available - ASCO
  10. Trends in lung cancer survival: superior outcomes in US veterans compared to general population | JNCI Cancer Spectrum | Oxford Academic
  11. Evidence Brief: Update on Prevalence of and Interventions to Reduce Racial and Ethnic Disparities within the VA
  12. Quality of Care in Veterans Affairs Health Care System In-Person and National TeleOncology Service-Delivered Care - PMC
  13. Communication of Lung Cancer Screening Results: A National Survey of Veterans Health Administration Facilities - ScienceDirect
  14. Making Veterans Visible in National Cancer Registries | Oncology | JAMA Oncology | JAMA Network

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