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African-Americans more likely to die from colorectal malignancy than Caucasians, says new study New research posted in the November issue of the Journal of the American College of Surgeons shows that African-American patients with colorectal cancer are more likely to be identified as having advanced disease and are less inclined to undergo surgical methods compared with Caucasians, suggesting that improvements in screening and prices of procedure may reduce differences in colorectal malignancy outcomes for African-Americans.