Recent Improvements in Racial Disparity in the Treatment of Hepatocellular Carcinoma: How Times Have Changed
| العنوان: | Recent Improvements in Racial Disparity in the Treatment of Hepatocellular Carcinoma: How Times Have Changed |
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| المؤلفون: | Kwan N. Lau, Alexander M. Fagenson, Henry A. Pitt, Ambria S. Moten |
| المصدر: | Journal of Gastrointestinal Surgery. 25:2535-2544 |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | End results, medicine.medical_specialty, Racial disparity, business.industry, Gastroenterology, Ethnic group, 030230 surgery, medicine.disease, Resection, Hepatobiliary surgery, 03 medical and health sciences, 0302 clinical medicine, 030220 oncology & carcinogenesis, Internal medicine, Hepatocellular carcinoma, Epidemiology, medicine, Surgery, Risk of death, business |
| الوصف: | Race has been shown to impact receipt of and outcomes following hepatobiliary surgery. We sought to determine if racial disparities in the management of hepatocellular carcinoma persist. Information on patients with hepatocellular carcinoma diagnosed between 2012 and 2016 was obtained from the Surveillance, Epidemiology, and End Results database. The sample was stratified by race/ethnicity, and associations between tumor characteristics, treatment, and survival were assessed. Of 33,672 patients, the mean age was 65 years, and 77% were male. By race, 17,150 (51%) were white, 4755 (14%) black, 6850 (20%) Hispanic, and 4917 (15%) Asian. When assessing the likelihood of treatment versus no treatment for tumors less than 5 cm, no difference was observed between whites and blacks in any year, but Hispanics were less likely than whites to receive treatment in most years. Asians were more likely to receive treatment every year. When assessing the likelihood of transplant versus surgical resection, blacks were less likely than whites to undergo transplant in all years except 2016. Hispanics were equally likely, while Asians were less likely to undergo transplant in all years. For years 2012 to 2016 collectively, Asians had better 5-year survival rates than other races after undergoing ablation and resection. No difference in the risk of death was observed among blacks, whites, or Hispanics after undergoing ablation, resection, or transplant. Racial disparities for blacks and Hispanics have improved. Although Asians were less likely to undergo transplant, they had better survival after undergoing resection or ablation. |
| تدمد: | 1873-4626 1091-255X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::68b1d731ec13dd103d5cd97688548386 https://doi.org/10.1007/s11605-021-04912-7 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........68b1d731ec13dd103d5cd97688548386 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 18734626 1091255X |
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