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
Clinical Scorecard: Disparities in Cancer Survival Rates Among Patients of the Veterans Health Administration: A Comprehensive Review
At a Glance
Category Detail
Condition Cancer survival disparities
Key Mechanisms Social determinants of health, access to care
Target Population Veterans with cancer
Care Setting Veterans Health Administration
Key Highlights
Black populations generally have lower cancer survival rates compared to White populations. VHA provides standardized care to all eligible veterans, aiming for equitable treatment. Survival outcomes for Black veterans receiving VHA care may be comparable to non-Black veterans.
Guideline-Based Recommendations
Diagnosis
Utilize comprehensive cancer diagnostic services available through VHA.
Management
Provide medical, radiation, and surgical oncology care to veterans.
Monitoring & Follow-up
Assess overall survival (OS) and cancer-specific survival (CSS) by race.
Risks
Consider social determinants of health impacting cancer survival rates.
Patient & Prescribing Data
Eligible veterans with cancer receiving care through VHA.
Access to advanced cancer care and ancillary services is provided.
Clinical Best Practices
Ensure equitable access to cancer care regardless of race. Utilize systematic reviews to inform treatment outcomes.
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