Why Racial Justice Matters in Radiation Oncology.
Identifieur interne : 000119 ( Main/Exploration ); précédent : 000118; suivant : 000120Why Racial Justice Matters in Radiation Oncology.
Auteurs : Christina Hunter Chapman [États-Unis] ; Darlene Gabeau [États-Unis] ; Chelsea C. Pinnix [États-Unis] ; Curtiland Deville [États-Unis] ; Iris C. Gibbs [États-Unis] ; Karen M. Winkfield [États-Unis]Source :
- Advances in radiation oncology [ 2452-1094 ]
Abstract
Recent events have reaffirmed that racism is a pervasive disease plaguing the United States and infiltrating the fabric of this nation. As health care professionals dedicated to understanding and alleviating disease, many radiation oncologists have failed to acknowledge how structural racism affects the health and well-being of the patients we aim to serve. The literature is full of descriptive statistics showing the higher incidence and mortality experienced by the Black population for health conditions ranging from infant mortality to infectious disease, including coronavirus disease 2019 (COVID-19). Acknowledgment that the root of health disparities experienced by Black people in this country are based in racism is essential to moving the nation and the field of radiation oncology forward. With this lens, a brief overview of structural and institutional racism shapes a discussion of what radiation oncologists and the organizations that represent them can do to address this scourge. As members of a technological field, we often harness the power of data to advance human health and approach challenging diseases with optimism that multidisciplinary effort can produce cure. A few principles to mitigate the longstanding issues of Black marginalization within the field have been recommended via the ATIP (Acknowledgment, Transparency, Intentionality, and rePresentation) and LEADS (Learn, Engage, Advocate, Defend, Support) approaches. However, additional introspection is encouraged. Just as individuals, practices, and organizations rallied to determine how best to address the issues related to the COVID-19 pandemic, the same investigational fervor must be applied to the issue of racism to combat this sinister and often deadly disease.
DOI: 10.1016/j.adro.2020.06.013
PubMed: 32838067
PubMed Central: PMC7340406
Affiliations:
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Kahlert Regional Cancer Center, Lifebridge Health, Westminster, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Department of Radiation Oncology, William E. Kahlert Regional Cancer Center, Lifebridge Health, Westminster</wicri:cityArea></affiliation></author><author><name sortKey="Pinnix, Chelsea C" sort="Pinnix, Chelsea C" uniqKey="Pinnix C" first="Chelsea C" last="Pinnix">Chelsea C. Pinnix</name><affiliation wicri:level="2"><nlm:affiliation>Department of Radiation Oncology, MD Anderson, Houston, Texas.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>Department of Radiation Oncology, MD Anderson, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Deville, Curtiland" sort="Deville, Curtiland" uniqKey="Deville C" first="Curtiland" last="Deville">Curtiland Deville</name><affiliation wicri:level="2"><nlm:affiliation>Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore</wicri:cityArea></affiliation></author><author><name sortKey="Gibbs, Iris C" sort="Gibbs, Iris C" uniqKey="Gibbs I" first="Iris C" last="Gibbs">Iris C. Gibbs</name><affiliation wicri:level="2"><nlm:affiliation>Department of Radiation Oncology, Stanford University, Stanford, California.</nlm:affiliation><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>Department of Radiation Oncology, Stanford University, Stanford</wicri:cityArea></affiliation></author><author><name sortKey="Winkfield, Karen M" sort="Winkfield, Karen M" uniqKey="Winkfield K" first="Karen M" last="Winkfield">Karen M. Winkfield</name><affiliation wicri:level="2"><nlm:affiliation>Department of Radiation Oncology, Wake Forest School of Medicine, Winston Salem, North Carolina.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Nord</region></placeName><wicri:cityArea>Department of Radiation Oncology, Wake Forest School of Medicine, Winston Salem</wicri:cityArea></affiliation></author></analytic><series><title level="j">Advances in radiation oncology</title><idno type="ISSN">2452-1094</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Recent events have reaffirmed that racism is a pervasive disease plaguing the United States and infiltrating the fabric of this nation. As health care professionals dedicated to understanding and alleviating disease, many radiation oncologists have failed to acknowledge how structural racism affects the health and well-being of the patients we aim to serve. The literature is full of descriptive statistics showing the higher incidence and mortality experienced by the Black population for health conditions ranging from infant mortality to infectious disease, including coronavirus disease 2019 (COVID-19). Acknowledgment that the root of health disparities experienced by Black people in this country are based in racism is essential to moving the nation and the field of radiation oncology forward. With this lens, a brief overview of structural and institutional racism shapes a discussion of what radiation oncologists and the organizations that represent them can do to address this scourge. As members of a technological field, we often harness the power of data to advance human health and approach challenging diseases with optimism that multidisciplinary effort can produce cure. A few principles to mitigate the longstanding issues of Black marginalization within the field have been recommended via the ATIP (Acknowledgment, Transparency, Intentionality, and rePresentation) and LEADS (Learn, Engage, Advocate, Defend, Support) approaches. However, additional introspection is encouraged. Just as individuals, practices, and organizations rallied to determine how best to address the issues related to the COVID-19 pandemic, the same investigational fervor must be applied to the issue of racism to combat this sinister and often deadly disease.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32838067</PMID><DateRevised><Year>2020</Year><Month>11</Month><Day>05</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2452-1094</ISSN><JournalIssue CitedMedium="Print"><Volume>5</Volume><Issue>5</Issue><PubDate><MedlineDate>2020 Sep-Oct</MedlineDate></PubDate></JournalIssue><Title>Advances in radiation oncology</Title><ISOAbbreviation>Adv Radiat Oncol</ISOAbbreviation></Journal><ArticleTitle>Why Racial Justice Matters in Radiation Oncology.</ArticleTitle><Pagination><MedlinePgn>783-790</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.adro.2020.06.013</ELocationID><Abstract><AbstractText>Recent events have reaffirmed that racism is a pervasive disease plaguing the United States and infiltrating the fabric of this nation. As health care professionals dedicated to understanding and alleviating disease, many radiation oncologists have failed to acknowledge how structural racism affects the health and well-being of the patients we aim to serve. The literature is full of descriptive statistics showing the higher incidence and mortality experienced by the Black population for health conditions ranging from infant mortality to infectious disease, including coronavirus disease 2019 (COVID-19). Acknowledgment that the root of health disparities experienced by Black people in this country are based in racism is essential to moving the nation and the field of radiation oncology forward. With this lens, a brief overview of structural and institutional racism shapes a discussion of what radiation oncologists and the organizations that represent them can do to address this scourge. As members of a technological field, we often harness the power of data to advance human health and approach challenging diseases with optimism that multidisciplinary effort can produce cure. A few principles to mitigate the longstanding issues of Black marginalization within the field have been recommended via the ATIP (Acknowledgment, Transparency, Intentionality, and rePresentation) and LEADS (Learn, Engage, Advocate, Defend, Support) approaches. However, additional introspection is encouraged. Just as individuals, practices, and organizations rallied to determine how best to address the issues related to the COVID-19 pandemic, the same investigational fervor must be applied to the issue of racism to combat this sinister and often deadly disease.</AbstractText><CopyrightInformation>© 2020 The Author(s).</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chapman</LastName><ForeName>Christina Hunter</ForeName><Initials>CH</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, University of Michigan, Ann Arbor, Michigan.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, Michigan.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gabeau</LastName><ForeName>Darlene</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, William E. Kahlert Regional Cancer Center, Lifebridge Health, Westminster, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pinnix</LastName><ForeName>Chelsea C</ForeName><Initials>CC</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, MD Anderson, Houston, Texas.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Deville</LastName><ForeName>Curtiland</ForeName><Initials>C</Initials><Suffix>Jr</Suffix><AffiliationInfo><Affiliation>Department of Radiation Oncology and Molecular Radiation Sciences, Johns Hopkins University, Baltimore, Maryland.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gibbs</LastName><ForeName>Iris C</ForeName><Initials>IC</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, Stanford University, Stanford, California.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Winkfield</LastName><ForeName>Karen M</ForeName><Initials>KM</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, Wake Forest School of Medicine, Winston Salem, North Carolina.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>07</Month><Day>07</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Adv Radiat Oncol</MedlineTA><NlmUniqueID>101677247</NlmUniqueID><ISSNLinking>2452-1094</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Adv Radiat Oncol. 2020 Jul 07;5(5):793-794</RefSource><PMID Version="1">33083639</PMID></CommentsCorrections><CommentsCorrections RefType="CommentIn"><RefSource>Adv Radiat Oncol. 2020 Oct 29;5(Suppl 1):15-16</RefSource><PMID Version="1">33150268</PMID></CommentsCorrections></CommentsCorrectionsList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>06</Month><Day>08</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2020</Year><Month>06</Month><Day>11</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>06</Month><Day>12</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>8</Month><Day>25</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32838067</ArticleId><ArticleId IdType="doi">10.1016/j.adro.2020.06.013</ArticleId><ArticleId IdType="pii">S2452-1094(20)30162-7</ArticleId><ArticleId IdType="pmc">PMC7340406</ArticleId></ArticleIdList><pmc-dir>pmcsd</pmc-dir>
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