Socioeconomic Factors Associated with Lack of Treatment in Early Stage Non-Small Cell Lung Cancer

被引：7
作者：
Dalwadi, Shraddha M. [1 ]
Zhang, Jun [2 ]
Bernicker, Eric H. [2 ]
Butler, E. Brian [2 ]
Teh, Bin S. [2 ]
Farach, Andrew M. [2 ]
机构：
[1] Baylor Coll Med, Houston, TX 77030 USA
[2] Houston Methodist Hosp, Houston, TX 77030 USA
来源：
CANCER INVESTIGATION | 2019年 / 37卷 / 09期
关键词：
Lung cancer; socioeconomic; access to care; radiation; surgery; STEREOTACTIC ABLATIVE RADIOTHERAPY; AFFORDABLE CARE ACT; SUBLOBAR RESECTION; ETHNIC DISPARITIES; RACIAL-DIFFERENCES; SURGICAL-TREATMENT; SURVIVAL; SURGERY; LOBECTOMY; OUTCOMES;
D O I：
10.1080/07357907.2019.1666136
中图分类号：
R73 [肿瘤学];
学科分类号：
100214 ;
摘要：
With modern radiotherapy, stage I non-small cell lung cancer (S1NSCLC) cure is extended to nonsurgical candidates. Despite this, some S1NSCLC remains untreated. We aim to identify factors associated with no treatment. 62,213 S1NSCLC cases were identified (SEER: 2004-2012). Demographics were compared using Chi-squared. Multivariate analysis was performed using COX proportional HR. 11.9% of the 7373 patients lacked treatment. No insurance, Medicaid-dependence, unmarried status, advancing age, lower income, African American and Asian/Pacific Islander race, and male sex are associated with no treatment (p < .0001). No treatment portends a worse cancer-specific survival (21% vs 66% at 5Y, p < .0001) and OS (10% vs 50% at 5Y, p < .0001).
引用
收藏
页码：506 / 511
页数：6
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