دورية أكاديمية
أعرض في EDS

Rural-Urban Disparities in Receipt of Surgery for Potentially Resectable Non-Small Cell Lung Cancer.

التفاصيل البيبلوغرافية
العنوان: Rural-Urban Disparities in Receipt of Surgery for Potentially Resectable Non-Small Cell Lung Cancer.
المؤلفون: Logan CD; Surgical Outcomes and Quality Improvement Center, Department of Surgery, Northwestern University, Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois 60611; Canning Thoracic Institute, Department of Surgery, Northwestern University, Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois 60611., Feinglass J; Department of Medicine, Northwestern University, Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois 60611., Halverson AL; Surgical Outcomes and Quality Improvement Center, Department of Surgery, Northwestern University, Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois 60611., Durst D; Surgical Outcomes and Quality Improvement Center, Department of Surgery, Northwestern University, Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois 60611., Lung K; Canning Thoracic Institute, Department of Surgery, Northwestern University, Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois 60611., Kim S; Canning Thoracic Institute, Department of Surgery, Northwestern University, Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois 60611., Bharat A; Canning Thoracic Institute, Department of Surgery, Northwestern University, Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois 60611., Merkow RP; Surgical Outcomes and Quality Improvement Center, Department of Surgery, Northwestern University, Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois 60611., Bentrem DJ; Surgical Outcomes and Quality Improvement Center, Department of Surgery, Northwestern University, Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois 60611., Odell DD; Surgical Outcomes and Quality Improvement Center, Department of Surgery, Northwestern University, Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois 60611; Canning Thoracic Institute, Department of Surgery, Northwestern University, Feinberg School of Medicine, 420 East Superior Street, Chicago, Illinois 60611. Electronic address: dodell@northwestern.edu.
المصدر: The Journal of surgical research [J Surg Res] 2023 Mar; Vol. 283, pp. 1053-1063. Date of Electronic Publication: 2022 Dec 14.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Academic Press Country of Publication: United States NLM ID: 0376340 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1095-8673 (Electronic) Linking ISSN: 00224804 NLM ISO Abbreviation: J Surg Res Subsets: MEDLINE
أسماء مطبوعة: Publication: New York, NY : Academic Press
Original Publication: Philadelphia [etc.]
مواضيع طبية MeSH: Carcinoma, Non-Small-Cell Lung*/surgery , Lung Neoplasms*/surgery, Humans ; Rural Population ; Healthcare Disparities
مستخلص: Introduction: Access to cancer care, especially surgery, is limited in rural areas. However, the specific reasons rural patient populations do not receive surgery for non-small cell lung cancer (NSCLC) is unknown. We investigated geographic disparities in reasons for failure to receive guideline-indicated surgical treatment for patients with potentially resectable NSCLC.
Methods: The National Cancer Database was used to identify patients with clinical stage I-IIIA (N0-N1) NSCLC between 2004 and 2018. Patients from rural areas were compared to urban areas, and the reason for nonreceipt of surgery was evaluated. Adjusted odds of (1) primary nonsurgical management, (2) surgery being deemed contraindicated due to risk, (3) surgery being recommended but not performed, and (4) overall failure to receive surgery were determined.
Results: The study included 324,785 patients with NSCLC with 42,361 (13.0%) from rural areas. Overall, 62.4% of patients from urban areas and 58.8% of patients from rural areas underwent surgery (P < 0.001). Patients from rural areas had increased odds of (1) being recommended primary nonsurgical management (adjusted odds ratio [aOR]: 1.14, 95% confidence interval [CI]: 1.05-1.23), (2) surgery being deemed contraindicated due to risk (aOR: 1.19, 95% CI: 1.07-1.33), (3) surgery being recommended but not performed (aOR: 1.13, 95% CI: 1.01-1.26), and (4) overall failure to receive surgery (aOR: 1.21, 95% CI: 1.13-1.29; all P < 0.001).
Conclusions: There are geographic disparities in the management of NSCLC. Rural patient populations are more likely to fail to undergo surgery for potentially resectable disease for every reason examined.
(Copyright © 2022. Published by Elsevier Inc.)
References: Med Decis Making. 2003 Mar-Apr;23(2):167-76. (PMID: 12693879)
Ann Thorac Surg. 2020 Dec;110(6):1869-1873. (PMID: 32599050)
Lung Cancer. 2014 Mar;83(3):401-7. (PMID: 24491311)
J Community Health. 2014 Aug;39(4):696-705. (PMID: 24346819)
Anticancer Res. 2005 Sep-Oct;25(5):3517-20. (PMID: 16101172)
J Thorac Dis. 2021 Jun;13(6):3758-3763. (PMID: 34277067)
Am J Clin Oncol. 2019 Jul;42(7):607-614. (PMID: 31232724)
J Thorac Dis. 2021 Jun;13(6):3801-3808. (PMID: 34277070)
J Health Commun. 2014;19(5):532-44. (PMID: 24359327)
Cancer Epidemiol Biomarkers Prev. 2017 Jul;26(7):992-997. (PMID: 28600296)
Arch Surg. 2009 Jan;144(1):14-8. (PMID: 19153319)
Chest. 2020 Aug;158(2):787-796. (PMID: 32387525)
Med Care. 2009 Jul;47(7):774-81. (PMID: 19536007)
Ann Surg Oncol. 2018 Nov;25(12):3427-3435. (PMID: 30043318)
J Thorac Dis. 2021 Jun;13(6):3745-3757. (PMID: 34277066)
J Clin Oncol. 2014 Jan 1;32(1):12-8. (PMID: 24276777)
N Engl J Med. 1999 Oct 14;341(16):1198-205. (PMID: 10519898)
Ann Surg Oncol. 2012 Mar;19(3):722-7. (PMID: 21947698)
J Clin Oncol. 2006 Jan 20;24(3):413-8. (PMID: 16365180)
J Rural Health. 2020 Sep;36(4):496-505. (PMID: 32356939)
Am J Prev Med. 2018 May;54(5):688-698. (PMID: 29550163)
JAMA. 2010 Jun 16;303(23):2368-76. (PMID: 20551407)
J Thorac Oncol. 2016 Jun;11(6):880-9. (PMID: 26980472)
Lung Cancer. 2008 Mar;59(3):291-300. (PMID: 17933419)
J Thorac Oncol. 2010 Nov;5(11):1772-8. (PMID: 20881638)
J Clin Oncol. 2013 Feb 1;31(4):475-81. (PMID: 23269988)
Am J Prev Med. 2014 Feb;46(2):e19-29. (PMID: 24439358)
Chest. 1994 Dec;106(6):1797-800. (PMID: 7988203)
Cancer Epidemiol Biomarkers Prev. 2020 Jan;29(1):112-118. (PMID: 31624076)
Ann Surg Oncol. 2008 Mar;15(3):683-90. (PMID: 18183467)
Adv Exp Med Biol. 2016;893:1-19. (PMID: 26667336)
J Clin Oncol. 2009 Sep 1;27(25):4177-81. (PMID: 19636004)
Arch Phys Med Rehabil. 2008 Apr;89(4):595-601. (PMID: 18373987)
Anticancer Res. 2019 Sep;39(9):4941-4945. (PMID: 31519599)
J Natl Compr Canc Netw. 2022 May;20(5):497-530. (PMID: 35545176)
Dis Esophagus. 2020 Mar 5;33(2):. (PMID: 31076759)
Am J Surg. 2021 Apr;221(4):725-730. (PMID: 32829909)
N Engl J Med. 1999 Feb 25;340(8):618-26. (PMID: 10029647)
Laryngoscope Investig Otolaryngol. 2021 Aug 20;6(5):991-998. (PMID: 34667841)
J Rural Health. 2019 Mar;35(2):176-188. (PMID: 30830984)
Ann Am Thorac Soc. 2017 Mar;14(3):403-411. (PMID: 28118039)
J Rural Health. 2022 Mar;38(2):398-408. (PMID: 34143906)
J Rural Health. 2021 Sep;37(4):714-722. (PMID: 33274780)
J Natl Med Assoc. 2011 Aug;103(8):711-8. (PMID: 22046848)
Lung Cancer. 2018 Nov;125:51-56. (PMID: 30429038)
Ann Thorac Surg. 2008 Jul;86(1):220-6; discussion 227. (PMID: 18573427)
Cancer. 2019 Oct 1;125(19):3428-3436. (PMID: 31299089)
J Thorac Cardiovasc Surg. 2019 Apr;157(4):1670-1679.e4. (PMID: 30685165)
Chest. 2005 Nov;128(5):3440-6. (PMID: 16304297)
Am J Public Health. 2004 Oct;94(10):1675-8. (PMID: 15451729)
معلومات مُعتمدة: U54 CA202995 United States CA NCI NIH HHS; K12 HS026385 United States HS AHRQ HHS; R01 HL145478 United States HL NHLBI NIH HHS; K07 CA216330 United States CA NCI NIH HHS; T37 MD014248 United States MD NIMHD NIH HHS; T32 CA057699 United States CA NCI NIH HHS
فهرسة مساهمة: Keywords: Adult; Database; Lung cancer surgery; Non–small cell lung cancer; Rural disparities; Surgical outcomes; Thoracic surgery
تواريخ الأحداث: Date Created: 20230314 Date Completed: 20230315 Latest Revision: 20240302
رمز التحديث: 20240302
مُعرف محوري في PubMed: PMC10289009
DOI: 10.1016/j.jss.2022.10.097
PMID: 36914996
قاعدة البيانات: MEDLINE
الوصف
تدمد:1095-8673
DOI:10.1016/j.jss.2022.10.097