When left untreated, high blood pressure (hypertension) can lead to heart attacks, heart failure, stroke, and kidney disease. On average, Black men and women have a higher risk of hypertension and worse blood pressure control than other racial or ethnic groups in the US.

The goal of this project is to be able to identify hypertension in Black patients earlier and intervene to improve overall control of high blood pressure.

  • Current project stage: Analysis

David J. Halpern, MD
CACHE Hypertension project principal investigator
Bio for Dr. Halpern

Colorectal cancer

Colorectal cancer is the second leading cause of cancer death in the US, although the risk is significantly reduced with adequate screening. It disproportionately affects racial minorities and people with lower socio-economic status. Differences in rates of screening for colorectal cancer account for a large part of these disparities. 

The goal of this CACHE project is to identify disparities in colorectal cancer within the Duke Health system, including disparities related to access to cancer screening.

  • Current project stage: Analysis


Andrew Muir, MD, MHS
CACHE Colorectal Cancer project principal investigator
Bio for Dr. Muir

Maternal Health

The United States has higher rates of maternal and neonatal mortality than nearly any other developed nation. These risks are magnified for Black mothers and their babies, whose risk of mortality is 2-5 times that of white mothers and infants.

By identifying disparities in risk factors for mortality among Duke Health patients, we can engage our community and create standardized protocols for patient care.

This project is partnering with our community to create protocols targeting risk factors with the aim to mitigate systemic racism that leads to  outcomes for Black mothers and neonates.

  • Current project stage: Analysis


Brenna L. Hughes, MD, MSC
CACHE Maternal  Health Project principal investigator
Bio for Dr. Hughes